November 21, 2018
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Patients with depression may have poorer outcomes after hip arthroscopy for FAI

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Data published in Arthroscopy Journal showed statistically and clinically better preoperative and postoperative patient reported outcomes among patients undergoing hip arthroscopy for femoroacetabular impingement with minimal or mild depressive symptoms compared with patients with moderate to severe depressive symptoms.

Researchers preoperatively and postoperatively administered the Beck Depression Inventory-II (BDI-II), Hip Outcome Score and 33-item International Hip Outcome Tool (iHOT-33) to 77 patients who underwent hip arthroscopy for femoroacetabular impingement (FAI) syndrome. The minimal clinically important difference, substantial clinical benefit and patient acceptable symptom state defined clinically relevant differences. Researchers completed comparisons between preoperative and postoperative scores, and used the Spearman correlation coefficient to determine the degree of correlation between the BDI-II score, Hip Outcome Score and iHOT-33 preoperatively and postoperatively.

Overall, 75.3%, 11.7%, 6.5% and 6.5% of patients reported depressive symptoms as minimal, mild, moderate and severe, respectively. Compared with patients with moderate or severe depression, researchers found superior Hip Outcome Score Activities of Daily Living, Hip Outcome Score Sport-Specific subscore and iHOT-33 score among patients with minimal or mild depression. The BDI-II score had a weak to moderate negative correlation with the iHOT-33 score, Hip Outcome Score Activities of Daily Living and Hip Outcome Score Sport-Specific subscore, per study results. – by Casey Tingle

Disclosures: Sochacki reports no relevant financial disclosures. Please see the full study for a list of all other authors relevant financial disclosures.