PMID- 31785753
OWN - NLM
STAT- MEDLINE
DCOM- 20200615
LR  - 20200615
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 35
IP  - 12
DP  - 2019 Dec
TI  - Is There an Association Between Preoperative Expectations and Patient-Reported 
      Outcome After Hip Arthroscopy for Femoroacetabular Impingement Syndrome?
PG  - 3250-3258.e1
LID - S0749-8063(19)30575-4 [pii]
LID - 10.1016/j.arthro.2019.06.018 [doi]
AB  - PURPOSE: To determine the relationship between preoperative patient expectation 
      and postoperative satisfaction and overall patient-reported outcome (PRO) of 
      patients undergoing hip arthroscopy for femoroacetabular impingement syndrome. 
      METHODS: Patients who underwent hip arthroscopy for femoroacetabular impingement 
      syndrome completed the validated Hip Preservation Surgery Expectations Survey (21 
      questions; 0-100 range), as well as multiple PROs before surgery. High 
      expectation was defined as an expectation score greater than 1 standard deviation 
      above the mean. Patients with osteoarthritis, dysplasia, and those having 
      undergone previous hip surgery were excluded. At 1 year postoperatively, patient 
      visual analog scale (VAS) satisfaction, VAS pain, and PROs were assessed. 
      Univariable and multivariate analyses were performed. RESULTS: One-hundred 
      fifty-three subjects (mean age 34.4 +/- 12.6 years, female: 114 [71.3%], body mass 
      index: 25.9 +/- 5.3 kg/m(2)) participated. The mean expectation score was 84.5 +/- 
      12.3. Significant correlations between high expectation scores (>96.7) and 
      achieving the minimal clinical important difference (MCID) for modified Harris 
      Hip Score (mHHS; r = 0.339; P = .043) and patient acceptable symptomatic state 
      (PASS) for Hip Outcome Score-Activities of Daily Living Subscale (HOS-ADL; r = 
      0.207; P = .032) were observed. There were no significant correlations between 
      high expectation scores and preoperative or postoperative PROs or patient 
      satisfaction scores. chi(2) analysis demonstrated patients with greater 
      expectations had increased rates of reaching MCID mHHS (92.3% vs 74.7%; P = .08), 
      PASS mHHS (85.7% vs 69.7%; P = .046), and PASS HOS-ADL (93.8% vs 67.4%; P = 
      .031). CONCLUSIONS: High preoperative expectation is associated with increased 
      rates of MCID/PASS achievement on mHHS and increased rate of PASS achievement on 
      HOS-ADL. Preoperative expectations did not have an impact on Hip Outcome 
      Score-Sports Subscale; however, patients with high preoperative expectations also 
      have a high baseline Hip Outcome Score-Sports Subscale. In addition, preoperative 
      expectations are not associated with postoperative VAS satisfaction scores. LEVEL 
      OF EVIDENCE: III; non-randomized cohort, therapeutic.
CI  - Copyright (c) 2019 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Chahla, Jorge
AU  - Chahla J
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
FAU - Beck, Edward C
AU  - Beck EC
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
FAU - Nwachukwu, Benedict U
AU  - Nwachukwu BU
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
FAU - Alter, Thomas
AU  - Alter T
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
FAU - Harris, Joshua D
AU  - Harris JD
AD  - Department of Orthopaedic Surgery, Houston Methodist Hospital, Houston, Texas, 
      U.S.A.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.. 
      Electronic address: nho.research@rushortho.com.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CIN - Arthroscopy. 2019 Dec;35(12):3259-3260. PMID: 31785754
MH  - Activities of Daily Living
MH  - Adult
MH  - Arthroscopy/*methods
MH  - Body Mass Index
MH  - Cohort Studies
MH  - Female
MH  - Femoracetabular Impingement/*surgery
MH  - Hip Joint/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Patient Reported Outcome Measures
MH  - Patient Satisfaction
MH  - Visual Analog Scale
MH  - Young Adult
EDAT- 2019/12/02 06:00
MHDA- 2020/06/17 06:00
CRDT- 2019/12/02 06:00
PHST- 2018/12/04 00:00 [received]
PHST- 2019/06/06 00:00 [revised]
PHST- 2019/06/13 00:00 [accepted]
PHST- 2019/12/02 06:00 [entrez]
PHST- 2019/12/02 06:00 [pubmed]
PHST- 2020/06/17 06:00 [medline]
AID - S0749-8063(19)30575-4 [pii]
AID - 10.1016/j.arthro.2019.06.018 [doi]
PST - ppublish
SO  - Arthroscopy. 2019 Dec;35(12):3250-3258.e1. doi: 10.1016/j.arthro.2019.06.018.