PMID- 33812033
OWN - NLM
STAT- MEDLINE
DCOM- 20211025
LR  - 20211025
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 37
IP  - 10
DP  - 2021 Oct
TI  - Six-Month Outcome Scores Predicts Short-Term Outcomes After Hip Arthroscopy.
PG  - 3081-3087
LID - S0749-8063(21)00285-1 [pii]
LID - 10.1016/j.arthro.2021.03.046 [doi]
AB  - PURPOSE: To determine whether early patient-reported outcome improvements in the 
      6 months after surgery are predictive of achieving a patient acceptable 
      symptomatic state (PASS) at 2 years. METHODS: A prospectively collected database 
      was retrospectively reviewed. Inclusion criteria included patients >/=18 years of 
      age, Tonnis grade 0 or 1 changes, radiographic imaging consistent with 
      femoroacetabular impingement or labral pathology, a primary diagnosis of 
      symptomatic femoroacetabular impingement for which they underwent primary hip 
      arthroscopy, and baseline, 6-month, and 2-year modified Harris Hip Score (mHHS) 
      scores. Revision cases were excluded. Receiver operating characteristic curve 
      analysis was conducted to determine whether 6-month change in mHHS was a 
      predictor for achieving PASS at 2 years. RESULTS: There were 173 patients (mean 
      age: 39.8, 61.8% female) included within the study. Patients who do not achieve 
      the minimal clinically important difference (MCID), defined as a change of 8 
      points in mHHS, by 6 months (n = 21) tended to have significantly lower mHHS 
      scores at 1 year and 2 years compared with those who did (n = 152). Only 52% of 
      patients who did not achieve MCID by 6 months achieved MCID by 2 years (vs 98% 
      for those that did) and only 24% achieved PASS by 2 years (vs 88% that did). 
      Using the MCID as a cutoff for improvement in mHHS at 6 months results in a 96% 
      sensitivity but 47% specificity for predicting PASS achievement at 2 years. Using 
      24 points of improvement in mHHS as a cutoff at 6 months improves sensitivity and 
      specificity to 81% and 80%, respectively. CONCLUSIONS: Early improvement in mHHS 
      scores is associated with 2-year outcomes. Patients who do not achieve MCID 
      within 6 months of surgery have a high rate of not achieving PASS at 2 years. 
      LEVEL OF EVIDENCE: IV, case series study.
CI  - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Lin, Charles C
AU  - Lin CC
AD  - NYU Langone Orthopedic Hospital, New York, York, U.S.A.. Electronic address: 
      charles.lin@nyulangone.org.
FAU - Colasanti, Christopher A
AU  - Colasanti CA
AD  - NYU Langone Orthopedic Hospital, New York, York, U.S.A.
FAU - Bloom, David A
AU  - Bloom DA
AD  - NYU Langone Orthopedic Hospital, New York, York, U.S.A.
FAU - Youm, Thomas
AU  - Youm T
AD  - NYU Langone Orthopedic Hospital, New York, York, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20210401
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. 2021 Oct;37(10):3088-3089. PMID: 34602150
MH  - Activities of Daily Living
MH  - Adult
MH  - *Arthroscopy
MH  - Female
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/diagnostic imaging/surgery
MH  - Humans
MH  - Male
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2021/04/04 06:00
MHDA- 2021/10/26 06:00
CRDT- 2021/04/03 20:11
PHST- 2020/08/02 00:00 [received]
PHST- 2021/03/16 00:00 [revised]
PHST- 2021/03/17 00:00 [accepted]
PHST- 2021/04/04 06:00 [pubmed]
PHST- 2021/10/26 06:00 [medline]
PHST- 2021/04/03 20:11 [entrez]
AID - S0749-8063(21)00285-1 [pii]
AID - 10.1016/j.arthro.2021.03.046 [doi]
PST - ppublish
SO  - Arthroscopy. 2021 Oct;37(10):3081-3087. doi: 10.1016/j.arthro.2021.03.046. Epub 
      2021 Apr 1.