Clinical Outcomes Assessment in Clinical Trials to Assess Treatment of Femoroacetabular Impingement: Use of Patient-reported Outcome Measures

Harris‐Hayes, Marcie; McDonough, Christine M.; Leunig, Michael; Lee, Cara Beth; Callaghan, John J.; Roos, Ewa M.

doi:10.5435/jaaos-21-07-s39

Cited by 37 publications

(42 citation statements)

References 36 publications

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“…3,22 Another measure, the International Hip Outcome Tool (iHOT-33), was recently developed to assess hip-specific function in active young adults. 8,10,13,17 The iHOT-33 is reliable and valid in this population and does not appear to have the ceiling effect identified in other commonly used outcome tools. 17 …”

mentioning

confidence: 84%

Sex Differences in Self-Reported Hip Function Up to 2 Years After Arthroscopic Surgery for Femoroacetabular Impingement

et al. 2015

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Background Femoroacetabular impingement (FAI) is a significant cause of disability in young adults. Hip arthroscopic surgery restores bony congruence and improves function in the majority of patients, but recent evidence indicates that women may experience worse pre- and postoperative function than men. Purpose/Hypothesis The purpose of this study was to identify whether self-reported hip function differed between men and women with symptomatic FAI. The hypothesis was that mean self-reported hip function scores would improve after arthroscopic surgery but that women would report poorer function than men both before and up to 2 years after arthroscopic surgery. Study Design Cohort study; Level of evidence, 2. Methods A total of 229 patients (68.4% women; mean [±SD] age, 31.6 ± 10.8 years; mean [6SD] body mass index, 26.8 ± 11.9 kg/m2) underwent hip arthroscopic surgery for unilateral symptomatic FAI. All eligible and consenting patients with radiologically and clinically confirmed FAI completed the International Hip Outcome Tool (iHOT-33) and the Hip Outcome Score activities of daily living subscale (HOS-ADL) before hip arthroscopic surgery and at 3, 6, 12, and 24 months after arthroscopic surgery. A linear mixed model for repeated measures was used to test for differences in self-reported hip function between men and women over the study period (P ≤ .05). Results There were no significant time × sex interactions for either the HOS-ADL (P = .12) or iHOT-33 (P = .64), but both measures showed significant improvements between the preoperative time point and each of the 4 follow-up points (P < .0001); however, self-reported hip function did not improve between 6 and 24 months after arthroscopic surgery (P ≥ .11). Post hoc independent t tests indicated that women reported poorer hip function than did men before surgery (P ≤ .003) both on the HOS-ADL (mean ± standard error of the mean [SEM], 67.4 ± 1.9 [men] vs 60.5 ± 1.3 [women]) and iHOT-33 (mean ± SEM, 38.0 ± 1.9 [men] vs 30.9 ± 1.3 [women]); scores were not different between sexes at any other time point. Conclusion These findings indicate improvements in self-reported hip function in patients with FAI, regardless of sex, until 6 months after hip arthroscopic surgery. Although women reported poorer preoperative function than did men, the differences were not significant 2 years after surgery.

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confidence: 84%

Sex Differences in Self-Reported Hip Function Up to 2 Years After Arthroscopic Surgery for Femoroacetabular Impingement

et al. 2015

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“…The HAGOS has been recommended as suitable for patients undergoing treatment for FAI (Harris-Hayes et al, 2013;Thorborg et al, 2011). The test has been culturally adopted and translated into Swedish .…”

Section: Patient-reported Hip and Groin Disability Was Measured By Thmentioning

confidence: 99%

The Star Excursion Balance Test: Criterion and divergent validity on patients with femoral acetabular impingement

Johansson

Karlsson²

2016

Manual Therapy

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“…This PRO is used in the UK military hip rehabilitation pathway because it was developed for physically active young-to-middle-aged adults with hip and/or groin pain, 14 and is designed to assess treatmentinduced changes from week-to-week. 33 However, while the HAGOS subscales have shown good test-retest reliability and responsiveness in athletic populations, 14 33 34 its performance in a military population is unknown, and it is possible this scoring system fails to address activities of most relevance to Armed Forces personnel. Studies reporting clinically meaningful changes in other PROs following hip rehabilitation used a minimum 6-week period between tests.…”

Section: How Do These Results Compare With Other Studies?mentioning

confidence: 99%

Physical and functional outcomes following multidisciplinary residential rehabilitation for prearthritic hip pain among young active UK military personnel

Coppack

Bilzon

Wills

et al. 2016

BMJ Open Sport Exerc Med

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BackgroundThere are no studies describing the clinical outcomes of a residential, multidisciplinary team (MDT) rehabilitation intervention for patients with prearthritic hip pain. The aim of this cohort study was to describe the functional and physical outcomes of multidisciplinary residential rehabilitation for UK military personnel with prearthritic hip pain.MethodsParticipants (N=40) with a mean age of 33 years referred to a specialist residential rehabilitation centre completed a comprehensive multidisciplinary residential intervention. The main outcome measures were mean pain, physical function (modified shuttle test (MST) and Y-balance test), hip range of motion (HROM) and a patient-reported outcome measure (The Copenhagen Hip and Groin Outcome Score, HAGOS). All scores for symptomatic hips were taken at baseline and post-treatment.ResultsThere were improvements in the Y-balance test and HROM following rehabilitation. There were significant improvements in mean difference (T1-to-T2) for Y-balance scores (15.8 cm, 95% CI 10.7 to 20.9, p<0.001), HROM (6.5° increase in hip flexion, 95% CI 4.6 to 9.4, p<0.001) and hip internal rotation (4.6°, 95% CI 2.7 to 6.6, p<0.001). Scores for HAGOS, pain, MST and functional activity assessment showed no improvement.ConclusionsAmong UK military personnel with prearthritic hip pain, MDT residential rehabilitation resulted in improvements in a functional Y-balance test, hip flexion and internal rotation. The study suggests short-term benefits across some outcomes for the current UK military approach to MDT residential rehabilitation.

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Clinical Outcomes Assessment in Clinical Trials to Assess Treatment of Femoroacetabular Impingement: Use of Patient-reported Outcome Measures

Cited by 37 publications

References 36 publications

Sex Differences in Self-Reported Hip Function Up to 2 Years After Arthroscopic Surgery for Femoroacetabular Impingement

Sex Differences in Self-Reported Hip Function Up to 2 Years After Arthroscopic Surgery for Femoroacetabular Impingement

The Star Excursion Balance Test: Criterion and divergent validity on patients with femoral acetabular impingement

Physical and functional outcomes following multidisciplinary residential rehabilitation for prearthritic hip pain among young active UK military personnel

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