PMID- 38371015
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240220
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 16
IP  - 1
DP  - 2024 Jan
TI  - Social Determinants of Health in Maryland Hip Arthroscopy Patients.
PG  - e52576
LID - 10.7759/cureus.52576 [doi]
LID - e52576
AB  - Background Prior studies have demonstrated racial and socioeconomic disparities 
      in patient-reported outcome measure (PROM) completion rates, and improvement 
      exists across multiple orthopedic conditions. The purpose of this study was to 
      assess whether these disparities are present in patients undergoing hip 
      arthroscopy (HA) procedures. Methods A retrospective study of 306 patients 
      undergoing HA from 2021 to 2023 was performed. Social determinants of health 
      (SDOH) were compared between HA patients and the general Maryland population. 
      Patients were then classified by whether they completed baseline and six-month 
      PROMs (Patient-Reported Outcomes Measurement Information System Physical Function 
      (PROMIS-PF) instrument). Patients who completed PROMIS-PF were classified by 
      whether or not they achieved minimal clinically important difference (MCID) at 
      six months. Demographics and SDOH were compared using univariate analyses between 
      patients who did and did not complete PROMs and between those who did and did not 
      achieve MCID. SDOH were evaluated at the zip-code level using regional health 
      information exchange measures. Results Compared to the Maryland population, HA 
      patients resided in areas of lower social vulnerability. Preoperative and 
      six-month PROMs were completed by 102 (33%) patients. No significant differences 
      in demographics or any SDOH were found between patients who did and did not 
      complete PROMs. Six-month MCID was achieved in 75 of 102 (74%) patients with 
      complete PROMs; no significant differences in demographics or SDOH were observed 
      between patients who did and did not achieve MCID. Conclusions For patients 
      undergoing HA, disparities in patient-reported outcome completion rates and 
      postoperative functional improvement do not appear to be present across 
      demographics and SDOH, indicating equitable care is being delivered.
CI  - Copyright (c) 2024, Rana et al.
FAU - Rana, Parimal
AU  - Rana P
AD  - Orthopedic Research, Anne Arundel Medical Center, Annapolis, USA.
FAU - Brennan, Jane C
AU  - Brennan JC
AD  - Orthopedic Research, Anne Arundel Medical Center, Annapolis, USA.
FAU - Johnson, Andrea H
AU  - Johnson AH
AD  - Orthopedics, Anne Arundel Medical Center, Annapolis, USA.
FAU - Turcotte, Justin J
AU  - Turcotte JJ
AD  - Orthopedic Research, Anne Arundel Medical Center, Annapolis, USA.
FAU - Petre, Benjamin M
AU  - Petre BM
AD  - Orthopedic Surgery, Anne Arundel Medical Center, Annapolis, USA.
LA  - eng
PT  - Journal Article
DEP - 20240119
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10874623
OTO - NOTNLM
OT  - anxiety
OT  - depression
OT  - femoroacetabular impingement syndrome (fais)
OT  - hip arthroscopy
OT  - patient-reported outcome measures
OT  - social determinants of health (sdoh)
COIS- The authors have declared financial relationships, which are detailed in the next 
      section.
EDAT- 2024/02/19 06:42
MHDA- 2024/02/19 06:43
PMCR- 2024/01/19
CRDT- 2024/02/19 04:20
PHST- 2024/01/18 00:00 [accepted]
PHST- 2024/02/19 06:43 [medline]
PHST- 2024/02/19 06:42 [pubmed]
PHST- 2024/02/19 04:20 [entrez]
PHST- 2024/01/19 00:00 [pmc-release]
AID - 10.7759/cureus.52576 [doi]
PST - epublish
SO  - Cureus. 2024 Jan 19;16(1):e52576. doi: 10.7759/cureus.52576. eCollection 2024 
      Jan.