PMID- 35505799 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2054-8397 (Print) IS - 2054-8397 (Electronic) IS - 2054-8397 (Linking) VI - 8 IP - 4 DP - 2021 Dec TI - Achievement of the minimal clinically important difference following open proximal hamstring repair. PG - 348-353 LID - 10.1093/jhps/hnab068 [doi] AB - There is a paucity of literature on patient-reported outcome measures (PROMs) following proximal hamstring repair beyond return to play, patient satisfaction and pain improvement. The minimal clinically important difference (MCID) defines the minimum degree of quantifiable improvement that a patient can perceive, but the MCID and predictors of this measure have not been defined for this patient population. This study aimed to define the MCID and determine the efficacy of open proximal hamstring repair through achievement of MCID and identify characteristics predictive of achieving MCID. A retrospective cohort review of an institutional hip registry was conducted, analyzing the modified Harris Hip Score (mHHS) and International Hip Outcome Tool (iHOT-33). MCID was calculated using a distribution-based method. Demographic and clinical variables predictive of achieving MCID were analyzed using univariable and multivariate logistic regression analyses. Thirty-nine patients who underwent open proximal hamstring repair were included. The mean patient age was 48.5 +/- 12.4 years, with a mean follow-up of 37.1 +/- 28 months. The MCID was determined for each PROM (mHHS-11.8; iHOT-33-12.6). A high percentage of patients achieved MCID for both PROMs (mHHS-85.7%; iHOT-33-91.4%). Univariate logistical regression demonstrated increased age (P = 0.163), increased body mass index (BMI; P = 0.072), requirement for inpatient admission (P = 0.088) and pre-operative iHOT-33 (P = 0.104) trended towards clinically significant predictors of not achieving MCID. A high percentage of patients achieved MCID while age, BMI, inpatient admission and pre-operative iHOT-33 appear to influence the achievement of clinically significant outcome in patients undergoing open proximal hamstring repair. CI - (c) The Author(s) 2021. Published by Oxford University Press. FAU - Lawton, Cort D AU - Lawton CD AUID- ORCID: 0000-0001-6806-9918 AD - Sports Medicine Institute, Hospital for Special Surgery, New York, NY 10021, USA. FAU - Sullivan, Spencer W AU - Sullivan SW AUID- ORCID: 0000-0002-8220-3404 AD - Sports Medicine Institute, Hospital for Special Surgery, New York, NY 10021, USA. FAU - Hancock, Kyle J AU - Hancock KJ AUID- ORCID: 0000-0002-8760-7547 AD - Sports Medicine Institute, Hospital for Special Surgery, New York, NY 10021, USA. FAU - Burger, Joost A AU - Burger JA AUID- ORCID: 0000-0001-9360-2884 AD - Sports Medicine Institute, Hospital for Special Surgery, New York, NY 10021, USA. FAU - Nawabi, Danyal H AU - Nawabi DH AUID- ORCID: 0000-0001-6057-3781 AD - Sports Medicine Institute, Hospital for Special Surgery, New York, NY 10021, USA. FAU - Kelly, Bryan T AU - Kelly BT AUID- ORCID: 0000-0002-6227-0781 AD - Sports Medicine Institute, Hospital for Special Surgery, New York, NY 10021, USA. FAU - Ranawat, Anil S AU - Ranawat AS AUID- ORCID: 0000-0002-3634-4871 AD - Sports Medicine Institute, Hospital for Special Surgery, New York, NY 10021, USA. FAU - Nwachukwu, Benedict U AU - Nwachukwu BU AUID- ORCID: 0000-0002-6170-7769 AD - Sports Medicine Institute, Hospital for Special Surgery, New York, NY 10021, USA. LA - eng PT - Journal Article DEP - 20210819 PL - England TA - J Hip Preserv Surg JT - Journal of hip preservation surgery JID - 101643347 PMC - PMC9052411 EDAT- 2022/05/05 06:00 MHDA- 2022/05/05 06:01 PMCR- 2021/08/19 CRDT- 2022/05/04 02:16 PHST- 2021/03/23 00:00 [received] PHST- 2021/05/05 00:00 [revised] PHST- 2021/08/18 00:00 [accepted] PHST- 2022/05/04 02:16 [entrez] PHST- 2022/05/05 06:00 [pubmed] PHST- 2022/05/05 06:01 [medline] PHST- 2021/08/19 00:00 [pmc-release] AID - hnab068 [pii] AID - 10.1093/jhps/hnab068 [doi] PST - epublish SO - J Hip Preserv Surg. 2021 Aug 19;8(4):348-353. doi: 10.1093/jhps/hnab068. eCollection 2021 Dec.