PMID- 32167843
OWN - NLM
STAT- MEDLINE
DCOM- 20201103
LR  - 20201103
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 48
IP  - 4
DP  - 2020 Mar
TI  - Defining the Clinically Meaningful Outcomes for Arthroscopic Treatment of 
      Femoroacetabular Impingement Syndrome at Minimum 5-Year Follow-up.
PG  - 901-907
LID - 10.1177/0363546520902736 [doi]
AB  - BACKGROUND: Minimal clinically important difference (MCID), substantial clinical 
      benefit (SCB), and patient acceptable symptomatic state (PASS) have gained 
      prominence as important variables in the orthopaedic outcomes literature. In hip 
      preservation surgery, much attention has been given to defining early clinically 
      meaningful outcome; however, it is unknown what represents meaningful 
      patient-reported outcome improvement in the medium to long term. PURPOSE: (1) To 
      define MCID, PASS, and SCB at a minimum 5 years after hip arthroscopy for 
      femoroacetabular impingement syndrome (FAIS) and (2) to evaluate the 
      time-dependent nature of MCID, PASS, and SCB. STUDY DESIGN: Case series; Level of 
      evidence, 4. METHODS: Patients undergoing primary hip arthroscopy for FAIS 
      between January 2012 and March 2014 were included. Clinical and demographic data 
      were collected in an institutional hip preservation registry. MCID, PASS, and SCB 
      were calculated for each outcome score including the Hip Outcome Score-Activities 
      of Daily Living subscale (HOS-ADL), Hip Outcome Score-Sport-Specific subscale 
      (HOS-SS), modified Harris Hip Score (mHHS), and International Hip Outcome Tool 
      (iHOT-12) at 1, 2, and 5 years. MCID was calculated by use of a 
      distribution-based method, whereas PASS and SCB were calculated by use of an 
      anchor method. RESULTS: The study included 283 patients with a mean +/- SD age of 
      34.2 +/- 11.9 years. The mean changes in 1-year, 2-year, and 5-year scores, 
      respectively, required to achieve MCID were as follows: HOS-ADL (8.8, 9.7, 10.2); 
      HOS-SS (13.9, 14.3, 15.2); mHHS (6.9, 9.2, 11.4); and iHOT-12 (15.1, 13.9, 15.1). 
      The threshold scores for achieving PASS were as follows: HOS-ADL (89.7, 88.2, 
      99.2); HOS-SS (72.2, 76.4, 80.9); mHHS (84.8, 83.3, 83.6); and iHOT-12 (69.1, 
      72.2, 74.3). Last, the threshold scores for achieving SCB scores were as follows: 
      HOS-ADL (89.7, 91.9, 94.6); HOS-SS (78.1, 77.9, 85.8); mHHS (86.9, 85.8, 94.4); 
      and iHOT-12 (72.6, 76.8, 87.5). More patients achieved MCID, SCB, and PASS at 
      2-year compared with 1-year follow-up; however, by 5 years, fewer patients had 
      achieved clinically meaningful outcome (minimum 1-, 2-, and 5-year follow-up, 
      respectively: MCID, 82.6%, 87.3%, 79.3%; PASS, 67.6%, 74.9%, 67.5%; SCB, 62.3%, 
      67.2%, 56.6%). CONCLUSION: The greatest proportion of patients achieved MCID, 
      PASS, and SCB at 2-year follow-up after arthroscopic treatment of FAIS compared 
      with 1- and 5-year time points. Improvements were maintained out to 5-year 
      follow-up, although the proportion of patients achieving clinical significance 
      was slightly decreased.
FAU - Nwachukwu, Benedict U
AU  - Nwachukwu BU
AD  - Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University 
      Medical Center, Chicago, Illinois, USA.
FAU - Beck, Edward C
AU  - Beck EC
AD  - Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University 
      Medical Center, Chicago, Illinois, USA.
FAU - Kunze, Kyle N
AU  - Kunze KN
AD  - Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University 
      Medical Center, Chicago, Illinois, USA.
FAU - Chahla, Jorge
AU  - Chahla J
AD  - Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University 
      Medical Center, Chicago, Illinois, USA.
FAU - Rasio, Jonathan
AU  - Rasio J
AD  - Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University 
      Medical Center, Chicago, Illinois, USA.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University 
      Medical Center, Chicago, Illinois, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - *Activities of Daily Living
MH  - *Arthroscopy
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - Minimal Clinically Important Difference
MH  - Treatment Outcome
OTO - NOTNLM
OT  - 5-year follow-up
OT  - MCID
OT  - PASS
OT  - SCB
OT  - femoroacetabular impingement syndrome
EDAT- 2020/03/14 06:00
MHDA- 2020/11/04 06:00
CRDT- 2020/03/14 06:00
PHST- 2020/03/14 06:00 [entrez]
PHST- 2020/03/14 06:00 [pubmed]
PHST- 2020/11/04 06:00 [medline]
AID - 10.1177/0363546520902736 [doi]
PST - ppublish
SO  - Am J Sports Med. 2020 Mar;48(4):901-907. doi: 10.1177/0363546520902736.