PMID- 35367302
OWN - NLM
STAT- MEDLINE
DCOM- 20221005
LR  - 20221102
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 38
IP  - 10
DP  - 2022 Oct
TI  - Patient-Reported Outcome Surveys for Femoroacetabular Impingement Syndrome 
      Demonstrate Strong Correlations, High Minimum Clinically Important Difference 
      Agreement and Large Ceiling Effects.
PG  - 2829-2836
LID - S0749-8063(22)00192-X [pii]
LID - 10.1016/j.arthro.2022.03.023 [doi]
AB  - PURPOSE: To determine the correlation between different patient-reported outcome 
      (PRO) measurements used to assess outcomes after arthroscopic treatment of 
      femoroacetabular impingement syndrome (FAIS) in a single cohort of patients. 
      METHODS: Patients undergoing primary hip arthroscopy for FAIS (without dysplasia, 
      arthritis, or joint hypermobility) were retrospectively analyzed from a 
      prospectively collected cohort. PROs collected before surgery and at 2-year 
      follow-up included the Visual Analog Scale (VAS) for pain, modified Harris Hip 
      Score (mHHS), Hip Disability and Osteoarthritis Outcome Scores (HOOS) with 
      subscales for symptoms, pain, activities of daily living (ADL), sport, and 
      quality of life (QoL), and the physical and mental components of the Short 
      Form-12 (SF-12 PCS and SF-12 MCS). RESULTS: Three hundred patients with 2 years' 
      follow-up (mean age 35.1 +/- 11.3, BMI 24.7 +/- 3.8, 52.7% female, median Tonnis 
      grade 1) were identified. All patients underwent femoroplasty and labral repair. 
      There was a strong correlation among nearly all the PRO surveys at 2-year 
      follow-up, with the highest correlations identified between mHHS and HOOS-Pain 
      (r = .86, P < .001) and mHHS and HOOS-ADL (r = .85, P < .001). Preoperative 
      scores and the change from preoperative to postoperative scores demonstrated an 
      overall moderate correlation between surveys. There was a consistently weak 
      correlation between the SF-12 MCS and all other PROs. There were strong 
      agreements (67%-77%) in the patients achieving minimal clinically important 
      differences (MCID) for each PRO survey. All surveys except the SF-12 demonstrated 
      a ceiling effect after surgery, with 13% to 43% of patients achieving the maximum 
      score. CONCLUSIONS: PRO surveys used for FAIS demonstrate strong correlations, 
      especially in the evaluation of patients during the postoperative period. MCID 
      for VAS, mHHS, and HOOS demonstrate strong agreement, whereas large ceiling 
      effects were seen with the mHHS and HOOS. The results support a more efficient 
      use of PRO scores while being able to accurately capture patient outcomes. LEVEL 
      OF EVIDENCE: IV, retrospective case series.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Hartwell, Matthew J
AU  - Hartwell MJ
AD  - Department of Orthopaedic Surgery, University of California-San Francisco, San 
      Francisco, California.
FAU - Soriano, Kylen K J
AU  - Soriano KKJ
AD  - Department of Orthopaedic Surgery, University of California-San Francisco, San 
      Francisco, California.
FAU - Nguyen, Thu Quynh
AU  - Nguyen TQ
AD  - Department of Orthopaedic Surgery, University of California-San Francisco, San 
      Francisco, California.
FAU - Monroe, Emily J
AU  - Monroe EJ
AD  - Heartland Orthopedic Specialists-Alexandria, Alexandria, Minnesota, U.S.A.
FAU - Wong, Stephanie E
AU  - Wong SE
AD  - Department of Orthopaedic Surgery, University of California-San Francisco, San 
      Francisco, California.
FAU - Zhang, Alan L
AU  - Zhang AL
AD  - Department of Orthopaedic Surgery, University of California-San Francisco, San 
      Francisco, California. Electronic address: Alan.zhang@ucsf.edu.
LA  - eng
PT  - Journal Article
DEP - 20220330
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  - Female
MH  - *Femoracetabular Impingement/surgery
MH  - Hip Joint/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain
MH  - Patient Reported Outcome Measures
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2022/04/04 06:00
MHDA- 2022/10/06 06:00
CRDT- 2022/04/03 20:24
PHST- 2021/12/01 00:00 [received]
PHST- 2022/03/05 00:00 [revised]
PHST- 2022/03/07 00:00 [accepted]
PHST- 2022/04/04 06:00 [pubmed]
PHST- 2022/10/06 06:00 [medline]
PHST- 2022/04/03 20:24 [entrez]
AID - S0749-8063(22)00192-X [pii]
AID - 10.1016/j.arthro.2022.03.023 [doi]
PST - ppublish
SO  - Arthroscopy. 2022 Oct;38(10):2829-2836. doi: 10.1016/j.arthro.2022.03.023. Epub 
      2022 Mar 30.