A tiered system using substantial clinical benefit and patient acceptable symptomatic state scores to evaluate 2-year outcomes of hip arthroscopy with the Hip Outcome Score

DOI

10.1093/jhps/hnz074

Authors

RobRoy L. Martin, Department of Physical Therapy, Rangos School of Health Sciences, Duquesne University, 600 Forbes Avenue, Pittsburgh, PA 15219, USA.
Benjamin R. Kivlan, Department of Physical Therapy, Rangos School of Health Sciences, Duquesne University, 600 Forbes Avenue, Pittsburgh, PA 15219, USA.
John J. Christoforetti, Texas Health Sports Medicine, Department of Orthopaedic Surgery, 1120 Raintree Circle Allen, TX 75013, USA.
Andrew B. Wolff, Hip Preservation and Sports Medicine, Washington Orthopaedics and Sports Medicine, Department of Orthopaedic Surgery, 2021 K Street, NW Washington, DC 20006, USA.
Shane J. Nho, Division of Sports Medicine, Department of Orthopedic Surgery, Hip Preservation Center, Rush University Medical Center, 1653 W. Congress Parkway Chicago, IL 60612, USA.
John P. Salvo, Orthopaedic Surgery, Hip Arthroscopy Program, The Sydney Kimmel Medical College, Rothman Institute, Thomas Jefferson University Hospital, 111 S 11th St, Philadelphia, PA 19107, USA.
Geoff Van Thiel, Rush University Medical Center, Department of Orthopaedic Surgery, US National Soccer Teams, Chicago Blackhawks Medical Network, 1653 W Congress Pkwy, Chicago, IL 60612, USA.
Dean Matsuda, Hip Arthroscopy DISC Sports and Spine Center, Department of Orthopaedic Surgery, 3501 Jamboree Rd #1250, Newport Beach, CA 92660, USA.
Dominic S. Carreira, Peachtree Orthopedics, Department of Orthopaedic Surgery, 3200 Downwood Cir NW Office - Suite 700, Atlanta, GA 30327, USA.

Document Type

Journal Article

Publication Date

1-1-2020

Publication Title

Journal of hip preservation surgery

Volume

7

Issue

1

First Page

62

Last Page

69

ISSN

2054-8397

Abstract

There is no information to define variations in hip arthroscopy outcomes at 2-year follow-up using the Hip Outcome Score (HOS). To offer a tiered system using HOS absolute substantial clinical benefit (SCB) and patient acceptable symptomatic state (PASS) scores for 2-year hip arthroscopy outcome assessment. This was a retrospective review of patients having hip arthroscopy for femoroacetabular impingement and/or chondrolabral pathology. On initial assessment and 2 years (±2 months) post-operatively, subjects completed the HOS activity of daily living (ADL) and Sports subscales, categorical self-rating of function and visual analog scale for satisfaction with surgery. Receiver operator characteristic analysis identified absolute SCB and PASS HOS ADL and Sports subscale scores. Subjects consisted of 462 (70%) females and 196 (30%) males with a mean age of 35.3 years [standard deviation (SD) 13] and mean follow-up of 722 days (SD 29). SCB and PASS scores for the HOS ADL and Sports subscales were accurate in identifying those at a 'nearly normal' and 'normal' self- report of function and at least 75% and 100% levels of satisfaction (area under the curve >0.70). This study provides tiered SCB and PASS HOS scores to define variations in 2-year (±2 months) outcome after hip arthroscopy. HOS ADL subscale scores of 84 and 94 and Sports subscale scores of 61 and 87 were associated with a 'nearly normal' and 'normal' self-report of function, respectively. HOS ADL subscale scores of 86 and 94 and Sports subscale score of 74 and 87 were associated with being at least 75% and 100% satisfied with surgery, respectively. Level of evidence: III, retrospective comparative study.

Open Access

Gold

Repository Citation

Martin, R. L., Kivlan, B. R., Christoforetti, J. J., Wolff, A. B., Nho, S. J., Salvo, J. P., Van Thiel, G., Matsuda, D., & Carreira, D. S. (2020). A tiered system using substantial clinical benefit and patient acceptable symptomatic state scores to evaluate 2-year outcomes of hip arthroscopy with the Hip Outcome Score. Journal of hip preservation surgery, 7 (1), 62-69. https://doi.org/10.1093/jhps/hnz074