PMID- 37326634
OWN - NLM
STAT- MEDLINE
DCOM- 20230901
LR  - 20231007
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 31
IP  - 10
DP  - 2023 Oct
TI  - Patients aged 50-75 years take longer to achieve the patient acceptable symptom 
      state than patients aged 20-34 years following primary hip arthroscopy for 
      femoroacetabular impingement syndrome.
PG  - 4510-4518
LID - 10.1007/s00167-023-07478-w [doi]
AB  - PURPOSE: Though an increasing number of adults older than 50 years are undergoing 
      hip arthroscopy for treatment of Femoroacetabular Impingement Syndrome (FAIS), it 
      is unclear how their timeline for functional outcome improvement compares to that 
      of younger patients. The purpose of this study was to assess the impact of age on 
      time to achieving the Minimum Clinically Important Difference (MCID), Substantial 
      Clinical Benefit (SCB), and Patient Acceptable Symptom State (PASS) following 
      primary hip arthroscopy for FAIS. METHODS: A retrospective comparative 
      single-surgeon cohort study of primary hip arthroscopy patients with minimum 
      2-year follow-up was conducted. Age categories were 20-34 years, 35-49 years, and 
      50-75 years. All subjects completed the modified Harris Hip Score (mHHS) prior to 
      surgery and at 6-month, 1-year, and 2-year follow-up. MCID and SCB cutoffs were 
      defined as pre-to-postoperative increases in mHHS by >/= 8.2 and >/= 19.8, 
      respectively. PASS cutoff was set at postoperative mHHS >/= 74. Time to achievement 
      of each milestone was compared using interval-censored survival analysis. The 
      effect of age was adjusted for Body Mass Index (BMI), sex, and labral repair 
      technique using an interval-censored proportional hazards model. RESULTS: Two 
      hundred eighty-five patients were included in the analysis with 115 (40.4%) aged 
      20-34 years, 92 (32.3%) aged 35-49 years, and 78 (27.4%) aged 50-75 years. There 
      were no significant differences between groups in time to achievement for the 
      MCID (n.s.) or SCB (n.s.). However, patients in the oldest group had 
      significantly longer time to PASS than those in the youngest group, both in the 
      unadjusted analysis (p = 0.02) and after adjusting for BMI, sex, and labral 
      repair technique (HR 0.68, 95% CI 0.48-0.96, p = 0.03). CONCLUSION: Achievement 
      of the PASS, but not the MCID or SCB, is delayed among FAIS patients aged 
      50-75 years who undergo primary hip arthroscopy compared to those aged 
      20-34 years. Older FAIS patients should be counseled appropriately about their 
      longer timeline to achieving hip function comparable to their younger 
      counterparts. LEVEL OF EVIDENCE: III.
CI  - (c) 2023. The Author(s) under exclusive licence to European Society of Sports 
      Traumatology, Knee Surgery, Arthroscopy (ESSKA).
FAU - Shankar, Dhruv S
AU  - Shankar DS
AD  - Department of Orthopedic Surgery, New York University Langone Health, 1056 5th 
      Avenue, New York, NY, 10028, USA.
FAU - Rao, Naina
AU  - Rao N
AD  - Department of Orthopedic Surgery, New York University Langone Health, 1056 5th 
      Avenue, New York, NY, 10028, USA.
FAU - Colasanti, Christopher A
AU  - Colasanti CA
AD  - Department of Orthopedic Surgery, New York University Langone Health, 1056 5th 
      Avenue, New York, NY, 10028, USA.
FAU - Lan, Rae
AU  - Lan R
AD  - Department of Orthopedic Surgery, New York University Langone Health, 1056 5th 
      Avenue, New York, NY, 10028, USA.
FAU - Essilfie, Anthony A
AU  - Essilfie AA
AD  - Department of Orthopaedic Surgery, Loma Linda University Health, Loma Linda, CA, 
      USA.
FAU - Youm, Thomas
AU  - Youm T
AUID- ORCID: 0000-0003-0417-3593
AD  - Department of Orthopedic Surgery, New York University Langone Health, 1056 5th 
      Avenue, New York, NY, 10028, USA. thomas.youm@nyulangone.org.
LA  - eng
PT  - Journal Article
DEP - 20230616
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Adult
MH  - Humans
MH  - *Femoracetabular Impingement/surgery/diagnosis
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Cohort Studies
MH  - Arthroscopy/methods
MH  - Activities of Daily Living
MH  - Hip Joint/surgery
MH  - Follow-Up Studies
MH  - Patient Reported Outcome Measures
OTO - NOTNLM
OT  - Age
OT  - Femoroacetabular impingement syndrome
OT  - Hip arthroscopy
OT  - Labral tear
OT  - Minimum clinically important difference
OT  - Patient acceptable symptom state
OT  - Sex
OT  - Substantial clinical benefit
EDAT- 2023/06/16 13:10
MHDA- 2023/09/01 06:43
CRDT- 2023/06/16 11:03
PHST- 2023/02/28 00:00 [received]
PHST- 2023/06/02 00:00 [accepted]
PHST- 2023/09/01 06:43 [medline]
PHST- 2023/06/16 13:10 [pubmed]
PHST- 2023/06/16 11:03 [entrez]
AID - 10.1007/s00167-023-07478-w [pii]
AID - 10.1007/s00167-023-07478-w [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2023 Oct;31(10):4510-4518. doi: 
      10.1007/s00167-023-07478-w. Epub 2023 Jun 16.