PMID- 33163212
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231112
IS  - 2054-8397 (Print)
IS  - 2054-8397 (Electronic)
IS  - 2054-8397 (Linking)
VI  - 7
IP  - 2
DP  - 2020 Jul
TI  - Does failure to meet threshold scores for mHHS and iHOT-12 correlate to secondary 
      operations following hip arthroscopy?
PG  - 272-280
LID - 10.1093/jhps/hnaa015 [doi]
AB  - The purpose of this study was to determine (i) if failing to achieve a 
      patient-reported outcome (PRO) threshold at 1 year was associated with secondary 
      operations at minimum 2-year follow-up and (ii)what outcome measure and threshold 
      has the highest association with future surgeries. Inclusion criteria for this 
      study were cases of primary hip arthroscopy between July 2014 and April 2017. 
      Included patients had recorded pre-operative and 1-year post-operative modified 
      Harris Hip Score (mHHS) and 12-item international Hip Outcome Tool (iHOT-12) 
      scores. Patients were classified based on their ability to achieve minimal 
      clinical important difference (MCID), substantial clinical benefit (SCB) and 
      patient acceptable symptom state (PASS) for each PRO and the status of secondary 
      operations at minimum 2-year follow-up. The sensitivity, specificity, accuracy, 
      positive likelihood ratio and negative likelihood ratio for these thresholds were 
      calculated. Of 425 eligible cases, 369 (86.8%) had minimum 2-year follow-up. Of 
      the included patients, 28 underwent secondary operations (7.59%), with 14 
      undergoing secondary arthroscopies (3.79%) and 14 converting to total hip 
      arthroplasty (3.79%). For mHHS, 267 (72.4%), 173 (46.9%) and 277 (75.1%) hips met 
      MCID, SCB and PASS, respectively. For iHOT-12, 234 (63.4%), 218 (59.1%) and 280 
      (75.9%) hips met the respective thresholds. The highest specificity, sensitivity 
      and accuracy were identified as for iHOT-12 MCID (0.79), iHOT-12 PASS (0.79) and 
      iHOT-12 MCID (0.77), respectively. Patients not attaining MCID and PASS for mHHS 
      and iHOT-12 at 1-year post-operatively are at increased risk of secondary 
      operation. The most accurate threshold associated with secondary operation (0.77) 
      is not achieving iHOT-12 MCID. Level of evidence: retrospective case series: 
      level IV.
CI  - (c) The Author(s) 2020. Published by Oxford University Press.
FAU - Rosinsky, Philip J
AU  - Rosinsky PJ
AD  - American Hip Institute Research Foundation, 999 E Touhy Ave, Suite 450, Des 
      Plaines, IL 60018, USA.
FAU - Chen, Jeffery W
AU  - Chen JW
AD  - Vanderbilt University School of Medicine, 1161 21st Ave, Nashville, TN 37232, 
      USA.
FAU - Yelton, Mitchell J
AU  - Yelton MJ
AD  - American Hip Institute Research Foundation, 999 E Touhy Ave, Suite 450, Des 
      Plaines, IL 60018, USA.
FAU - Lall, Ajay C
AU  - Lall AC
AD  - American Hip Institute Research Foundation, 999 E Touhy Ave, Suite 450, Des 
      Plaines, IL 60018, USA.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute Research Foundation, 999 E Touhy Ave, Suite 450, Des 
      Plaines, IL 60018, USA.
FAU - Meghpara, Mitchell B
AU  - Meghpara MB
AD  - American Hip Institute Research Foundation, 999 E Touhy Ave, Suite 450, Des 
      Plaines, IL 60018, USA.
FAU - Shapira, Jacob
AU  - Shapira J
AD  - American Hip Institute Research Foundation, 999 E Touhy Ave, Suite 450, Des 
      Plaines, IL 60018, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AUID- ORCID: 0000-0002-3937-8647
AD  - American Hip Institute Research Foundation, 999 E Touhy Ave, Suite 450, Des 
      Plaines, IL 60018, USA.
LA  - eng
PT  - Journal Article
DEP - 20200414
PL  - England
TA  - J Hip Preserv Surg
JT  - Journal of hip preservation surgery
JID - 101643347
PMC - PMC7605780
EDAT- 2020/11/10 06:00
MHDA- 2020/11/10 06:01
PMCR- 2020/04/14
CRDT- 2020/11/09 05:32
PHST- 2019/10/07 00:00 [received]
PHST- 2020/01/10 00:00 [revised]
PHST- 2020/02/24 00:00 [accepted]
PHST- 2020/11/09 05:32 [entrez]
PHST- 2020/11/10 06:00 [pubmed]
PHST- 2020/11/10 06:01 [medline]
PHST- 2020/04/14 00:00 [pmc-release]
AID - hnaa015 [pii]
AID - 10.1093/jhps/hnaa015 [doi]
PST - epublish
SO  - J Hip Preserv Surg. 2020 Apr 14;7(2):272-280. doi: 10.1093/jhps/hnaa015. 
      eCollection 2020 Jul.