PDF(Pubmed)
Abstract：
UNASSIGNED: Research has identified factors that influence achievement rates of threshold scores on patient-reported outcome measures (PROMs) after hip arthroscopy. However, little data exist on whether failure to achieve a threshold score (minimal clinically important difference [MCID] or substantial clinical benefit [SCB]) in the short term after hip arthroscopy predicts the risk of future hip surgery.
UNASSIGNED: The purpose of this study was to determine if failure to achieve the MCID or SCB on PROMs within 1 year of hip arthroscopy can be considered a risk factor for repeat surgery within 5 years of primary hip arthroscopy. It was hypothesized that failure to achieve threshold scores would increase the risk of subsequent hip surgery.
UNASSIGNED: Case-control study; Level of evidence, 3.
UNASSIGNED: A retrospective review of prospectively collected data was completed. Four PROMs were collected preoperatively and within 1 year of hip arthroscopy: modified Harris Hip Score, Hip Outcome Score-Activities of Daily Living, Hip Outcome Score-Sports, and the 33-Item International Hip Outcome Tool.
UNASSIGNED: Two cohorts were formed: (1) a study cohort (n = 88) composed of patients who underwent repeat hip surgery within 5 years of hip arthroscopy and (2) a control cohort (n = 288) composed of patients who did not require repeat hip surgery. The study cohort had significantly (P < .001) lower scores on all postoperative PROMs, and a significantly (P < .001) smaller percentage of the study cohort met the MCID and SCB. Multivariable regression analysis demonstrated that not achieving the MCID or SCB on each of the PROMs is an independent risk factor for repeat hip surgery. For every PROM in which a patient failed to achieve the MCID, the odds of subsequent surgery increased by 1.68 (95% CI, 1.42-1.98; P < .001). For every PROM in which a patient failed to achieve the SCB, the odds of subsequent surgery increased by 1.63 (95% CI, 1.35-1.97; P < .001).
UNASSIGNED: Failure to meet threshold scores on PROMs after hip arthroscopy was an independent risk factor for subsequent hip surgery. This study establishes a novel utility of PROMs and confirms the importance of these metrics in the orthopaedic literature.
UNASSIGNED: The purpose of this study was to determine if failure to achieve the MCID or SCB on PROMs within 1 year of hip arthroscopy can be considered a risk factor for repeat surgery within 5 years of primary hip arthroscopy. It was hypothesized that failure to achieve threshold scores would increase the risk of subsequent hip surgery.
UNASSIGNED: Case-control study; Level of evidence, 3.
UNASSIGNED: A retrospective review of prospectively collected data was completed. Four PROMs were collected preoperatively and within 1 year of hip arthroscopy: modified Harris Hip Score, Hip Outcome Score-Activities of Daily Living, Hip Outcome Score-Sports, and the 33-Item International Hip Outcome Tool.
UNASSIGNED: Two cohorts were formed: (1) a study cohort (n = 88) composed of patients who underwent repeat hip surgery within 5 years of hip arthroscopy and (2) a control cohort (n = 288) composed of patients who did not require repeat hip surgery. The study cohort had significantly (P < .001) lower scores on all postoperative PROMs, and a significantly (P < .001) smaller percentage of the study cohort met the MCID and SCB. Multivariable regression analysis demonstrated that not achieving the MCID or SCB on each of the PROMs is an independent risk factor for repeat hip surgery. For every PROM in which a patient failed to achieve the MCID, the odds of subsequent surgery increased by 1.68 (95% CI, 1.42-1.98; P < .001). For every PROM in which a patient failed to achieve the SCB, the odds of subsequent surgery increased by 1.63 (95% CI, 1.35-1.97; P < .001).
UNASSIGNED: Failure to meet threshold scores on PROMs after hip arthroscopy was an independent risk factor for subsequent hip surgery. This study establishes a novel utility of PROMs and confirms the importance of these metrics in the orthopaedic literature.
摘要：
■研究已经确定了影响髋关节镜检查后患者报告结果指标（PROMs）阈值评分实现率的因素。然而,关于髋关节镜检查后短期内未能达到阈值评分(最小临床重要差异[MCID]或实质性临床获益[SCB])是否预测未来髋关节手术风险的数据很少.
■本研究的目的是确定髋关节镜检查后1年内PROM未能达到MCID或SCB是否可被认为是初次髋关节镜检查后5年内重复手术的危险因素。假设未能达到阈值评分会增加后续髋关节手术的风险。
■病例对照研究；证据水平，3.
■完成了前瞻性收集数据的回顾性审查。术前和髋关节镜检查1年内收集四个PROM：改良Harris髋关节评分，髋关节结果评分-日常生活活动，髋关节结果得分-运动，和33项国际髋关节结果工具。
■形成了两个队列：（1）一个研究队列（n=88）由在髋关节镜检查后5年内接受再次髋关节手术的患者组成，（2）一个对照队列（n=288）由不需要再次髋关节手术的患者组成。研究队列在所有术后PROMs上得分显著(P<.001)较低,并且显著(P<.001)较小百分比的研究队列符合MCID和SCB。多变量回归分析表明，在每个PROM上未达到MCID或SCB是重复髋关节手术的独立危险因素。对于每个患者未能实现MCID的PROM，随后手术的几率增加了1.68（95%CI，1.42-1.98；P<.001）。对于每个患者未能达到SCB的PROM，随后手术的几率增加了1.63（95%CI，1.35-1.97；P<.001）。
■髋关节镜检查后PROM未达到阈值评分是后续髋关节手术的独立危险因素。这项研究建立了PROM的新用途，并证实了这些指标在骨科文献中的重要性。
■本研究的目的是确定髋关节镜检查后1年内PROM未能达到MCID或SCB是否可被认为是初次髋关节镜检查后5年内重复手术的危险因素。假设未能达到阈值评分会增加后续髋关节手术的风险。
■病例对照研究；证据水平，3.
■完成了前瞻性收集数据的回顾性审查。术前和髋关节镜检查1年内收集四个PROM：改良Harris髋关节评分，髋关节结果评分-日常生活活动，髋关节结果得分-运动，和33项国际髋关节结果工具。
■形成了两个队列：（1）一个研究队列（n=88）由在髋关节镜检查后5年内接受再次髋关节手术的患者组成，（2）一个对照队列（n=288）由不需要再次髋关节手术的患者组成。研究队列在所有术后PROMs上得分显著(P<.001)较低,并且显著(P<.001)较小百分比的研究队列符合MCID和SCB。多变量回归分析表明，在每个PROM上未达到MCID或SCB是重复髋关节手术的独立危险因素。对于每个患者未能实现MCID的PROM，随后手术的几率增加了1.68（95%CI，1.42-1.98；P<.001）。对于每个患者未能达到SCB的PROM，随后手术的几率增加了1.63（95%CI，1.35-1.97；P<.001）。
■髋关节镜检查后PROM未达到阈值评分是后续髋关节手术的独立危险因素。这项研究建立了PROM的新用途，并证实了这些指标在骨科文献中的重要性。
