Effect of Socioeconomic Status on Outcomes After Hip Arthroscopy: Minimum 5-Year Follow-up.
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| Názov: | Effect of Socioeconomic Status on Outcomes After Hip Arthroscopy: Minimum 5-Year Follow-up. |
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| Autori: | Prabhavalkar ON; American Hip Institute Research Foundation, Chicago, Illinois, USA., Carbone AD; American Hip Institute Research Foundation, Chicago, Illinois, USA., Bruning RE; American Hip Institute Research Foundation, Chicago, Illinois, USA., Domb ES; American Hip Institute Research Foundation, Chicago, Illinois, USA., Maldonado DR; American Hip Institute Research Foundation, Chicago, Illinois, USA. |
| Zdroj: | The American journal of sports medicine [Am J Sports Med] 2025 Dec; Vol. 53 (14), pp. 3347-3355. Date of Electronic Publication: 2025 Nov 21. |
| Spôsob vydávania: | Journal Article |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Sage Publications Country of Publication: United States NLM ID: 7609541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-3365 (Electronic) Linking ISSN: 03635465 NLM ISO Abbreviation: Am J Sports Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2004- : Thousand Oaks, CA : Sage Publications Original Publication: Baltimore, Williams & Wilkins. |
| Výrazy zo slovníka MeSH: | Arthroscopy* , Femoracetabular Impingement*/surgery , Social Class* , Hip Joint*/surgery, Humans ; Female ; Male ; Adult ; Retrospective Studies ; Follow-Up Studies ; Patient Reported Outcome Measures ; Middle Aged ; Reoperation/statistics & numerical data ; Patient Satisfaction ; Young Adult ; Treatment Outcome |
| Abstrakt: | Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: A.D.C. has received educational support from Smith & Nephew and Arthrex; and grants and personal fees from Arthrex and Smith & Nephew. D.R.M. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew; educational support from Arthrex, Micromed, and Smith & Nephew; and grant support from Arthrex. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. Background: The socioeconomic status (SES) of a patient has previously been shown to affect access to quality health care, as well as patient-reported outcomes (PROs) of certain medical treatments. Purpose: To evaluate the effect of social deprivation on PROs and the rate of secondary surgery at a minimum 5-year follow-up and compare this to the results seen in the 2-year study. Study Design: Case series; Level of evidence, 4. Methods: Demographic, intraoperative, and radiographic data were collected at the time of care and retrospectively analyzed for patients who underwent hip arthroscopy for the treatment of labral tear and femoroacetabular impingement between February 2008 and December 2017. Patients were included in the present analysis if they had a minimum 5-year follow-up for the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), International Hip Outcome Tool-12 (iHOT-12) score, and visual analog scale (VAS) scores for both pain and satisfaction. Included patients were then divided into 4 cohorts based on their respective Social Deprivation Index (SDI), which was extrapolated from their zip code at the time of surgery. Rates of achieving the minimal clinically important difference (MCID) and Patient Acceptable Symptom State (PASS) were calculated for the mHHS, NAHS, and VAS score, along with rates of revision surgery and conversion to total hip arthroplasty (THA), for comparison between the 4 cohorts. Results: A total of 452 hips (409 patients) were included. The mean follow-up for the entire study group was 83.0 ± 29.1 months. The division by SDI based on established quartiles yielded 135 patients in group 1, 130 patients in group 2, 96 patients in group 3, and 91 patients in group 4. Similar intraoperative findings, radiographic measurements, surgical procedures performed, and minimum 5-year PROs were observed between all 4 groups. There was a significant difference in the rate of revision ipsilateral hip arthroscopy and conversion to THA among all 4 groups, with group 4 having the highest rates of each. All groups achieved high rates of MCID for the mHHS, NAHS, and VAS score for pain, as well as high rates of PASS for the mHHS. A significant difference among patients in groups 1 to 4 achieving the PASS was reported for NAHS, with group 1 reporting the lowest rates of achievement. Conclusion: Regardless of SES, patients were able to achieve improvements in all PROs measured after hip arthroscopy for femoroacetabular impingement and labral tear. However, patients with a lower SES had higher rates of secondary surgeries, including revision hip arthroscopies and conversions to THA. |
| Contributed Indexing: | Keywords: hip arthroscopy; social deprivation index; socioeconomic status |
| Entry Date(s): | Date Created: 20251122 Date Completed: 20251201 Latest Revision: 20251201 |
| Update Code: | 20251201 |
| DOI: | 10.1177/03635465251383908 |
| PMID: | 41272922 |
| Databáza: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: A.D.C. has received educational support from Smith & Nephew and Arthrex; and grants and personal fees from Arthrex and Smith & Nephew. D.R.M. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew; educational support from Arthrex, Micromed, and Smith & Nephew; and grant support from Arthrex. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.<br />Background: The socioeconomic status (SES) of a patient has previously been shown to affect access to quality health care, as well as patient-reported outcomes (PROs) of certain medical treatments.<br />Purpose: To evaluate the effect of social deprivation on PROs and the rate of secondary surgery at a minimum 5-year follow-up and compare this to the results seen in the 2-year study.<br />Study Design: Case series; Level of evidence, 4.<br />Methods: Demographic, intraoperative, and radiographic data were collected at the time of care and retrospectively analyzed for patients who underwent hip arthroscopy for the treatment of labral tear and femoroacetabular impingement between February 2008 and December 2017. Patients were included in the present analysis if they had a minimum 5-year follow-up for the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), International Hip Outcome Tool-12 (iHOT-12) score, and visual analog scale (VAS) scores for both pain and satisfaction. Included patients were then divided into 4 cohorts based on their respective Social Deprivation Index (SDI), which was extrapolated from their zip code at the time of surgery. Rates of achieving the minimal clinically important difference (MCID) and Patient Acceptable Symptom State (PASS) were calculated for the mHHS, NAHS, and VAS score, along with rates of revision surgery and conversion to total hip arthroplasty (THA), for comparison between the 4 cohorts.<br />Results: A total of 452 hips (409 patients) were included. The mean follow-up for the entire study group was 83.0 ± 29.1 months. The division by SDI based on established quartiles yielded 135 patients in group 1, 130 patients in group 2, 96 patients in group 3, and 91 patients in group 4. Similar intraoperative findings, radiographic measurements, surgical procedures performed, and minimum 5-year PROs were observed between all 4 groups. There was a significant difference in the rate of revision ipsilateral hip arthroscopy and conversion to THA among all 4 groups, with group 4 having the highest rates of each. All groups achieved high rates of MCID for the mHHS, NAHS, and VAS score for pain, as well as high rates of PASS for the mHHS. A significant difference among patients in groups 1 to 4 achieving the PASS was reported for NAHS, with group 1 reporting the lowest rates of achievement.<br />Conclusion: Regardless of SES, patients were able to achieve improvements in all PROs measured after hip arthroscopy for femoroacetabular impingement and labral tear. However, patients with a lower SES had higher rates of secondary surgeries, including revision hip arthroscopies and conversions to THA. |
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| ISSN: | 1552-3365 |
| DOI: | 10.1177/03635465251383908 |