PMID- 38353059 OWN - NLM STAT- MEDLINE DCOM- 20240318 LR - 20240318 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 52 IP - 4 DP - 2024 Mar TI - The Promising 2-Year Performance of the Patient-Reported Outcomes Measurement Information System in Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome. PG - 998-1004 LID - 10.1177/03635465241227181 [doi] AB - BACKGROUND: Minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) thresholds have been previously defined for the Patient-Reported Outcomes Measurement Information System (PROMIS) at 1-year follow-up in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome; however, the MCID and PASS thresholds are yet to be defined for the PROMIS at 2-year follow-up. PURPOSE: (1) To establish MCID and PASS thresholds for the PROMIS Pain Interference (PROMIS-PI) and PROMIS Physical Function (PROMIS-PF) at 2-year follow-up and (2) to correlate PROMIS scores with hip-specific patient-reported outcome measure (PROM) scores. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 3. METHODS: Patients undergoing primary hip arthroscopy for femoroacetabular impingement syndrome between August and November 2020 with preoperative and minimum 2-year postoperative data were identified. Collected scores included those for the PROMIS-PI, PROMIS-PF, Hip Outcome Score-Activities of Daily Living (HOS-ADL), Hip Outcome Score-Sports Subscale (HOS-SS), International Hip Outcome Tool-12 (iHOT-12), and visual analog scale (VAS) for pain. MCID thresholds were calculated using the distribution-based method and PASS thresholds using the anchor-based method. Pearson correlation coefficients were used to compare scores between PROMs. RESULTS: A total of 65 patients met the criteria for inclusion (72.3% female; mean age, 36.9 +/- 13.5 years; mean body mass index, 26.2 +/- 6.0). The mean follow-up was 25.3 +/- 3.3 months. Significant preoperative to postoperative improvements were observed for all PROMs (P < .001). MCID thresholds and achievement rates were as follows: HOS-ADL, 10.1 and 75%, respectively; HOS-SS, 13.8 and 79%, respectively; iHOT-12, 14.0 and 67%, respectively; VAS pain, -13.8 and 78%, respectively; PROMIS-PI, -4.7 and 65%, respectively; and PROMIS-PF, 5.8 and 60%, respectively. PASS thresholds and achievement rates were as follows: HOS-ADL, 78.7 and 67%, respectively; HOS-SS, 76.4 and 62%, respectively; iHOT-12, 67.4 and 60%, respectively; VAS pain, 25.5 and 61%, respectively; PROMIS-PI, 57.0 and 65%, respectively; and PROMIS-PF, 45.6 and 58%, respectively. PROMIS-PI scores correlated most strongly with HOS-ADL (r = -0.836), HOS-SS (r = -0.767), and iHOT-12 (r = -0.719) scores and exhibited at least moderate correlations (r>/=-0.595) with the other PROM scores. PROMIS-PF demonstrated moderate correlations with all the other PROM scores (r>/=-0.586). Strong correlations were seen between the hip-specific PROM scores (r>/=-0.745). CONCLUSION: This study defined 2-year MCID and PASS thresholds for the PROMIS-PI and PROMIS-PF and demonstrated moderate to strong correlations between PROMIS scores and hip-specific PROM scores. FAU - Vogel, Michael J AU - Vogel MJ AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Wright-Chisem, Joshua AU - Wright-Chisem J AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Alvero, Alexander B AU - Alvero AB AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Chan, Jimmy J AU - Chan JJ AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Chapman, Reagan S AU - Chapman RS AUID- ORCID: 0000-0002-3371-7679 AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Nho, Shane J AU - Nho SJ AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. LA - eng PT - Journal Article DEP - 20240214 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Humans MH - Female MH - Young Adult MH - Adult MH - Middle Aged MH - Male MH - *Femoracetabular Impingement/surgery MH - Hip Joint/surgery MH - Cohort Studies MH - Treatment Outcome MH - Arthroscopy/methods MH - Activities of Daily Living MH - Pain MH - Patient Reported Outcome Measures MH - Information Systems MH - Retrospective Studies MH - Follow-Up Studies OTO - NOTNLM OT - 2 years OT - PROMIS OT - hip arthroscopy OT - patient-reported outcome COIS- One or more of the authors has declared the following potential conflict of interest or source of funding: S.J.N. has received consulting fees from Ossur, Stryker, and SI-BONE; research support from DePuy Synthes, Stryker, AlloSource, Arthrex, Athletico, DJ Orthopedics, Linvatec, Miomed, and Smith & Nephew; royalties from Ossur and Stryker; support for education from Elite Orthopedics; and hospitality payments from Vericel. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. EDAT- 2024/02/14 06:43 MHDA- 2024/03/18 06:43 CRDT- 2024/02/14 04:44 PHST- 2024/03/18 06:43 [medline] PHST- 2024/02/14 06:43 [pubmed] PHST- 2024/02/14 04:44 [entrez] AID - 10.1177/03635465241227181 [doi] PST - ppublish SO - Am J Sports Med. 2024 Mar;52(4):998-1004. doi: 10.1177/03635465241227181. Epub 2024 Feb 14.