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The Patient Acceptable Symptomatic State for the Modified Harris Hip Score and Hip Outcome Score Among Patients Undergoing Surgical Treatment for Femoroacetabular Impingement.

Publication ,  Journal Article
Chahal, J; Van Thiel, GS; Mather, RC; Lee, S; Song, SH; Davis, AM; Salata, M; Nho, SJ
Published in: Am J Sports Med
August 2015

BACKGROUND: There is minimal information available on the threshold at which patients consider themselves to be well for patient-reported outcome measures used in patients treated with hip arthroscopy for femoroacetabular impingement (FAI). PURPOSE: To determine the patient acceptable symptomatic state (PASS) for the modified Harris Hip Score (mHHS) and the Hip Outcome Score (HOS) in patients with FAI treated with arthroscopic hip surgery. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2. METHODS: A consecutive series of patients at a single institution with FAI who were treated with arthroscopic labral surgery, acetabular rim trimming, and femoral osteochondroplasty were eligible. The mHHS (score range, 0-100) and the HOS (score range, 0-100) were administered at baseline and at 12 months postoperatively. An external anchor question at 1 year postoperatively was utilized to determine PASS values: "Taking into account all the activities you have during your daily life, your level of pain, and also your functional impairment, do you consider that your current state is satisfactory?" RESULTS: There were 130 patients (mean ± SD age, 35.6 ± 11.7 years), and 42.3% were male. Based on a receiver operator curve analysis, the PASS values-at which patients considered their status to be satisfactory-at 1 year after surgery were 74 (mHHS), 87 (HOS-activities of daily living subscale), and 75 (HOS-sports subscale). The PASS threshold was not affected by baseline scores across different instruments. However, patients with higher baseline scores were more likely to achieve the PASS (odds ratios: 3.36 [mHHS], 3.83 [HOS-activities of daily living], 3.38 [HOS-sports]). Age and sex were not significantly related to the odds of achieving the PASS for the mHHS or the HOS. CONCLUSION: This is the first study to determine the PASS for 2 commonly used hip joint patient-reported outcome measures in patients undergoing surgery for FAI. The study findings can allow researchers to determine if interventions related to FAI are meaningful to patients at the individual level across various domains and will also be useful for responder analyses in future randomized trials related to hip arthroscopy and the treatment of FAI.

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Published In

Am J Sports Med

DOI

EISSN

1552-3365

Publication Date

August 2015

Volume

43

Issue

8

Start / End Page

1844 / 1849

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Sports
  • Postoperative Period
  • Pain
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
  • Hip Joint
 

Citation

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Chahal, J., Van Thiel, G. S., Mather, R. C., Lee, S., Song, S. H., Davis, A. M., … Nho, S. J. (2015). The Patient Acceptable Symptomatic State for the Modified Harris Hip Score and Hip Outcome Score Among Patients Undergoing Surgical Treatment for Femoroacetabular Impingement. Am J Sports Med, 43(8), 1844–1849. https://doi.org/10.1177/0363546515587739
Chahal, Jaskarndip, Geoffrey S. Van Thiel, Richard C. Mather, Simon Lee, Sang Hoon Song, Aileen M. Davis, Michael Salata, and Shane J. Nho. “The Patient Acceptable Symptomatic State for the Modified Harris Hip Score and Hip Outcome Score Among Patients Undergoing Surgical Treatment for Femoroacetabular Impingement.Am J Sports Med 43, no. 8 (August 2015): 1844–49. https://doi.org/10.1177/0363546515587739.
Chahal, Jaskarndip, et al. “The Patient Acceptable Symptomatic State for the Modified Harris Hip Score and Hip Outcome Score Among Patients Undergoing Surgical Treatment for Femoroacetabular Impingement.Am J Sports Med, vol. 43, no. 8, Aug. 2015, pp. 1844–49. Pubmed, doi:10.1177/0363546515587739.
Chahal J, Van Thiel GS, Mather RC, Lee S, Song SH, Davis AM, Salata M, Nho SJ. The Patient Acceptable Symptomatic State for the Modified Harris Hip Score and Hip Outcome Score Among Patients Undergoing Surgical Treatment for Femoroacetabular Impingement. Am J Sports Med. 2015 Aug;43(8):1844–1849.
Journal cover image

Published In

Am J Sports Med

DOI

EISSN

1552-3365

Publication Date

August 2015

Volume

43

Issue

8

Start / End Page

1844 / 1849

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Sports
  • Postoperative Period
  • Pain
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
  • Hip Joint