PMID- 37543382
OWN - NLM
STAT- MEDLINE
DCOM- 20230807
LR  - 20230807
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 9
DP  - 2023 Sep
TI  - Reprint of: Class I Obesity Delays Achievement of Patient-Acceptable Symptom 
      State but Not Minimum Clinically Important Difference or Substantial Clinical 
      Benefit After Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome.
PG  - 1971-1979
LID - S0749-8063(23)00505-4 [pii]
LID - 10.1016/j.arthro.2023.06.028 [doi]
AB  - PURPOSE: To identify differences in the time taken to achieve the minimum 
      clinically important difference (MCID), substantial clinical benefit (SCB), and 
      patient-acceptable symptom state (PASS) following primary hip arthroscopy for the 
      treatment of femoroacetabular impingement syndrome (FAIS) among patients of 
      different body mass index (BMI) categories. METHODS: We conducted a retrospective 
      comparative study of hip arthroscopy patients with minimum 2-year follow-up. BMI 
      categories were defined as normal (18.5 </= BMI < 25.0), overweight (25.0 </= BMI 
      <30.0), or class I obese (30.0</=BMI<35.0). All subjects completed the modified 
      Harris Hip Score (mHHS) prior to surgery and at 6 months, 1 year, and 2 years 
      postoperative. 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 
      the interval-censored EMICM algorithm. The effect of BMI was adjusted for age and 
      sex using an interval-censored proportional hazards model. RESULTS: 285 patients 
      were included in the analysis: 150 (52.6%) normal BMI, 99 (34.7%) overweight, and 
      36 (12.6%) obese. Obese patients had lower mHHS at baseline (P = .006) and at 
      2-year follow-up (P = .008). There were no significant intergroup differences in 
      time to achievement for MCID (P = .92) or SCB (P = .69), but obese patients had 
      longer time to PASS than normal BMI patients (P = .047). Multivariable analysis 
      found obesity to be predictive of longer time to PASS (HR = .55; P = .007) but 
      not MCID (HR = 0.91; P = .68) or SCB (HR = 1.06; P = .30). CONCLUSIONS: Class I 
      obesity is associated with delays in achieving a literature-defined PASS 
      threshold after primary hip arthroscopy for FAIS. LEVEL OF EVIDENCE: Level III, 
      retrospective comparative study.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Shankar, Dhruv S
AU  - Shankar DS
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.
FAU - Bi, Andrew S
AU  - Bi AS
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.
FAU - Lan, Rae
AU  - Lan R
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.
FAU - Buzin, Scott
AU  - Buzin S
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.
FAU - Youm, Thomas
AU  - Youm T
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.. Electronic address: thomas.youm@nyulangone.org.
LA  - eng
PT  - Comment
PT  - Journal Article
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
CON - Arthroscopy. 2023 Jul;39(7):1630-1638. PMID: 36809817
MH  - Humans
MH  - *Femoracetabular Impingement/complications/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Overweight
MH  - Arthroscopy
MH  - Activities of Daily Living
MH  - Obesity/complications
MH  - Hip Joint/surgery
MH  - Follow-Up Studies
MH  - Patient Reported Outcome Measures
EDAT- 2023/08/06 05:42
MHDA- 2023/08/07 06:42
CRDT- 2023/08/05 20:57
PHST- 2022/06/28 00:00 [received]
PHST- 2023/01/31 00:00 [accepted]
PHST- 2023/08/07 06:42 [medline]
PHST- 2023/08/06 05:42 [pubmed]
PHST- 2023/08/05 20:57 [entrez]
AID - S0749-8063(23)00505-4 [pii]
AID - 10.1016/j.arthro.2023.06.028 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 Sep;39(9):1971-1979. doi: 10.1016/j.arthro.2023.06.028.