PMID- 33677021
OWN - NLM
STAT- MEDLINE
DCOM- 20210902
LR  - 20210902
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 37
IP  - 8
DP  - 2021 Aug
TI  - Gender and Age-Specific Differences Observed in Rates of Achieving Meaningful 
      Clinical Outcomes 5-Years After Hip Arthroscopy for Femoroacetabular Impingement 
      Syndrome.
PG  - 2488-2496.e1
LID - S0749-8063(21)00210-3 [pii]
LID - 10.1016/j.arthro.2021.02.033 [doi]
AB  - PURPOSE: To compare the impact of age and gender on achieving meaningful outcomes 
      among minimum patients 5 years after undergoing hip arthroscopy for 
      femoroacetabular impingement syndrome (FAIS). METHODS: Consecutive patients 
      undergoing hip arthroscopy for FAIS by a single fellowship-trained surgeon 
      between January 2012 and October 2014 were analyzed. Study inclusion criteria 
      included any patient undergoing primary hip arthroscopy for FAIS, with 5 years 
      follow-up. Preoperative and 5-year postoperative functional scores were 
      collected, including the Hip Outcome Score Activities of Daily Living Subscale 
      (HOS-ADL), HOS-Sport Subscale (HOS-SS), modified Harris hip score (mHHS), and 
      Visual Analog Scale for satisfaction. Patients were matched 1:1 by gender and age 
      to compare outcomes between these 2 demographics. Minimal clinically important 
      difference (MCID) and patient acceptable symptomatic state (PASS) were calculated 
      for each functional measure and compared by gender and age. RESULTS: Of the 340 
      patients (70.5%) with 5 years' follow up, 150 were matched by gender and age into 
      one of the following groups: female patients <30 years, female patients 30 to 45 
      years, female patients >45 years, male patients <30 years, male patients 30 to 45 
      years, and male patients >45 years of age. At minimum 5-year follow-up, all 6 
      groups demonstrated statistically significant improvement in the functional 
      outcome score averages and pain (P < .001 for all). Both within gender and within 
      age category analysis of postoperative functional scores did not demonstrate any 
      statistical differences (P > .05). Analysis of achieving MCID and PASS 
      demonstrated that females had higher rates of reaching the HOS-SS and mHHS 
      threshold for achieving MCID as compared to their male counterparts (P < .05). 
      Furthermore, patients <30 years old had higher rates of reaching the HOS-ADL and 
      mHHS for achieving PASS when compared to patients >45 years old (P < .05). 
      CONCLUSION: The majority of patients achieve clinically significant outcome 
      improvement at 5-year follow-up after arthroscopic FAIS surgery. Females reach 
      the mHHS threshold for achieving MCID at significantly higher rates than males. 
      Patients <30 years of age achieved PASS on the HOS-ADL and mHHS threshold scores 
      at higher rates than those >45 years old. LEVEL OF EVIDENCE: Level III, 
      case-control study.
CI  - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Beck, Edward C
AU  - Beck EC
AD  - Department of Orthopedic Surgery, Wake Forest Baptist Health, Winston-Salem, 
      North Carolina. Electronic address: Ecbeck@wakehealth.edu.
FAU - Drager, Justin
AU  - Drager J
AD  - Division of Sports Medicine Surgery, Department of Orthopedic Surgery, Rush 
      University Medical Center, Chicago, Illinois.
FAU - Nwachukwu, Benedict U
AU  - Nwachukwu BU
AD  - Division of Sports Medicine Surgery, Department of Orthopedic Surgery, Hospital 
      for Special Surgery, New York, New York, U.S.A.
FAU - Jan, Kyleen
AU  - Jan K
AD  - Division of Sports Medicine Surgery, Department of Orthopedic Surgery, Rush 
      University Medical Center, Chicago, Illinois.
FAU - Rasio, Jonathan
AU  - Rasio J
AD  - Division of Sports Medicine Surgery, Department of Orthopedic Surgery, Rush 
      University Medical Center, Chicago, Illinois.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Division of Sports Medicine Surgery, Department of Orthopedic Surgery, Rush 
      University Medical Center, Chicago, Illinois.
LA  - eng
PT  - Journal Article
DEP - 20210305
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
MH  - Activities of Daily Living
MH  - Adult
MH  - Age Factors
MH  - Arthroscopy
MH  - Case-Control Studies
MH  - Female
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2021/03/08 06:00
MHDA- 2021/09/03 06:00
CRDT- 2021/03/07 20:30
PHST- 2020/06/23 00:00 [received]
PHST- 2021/02/17 00:00 [revised]
PHST- 2021/02/18 00:00 [accepted]
PHST- 2021/03/08 06:00 [pubmed]
PHST- 2021/09/03 06:00 [medline]
PHST- 2021/03/07 20:30 [entrez]
AID - S0749-8063(21)00210-3 [pii]
AID - 10.1016/j.arthro.2021.02.033 [doi]
PST - ppublish
SO  - Arthroscopy. 2021 Aug;37(8):2488-2496.e1. doi: 10.1016/j.arthro.2021.02.033. Epub 
      2021 Mar 5.