BOSTON — Results presented at the American Orthopaedic Society for Sports Medicine Annual Meeting showed preoperative mental health status was more predictive of 1-year patient-reported outcomes of hip pain and function compared with intraoperative findings during hip arthroscopy for femoroacetabular impingement.
James T. Rosneck , MD, from the department of orthopedic surgery at Cleveland Clinic, and colleagues collected baseline patient-reported outcome measures, including hip disability and osteoarthritis outcome score (HOOS) for pain, HOOS-physical function short form, Veterans RAND 12-Item Health Survey (VR-12) and UCLA Activity Score, for 494 patients undergoing hip arthroscopy for femoroacetabular impingement.
Overall, 377 patients completed both preoperative and 1-year patient-reported outcome measures. Multivariate analysis results showed baseline pain and function had a significant impact on postoperative outcomes at 1 year. Researchers found patients with grade 3 or 4 articular cartilage damage had worse pain and physical function scores. Results also showed patients who were smokers preoperatively had worse postoperative outcomes, and patients with worse VR-12 scores had less improvement in patient-reported outcome measurements.
“The mental health scores had a more significant impact at 1 year than any of the other [outcome measures], which is a little bit counterintuitive,” Rosneck told Healio.com/Orthopedics. “You would think their joint status would be more indicative of how they would do at 1 year, where in reality, their psychiatric or mental health status has more of an impact.” – by Casey Tingle
Lynch TS, et al. Abstract 21. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 11-14, 2019; Boston.
Disclosure: Rosneck reports no relevant financial disclosures.