PMID- 34739305
OWN - NLM
STAT- MEDLINE
DCOM- 20220126
LR  - 20220126
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 49
IP  - 14
DP  - 2021 Dec
TI  - Equality in Hip Arthroscopy Outcomes Can Be Achieved Regardless of Patient 
      Socioeconomic Status.
PG  - 3915-3924
LID - 10.1177/03635465211046932 [doi]
AB  - BACKGROUND: Access to quality health care and treatment outcomes can be affected 
      by patients' socioeconomic status (SES). PURPOSE: To evaluate the effect of 
      patient SES on patient-reported outcome measures (PROMs) after arthroscopic hip 
      surgery. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Demographic, 
      radiographic, and intraoperative data were prospectively collected and 
      retrospectively reviewed on all patients who underwent hip arthroscopy for 
      femoroacetabular impingement syndrome (FAIS) and labral tear between February 
      2008 and September 2017 at one institution. Patients were divided into 4 cohorts 
      based on the Social Deprivation Index (SDI) of their zip code. SDI is a composite 
      measure that quantifies the level of disadvantage in certain geographical areas. 
      Patients had a minimum 2-year follow-up for the modified Harris Hip Score (mHHS), 
      Nonarthritic Hip Score (NAHS), International Hip Outcome Tool-12, and visual 
      analog scale (VAS) for both pain and satisfaction. Rates of achieving the minimal 
      clinically important difference (MCID) and patient acceptable symptom state 
      (PASS) were calculated for the mHHS, NAHS, and VAS pain score. Rates of secondary 
      surgery were also recorded. RESULTS: A total of 680 hips (616 patients) were 
      included. The mean follow-up time for the entire cohort was 30.25 months. 
      Division of the cohort into quartiles based on the SDI national averages yielded 
      254 hips (37.4%) in group 1, 184 (27.1%) in group 2, 148 (21.8%) in group 3, and 
      94 (13.8%) in group 4. Group 1 contained the most affluent patients. There were 
      significantly more men in group 4 than in group 2, and the mean body mass index 
      was greater in group 4 than in groups 1 and 2. There were no differences in 
      preoperative radiographic measurements, intraoperative findings, or rates of 
      concomitant procedures performed. All preoperative and postoperative PROMs were 
      similar between the groups, as well as in the rates of achieving the MCID or 
      PASS. No differences in the rate of secondary surgeries were reported. 
      CONCLUSION: Regardless of SES, patients were able to achieve significant 
      improvements in several PROMs after hip arthroscopy for FAIS and labral tear at 
      the minimum 2-year follow-up. Additionally, patients from all SES groups achieved 
      clinically meaningful improvement at similar rates.
FAU - Saks, Benjamin R
AU  - Saks BR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - Core Physicians, Exeter, New Hampshire, USA.
FAU - Ouyang, Vivian W
AU  - Ouyang VW
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Domb, Elijah S
AU  - Domb ES
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Jimenez, Andrew E
AU  - Jimenez AE
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - Kerlan-Jobe Orthopaedic Institute, Los Angeles, California, USA.
FAU - Lall, Ajay C
AU  - Lall AC
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - Core Physicians, Exeter, New Hampshire, USA.
AD  - American Hip Institute, Chicago, Illinois, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - Core Physicians, Exeter, New Hampshire, USA.
AD  - American Hip Institute, Chicago, Illinois, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20211105
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  - Cohort Studies
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  - Social Class
MH  - Social Deprivation
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Social Deprivation Index
OT  - femoroacetabular impingement syndrome
OT  - hip arthroscopy
OT  - socioeconomic status
EDAT- 2021/11/06 06:00
MHDA- 2022/01/27 06:00
CRDT- 2021/11/05 17:13
PHST- 2021/11/06 06:00 [pubmed]
PHST- 2022/01/27 06:00 [medline]
PHST- 2021/11/05 17:13 [entrez]
AID - 10.1177/03635465211046932 [doi]
PST - ppublish
SO  - Am J Sports Med. 2021 Dec;49(14):3915-3924. doi: 10.1177/03635465211046932. Epub 
      2021 Nov 5.