Journal article
Patient-Reported Outcomes Associated With "Completely Better" Status at 2 Years After Hip Arthroscopy
Orthopaedic journal of sports medicine, Vol.12(12), p.23259671241266642
12/01/2024
DOI: 10.1177/23259671241266642
PMCID: PMC11632956
PMID: 39664256
Abstract
Background: Measures such as the Patient Acceptable Symptom State and minimum clinically important difference have been used to contextualize patient-reported outcomes (PROs). Assessment of patients' perception of being "completely better" (CB) after hip arthroscopy has not been studied. Purposes: To (1) determine the prevalence and characteristics of patients who report being CB at 2 years after hip arthroscopy; (2) determine whether PROs measuring function, pain, and mental health are associated with CB status; and (3) determine threshold values for PROs predictive of achieving CB status. Study Design: Case-control study; Level of evidence, 3. Methods: Patients undergoing hip arthroscopy at a single institution from October 2015 to January 2020 were administered electronic surveys assessing sociodemographic variables and PROs at baseline and 2 years postoperatively. The CB anchor question was "Is the condition for which you underwent surgery completely better now?" Threshold values for PROs associated with achieving CB status at 2 years postoperatively were identified with 90% specificity. Variables with an area under the curve of >0.80 on a receiver operating characteristic curve were selected for multivariate analysis. Results: Overall, 29 of 62 patients (47%) achieved CB status. There were no differences in age, sex, body mass index, race, prior hip surgery, preoperative opioid use, smoking status, or preoperative expectations between the CB and no-CB groups. The CB group had better 2-year postoperative and pre- to postoperative change values on all PROs (P < .05 for all) except for the Patient-Reported Outcomes Measurement Information System (PROMIS)-Depression and the Numeric Pain Scale (NPS) for whole-body pain. Two-year postoperative PRO thresholds for achieving CB status were determined as PROMIS-Physical Function (PF) >= 51.3 or increase in PROMIS-PF >= 12 points, PROMIS-Pain Interference <= 46.6 or decrease in PROMIS-Pain Interference >= 12.2 points, NPS for operative hip pain of <= 1.0, Musculoskeletal Outcomes Data Evaluation and Management System-expectations met >= 95.0, and Surgical Satisfaction Questionnaire (SSQ-8) >= 87.5. Multivariate analysis demonstrated that higher SSQ-8 score and greater improvement on the PROMIS-PF were independent predictors of achieving CB status. Conclusion: Almost half of the study patients perceived being CB at 2 years after hip arthroscopy. Multiple postoperative PROs scores were associated with achieving CB status.
Details
- Title: Subtitle
- Patient-Reported Outcomes Associated With "Completely Better" Status at 2 Years After Hip Arthroscopy
- Creators
- Matthew P. Kolevar - University of Maryland, BaltimoreEvan L. Honig - University of Maryland, BaltimoreMichael S. Rocca - University of Maryland, BaltimoreSamir Kaveeshwar - University of Maryland, BaltimoreAndrew Tran - University of Maryland, BaltimoreJacob T. Hartline - University of Maryland, BaltimoreNatalie L. Leong - University of Maryland, BaltimoreJonathan D. Packer - University of Maryland, BaltimoreR. Frank Henn III - University of Maryland, BaltimoreSean J. Meredith - University of Maryland, Baltimore
- Resource Type
- Journal article
- Publication Details
- Orthopaedic journal of sports medicine, Vol.12(12), p.23259671241266642
- DOI
- 10.1177/23259671241266642
- PMID
- 39664256
- PMCID
- PMC11632956
- NLM abbreviation
- Orthop J Sports Med
- ISSN
- 2325-9671
- eISSN
- 2325-9671
- Publisher
- Sage
- Number of pages
- 8
- Grant note
- IK2 BX004879 / US Department of Veterans Affairs Biomedical Laboratory Research and Development Service Career Development Award BL 1941007WS / James Lawrence Kernan Hospital Endowment Fund
- Language
- English
- Date published
- 12/01/2024
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9985015821202771
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