Improved Mental Health Status and Patient-Reported Outcomes After Hip Arthroscopy for Femoroacetabular Impingement
Background: Femoroacetabular impingement (FAI) is often a chronic problem, which can lead to a decrease in mental well-being. Purpose/Hypothesis: The purpose of this study was to determine patient mental health improvement after hip arthroscopy and if this improvement correlated with improved outcom...
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| Veröffentlicht in: | The American journal of sports medicine 2023-05, Vol.51 (6), p.1525-1530 |
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| container_title | The American journal of sports medicine |
| container_volume | 51 |
| creator | Gruskay, Jordan A. Martin, Maitland D. Shelton, Trevor J. Comfort, Spencer M. Day, Hannah K. Philippon, Marc J. |
| description | Background:
Femoroacetabular impingement (FAI) is often a chronic problem, which can lead to a decrease in mental well-being.
Purpose/Hypothesis:
The purpose of this study was to determine patient mental health improvement after hip arthroscopy and if this improvement correlated with improved outcomes. It was hypothesized that patients with low mental health (LMH) status would improve after hip arthroscopy for FAI and that their patient-reported outcomes (PROs) would significantly improve after surgery.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Patients who underwent hip arthroscopy with labral repair between 2008 and 2015 were included. The minimum follow-up was 2 years. PROs included the modified Harris Hip Score (mHHS), Hip Outcome Score–Activities of Daily Living (HOS-ADL), HOS–Sports (HOS-Sports), and 12-Item Short Form Health Survey (SF-12). The minimal clinically important difference and Patient Acceptable Symptom State (PASS) were determined for HOS-ADL, HOS-Sports, and the mHHS based on previously published studies. Patients who scored |
| doi_str_mv | 10.1177/03635465231160289 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2789234927</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_03635465231160289</sage_id><sourcerecordid>2808176644</sourcerecordid><originalsourceid>FETCH-LOGICAL-c368t-f21649db150a78fd9d66a0ac0b6150175d821ac136d27ad4e020245d514b4cc63</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhi0EokvhB3BBlrhwSfG3k-OqatlKrVoVOEcTe9KmSuJgO0j993i1BSRQTyPNPPPOx0vIe85OOLf2M5NGamW0kJwbJurmBdlwrUUlpdEvyWZfr_bAEXmT0gNjjFtTvyZH0jRKWMU2JF5MSww_0dMrnDOMdIcw5nv6NUNeE4XZ0xvIQ6lVt7iEmAt5vWYXJkx022eMdDcsdBvzfQzJheWR9iHSc5xCDOAwQ7eOEGkZM8x3OBWht-RVD2PCd0_xmHw_P_t2uqsur79cnG4vKydNnatecKMa33HNwNa9b7wxwMCxzpQUt9rXgoPj0nhhwStkggmlveaqU84ZeUw-HXTLgT9WTLmdhuRwHGHGsKZW2LoRUjXCFvTjP-hDWONctmtFzeryNaNUofiBcuXUFLFvlzhMEB9bztq9Ie1_hpSeD0_Kazeh_9Px24ECnByABHf4d-zzir8AGdGStQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2808176644</pqid></control><display><type>article</type><title>Improved Mental Health Status and Patient-Reported Outcomes After Hip Arthroscopy for Femoroacetabular Impingement</title><source>MEDLINE</source><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Gruskay, Jordan A. ; Martin, Maitland D. ; Shelton, Trevor J. ; Comfort, Spencer M. ; Day, Hannah K. ; Philippon, Marc J.</creator><creatorcontrib>Gruskay, Jordan A. ; Martin, Maitland D. ; Shelton, Trevor J. ; Comfort, Spencer M. ; Day, Hannah K. ; Philippon, Marc J.</creatorcontrib><description>Background:
Femoroacetabular impingement (FAI) is often a chronic problem, which can lead to a decrease in mental well-being.
Purpose/Hypothesis:
The purpose of this study was to determine patient mental health improvement after hip arthroscopy and if this improvement correlated with improved outcomes. It was hypothesized that patients with low mental health (LMH) status would improve after hip arthroscopy for FAI and that their patient-reported outcomes (PROs) would significantly improve after surgery.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Patients who underwent hip arthroscopy with labral repair between 2008 and 2015 were included. The minimum follow-up was 2 years. PROs included the modified Harris Hip Score (mHHS), Hip Outcome Score–Activities of Daily Living (HOS-ADL), HOS–Sports (HOS-Sports), and 12-Item Short Form Health Survey (SF-12). The minimal clinically important difference and Patient Acceptable Symptom State (PASS) were determined for HOS-ADL, HOS-Sports, and the mHHS based on previously published studies. Patients who scored <46.5 on the SF-12 Mental Component Summary (MCS) were in the LMH group, and those who scored ≥46.5 were in the high mental health (HMH) group.
Results:
In total, 120 (21%) of the 566 patients were in the LMH group and 446 (79%) patients were in the HMH group preoperatively. There was no difference in age or sex between groups. Patients in the LMH group had lower mHHS, HOS-ADL, and HOS-Sports at the mean 4-year follow-up and were less likely to reach PASS for the scores. Postoperatively, 84% (478/566) of the entire group was in the HMH group. A total of 88 (73%) of the LMH group improved to HMH. A multiple linear regression model for change in MCS identified independent predictors of changes in preoperative MCS to be LMH group preoperatively, change in HOS-Sports, and change in mHHS (r2 = 0.4; P < .001).
Conclusion:
HMH was achieved in 84% of the patients after hip arthroscopy for FAI. Improvement in MCS was correlated with function and activity, as indicated by a significant correlation with HOS-ADL and HOS-Sports. A small percentage of patients did see a decline in their MCS score. This study showed that patients with LMH scores before hip arthroscopy for FAI can improve to normal/high mental health, and this correlated with higher PROs.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/03635465231160289</identifier><identifier>PMID: 36942740</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Activities of Daily Living ; Arthroscopy ; Clinical outcomes ; Cohort Studies ; Femoracetabular Impingement - surgery ; Follow-Up Studies ; Hip Joint - surgery ; Humans ; Mental health ; Patient Reported Outcome Measures ; Patients ; Psychological Well-Being ; Retrospective Studies ; Sports medicine ; Treatment Outcome ; Well being</subject><ispartof>The American journal of sports medicine, 2023-05, Vol.51 (6), p.1525-1530</ispartof><rights>2023 The Author(s)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-f21649db150a78fd9d66a0ac0b6150175d821ac136d27ad4e020245d514b4cc63</citedby><cites>FETCH-LOGICAL-c368t-f21649db150a78fd9d66a0ac0b6150175d821ac136d27ad4e020245d514b4cc63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/03635465231160289$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/03635465231160289$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36942740$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gruskay, Jordan A.</creatorcontrib><creatorcontrib>Martin, Maitland D.</creatorcontrib><creatorcontrib>Shelton, Trevor J.</creatorcontrib><creatorcontrib>Comfort, Spencer M.</creatorcontrib><creatorcontrib>Day, Hannah K.</creatorcontrib><creatorcontrib>Philippon, Marc J.</creatorcontrib><title>Improved Mental Health Status and Patient-Reported Outcomes After Hip Arthroscopy for Femoroacetabular Impingement</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background:
Femoroacetabular impingement (FAI) is often a chronic problem, which can lead to a decrease in mental well-being.
Purpose/Hypothesis:
The purpose of this study was to determine patient mental health improvement after hip arthroscopy and if this improvement correlated with improved outcomes. It was hypothesized that patients with low mental health (LMH) status would improve after hip arthroscopy for FAI and that their patient-reported outcomes (PROs) would significantly improve after surgery.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Patients who underwent hip arthroscopy with labral repair between 2008 and 2015 were included. The minimum follow-up was 2 years. PROs included the modified Harris Hip Score (mHHS), Hip Outcome Score–Activities of Daily Living (HOS-ADL), HOS–Sports (HOS-Sports), and 12-Item Short Form Health Survey (SF-12). The minimal clinically important difference and Patient Acceptable Symptom State (PASS) were determined for HOS-ADL, HOS-Sports, and the mHHS based on previously published studies. Patients who scored <46.5 on the SF-12 Mental Component Summary (MCS) were in the LMH group, and those who scored ≥46.5 were in the high mental health (HMH) group.
Results:
In total, 120 (21%) of the 566 patients were in the LMH group and 446 (79%) patients were in the HMH group preoperatively. There was no difference in age or sex between groups. Patients in the LMH group had lower mHHS, HOS-ADL, and HOS-Sports at the mean 4-year follow-up and were less likely to reach PASS for the scores. Postoperatively, 84% (478/566) of the entire group was in the HMH group. A total of 88 (73%) of the LMH group improved to HMH. A multiple linear regression model for change in MCS identified independent predictors of changes in preoperative MCS to be LMH group preoperatively, change in HOS-Sports, and change in mHHS (r2 = 0.4; P < .001).
Conclusion:
HMH was achieved in 84% of the patients after hip arthroscopy for FAI. Improvement in MCS was correlated with function and activity, as indicated by a significant correlation with HOS-ADL and HOS-Sports. A small percentage of patients did see a decline in their MCS score. This study showed that patients with LMH scores before hip arthroscopy for FAI can improve to normal/high mental health, and this correlated with higher PROs.</description><subject>Activities of Daily Living</subject><subject>Arthroscopy</subject><subject>Clinical outcomes</subject><subject>Cohort Studies</subject><subject>Femoracetabular Impingement - surgery</subject><subject>Follow-Up Studies</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>Mental health</subject><subject>Patient Reported Outcome Measures</subject><subject>Patients</subject><subject>Psychological Well-Being</subject><subject>Retrospective Studies</subject><subject>Sports medicine</subject><subject>Treatment Outcome</subject><subject>Well being</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi0EokvhB3BBlrhwSfG3k-OqatlKrVoVOEcTe9KmSuJgO0j993i1BSRQTyPNPPPOx0vIe85OOLf2M5NGamW0kJwbJurmBdlwrUUlpdEvyWZfr_bAEXmT0gNjjFtTvyZH0jRKWMU2JF5MSww_0dMrnDOMdIcw5nv6NUNeE4XZ0xvIQ6lVt7iEmAt5vWYXJkx022eMdDcsdBvzfQzJheWR9iHSc5xCDOAwQ7eOEGkZM8x3OBWht-RVD2PCd0_xmHw_P_t2uqsur79cnG4vKydNnatecKMa33HNwNa9b7wxwMCxzpQUt9rXgoPj0nhhwStkggmlveaqU84ZeUw-HXTLgT9WTLmdhuRwHGHGsKZW2LoRUjXCFvTjP-hDWONctmtFzeryNaNUofiBcuXUFLFvlzhMEB9bztq9Ie1_hpSeD0_Kazeh_9Px24ECnByABHf4d-zzir8AGdGStQ</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Gruskay, Jordan A.</creator><creator>Martin, Maitland D.</creator><creator>Shelton, Trevor J.</creator><creator>Comfort, Spencer M.</creator><creator>Day, Hannah K.</creator><creator>Philippon, Marc J.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>202305</creationdate><title>Improved Mental Health Status and Patient-Reported Outcomes After Hip Arthroscopy for Femoroacetabular Impingement</title><author>Gruskay, Jordan A. ; Martin, Maitland D. ; Shelton, Trevor J. ; Comfort, Spencer M. ; Day, Hannah K. ; Philippon, Marc J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-f21649db150a78fd9d66a0ac0b6150175d821ac136d27ad4e020245d514b4cc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activities of Daily Living</topic><topic>Arthroscopy</topic><topic>Clinical outcomes</topic><topic>Cohort Studies</topic><topic>Femoracetabular Impingement - surgery</topic><topic>Follow-Up Studies</topic><topic>Hip Joint - surgery</topic><topic>Humans</topic><topic>Mental health</topic><topic>Patient Reported Outcome Measures</topic><topic>Patients</topic><topic>Psychological Well-Being</topic><topic>Retrospective Studies</topic><topic>Sports medicine</topic><topic>Treatment Outcome</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gruskay, Jordan A.</creatorcontrib><creatorcontrib>Martin, Maitland D.</creatorcontrib><creatorcontrib>Shelton, Trevor J.</creatorcontrib><creatorcontrib>Comfort, Spencer M.</creatorcontrib><creatorcontrib>Day, Hannah K.</creatorcontrib><creatorcontrib>Philippon, Marc J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gruskay, Jordan A.</au><au>Martin, Maitland D.</au><au>Shelton, Trevor J.</au><au>Comfort, Spencer M.</au><au>Day, Hannah K.</au><au>Philippon, Marc J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improved Mental Health Status and Patient-Reported Outcomes After Hip Arthroscopy for Femoroacetabular Impingement</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2023-05</date><risdate>2023</risdate><volume>51</volume><issue>6</issue><spage>1525</spage><epage>1530</epage><pages>1525-1530</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><abstract>Background:
Femoroacetabular impingement (FAI) is often a chronic problem, which can lead to a decrease in mental well-being.
Purpose/Hypothesis:
The purpose of this study was to determine patient mental health improvement after hip arthroscopy and if this improvement correlated with improved outcomes. It was hypothesized that patients with low mental health (LMH) status would improve after hip arthroscopy for FAI and that their patient-reported outcomes (PROs) would significantly improve after surgery.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
Patients who underwent hip arthroscopy with labral repair between 2008 and 2015 were included. The minimum follow-up was 2 years. PROs included the modified Harris Hip Score (mHHS), Hip Outcome Score–Activities of Daily Living (HOS-ADL), HOS–Sports (HOS-Sports), and 12-Item Short Form Health Survey (SF-12). The minimal clinically important difference and Patient Acceptable Symptom State (PASS) were determined for HOS-ADL, HOS-Sports, and the mHHS based on previously published studies. Patients who scored <46.5 on the SF-12 Mental Component Summary (MCS) were in the LMH group, and those who scored ≥46.5 were in the high mental health (HMH) group.
Results:
In total, 120 (21%) of the 566 patients were in the LMH group and 446 (79%) patients were in the HMH group preoperatively. There was no difference in age or sex between groups. Patients in the LMH group had lower mHHS, HOS-ADL, and HOS-Sports at the mean 4-year follow-up and were less likely to reach PASS for the scores. Postoperatively, 84% (478/566) of the entire group was in the HMH group. A total of 88 (73%) of the LMH group improved to HMH. A multiple linear regression model for change in MCS identified independent predictors of changes in preoperative MCS to be LMH group preoperatively, change in HOS-Sports, and change in mHHS (r2 = 0.4; P < .001).
Conclusion:
HMH was achieved in 84% of the patients after hip arthroscopy for FAI. Improvement in MCS was correlated with function and activity, as indicated by a significant correlation with HOS-ADL and HOS-Sports. A small percentage of patients did see a decline in their MCS score. This study showed that patients with LMH scores before hip arthroscopy for FAI can improve to normal/high mental health, and this correlated with higher PROs.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>36942740</pmid><doi>10.1177/03635465231160289</doi><tpages>6</tpages></addata></record> |
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| ispartof | The American journal of sports medicine, 2023-05, Vol.51 (6), p.1525-1530 |
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| language | eng |
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| source | MEDLINE; SAGE Complete; Alma/SFX Local Collection |
| subjects | Activities of Daily Living Arthroscopy Clinical outcomes Cohort Studies Femoracetabular Impingement - surgery Follow-Up Studies Hip Joint - surgery Humans Mental health Patient Reported Outcome Measures Patients Psychological Well-Being Retrospective Studies Sports medicine Treatment Outcome Well being |
| title | Improved Mental Health Status and Patient-Reported Outcomes After Hip Arthroscopy for Femoroacetabular Impingement |
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