High patient expectations before hip arthroscopy linked with improved outcomes
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Patients who had high expectations prior to hip arthroscopy for femoroacetabular impingement had improved patient-reported outcomes and return to function, according to results.
Shane J. Nho, MD, MS, and colleagues collected hip preservation surgery expectation survey and patient-reported outcomes from 153 patients who underwent hip arthroscopy for femoroacetabular impingement. Researchers assessed VAS scores for patient satisfaction and pain and patient-reported outcomes at 1 year postoperatively.
Results showed patients had a mean expectation score of approximately 84.5. Patients with high expectation scores had significant correlations to achieving the minimal clinically important difference for the modified Harris Hip Score (mHHS) and patient acceptable symptomatic state for the hip outcome score-activities of daily living subscale (HOS-ADL), according to researchers. However, researchers found high expectation scores did not have a significant correlation with preoperative or postoperative patient-reported outcomes or patient satisfaction scores. Rates of reaching minimal clinical important difference and patient-acceptable symptomatic state achievement for mHHS, as well as patient-acceptable symptomatic state achievement for HOS-ADL increased among patients with greater expectations, according to results.
“Hip preservation surgery is often an elective procedure and thus, the success of the procedure is dependent on the patient’s expectation of outcomes and return to function,” Nho told Healio Orthopedics. “This study showed that there is a statistical association between the two and that patient expectations should be part of the preoperative assessment. Specifically, our results show that fulfillment of preoperative expectations are more closely linked to achievement of [patient-acceptable symptomatic state] PASS than a VAS satisfaction score.” – by Casey Tingle
Disclosures: Nho reports he receives non-financial support from Allosource, Arthrex, Athletico, DJ Orthopaedics, Linvatec, Miomed, Smith & Nephew, Springer and Stryker; other support from American Journal of Orthopedics, American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America; and personal fees from Ossur and Springer. Please see the study for all other authors’ relevant financial disclosures.
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