[Translated article] Past and projected temporal trends in arthroscopic hip surgery in Spain between 1998 and 2018

Novoa-Parra, C D; Marín-Peña, Óliver; Tey, Marc; Más-Martínez, Jesús; Franco-Ferrando, N; Larraínzar-Garijo, Ricardo

doi:10.1016/j.recot.2022.10.007

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…The rate of hip arthroscopy for femoroacetabular impingement syndrome (FAIS) continues to increase over recent years [29,44]. FAIS is characterised by a combination of abnormal femoral and/or acetabular morphology, leading to soft tissue injury [36].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for prolonged opioid consumption following hip arthroscopy: A secondary analysis of the Femoroacetabular Impingement RandomiSed controlled Trial and embedded cohort study

Bourgeault‐Gagnon,

Khalik,

Patel

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe purpose of the study was to identify prognostic risk factors for prolonged opioid use at 2 and 6 weeks after hip arthroscopy using data from the Femoroacetabular Impingement RandomiSed controlled Trial and its external validation cohort study.MethodsOpioids were prescribed for postoperative pain management at the surgeon's discretion, with a majority being prescribed a combination of oxycodone and paracetamol (5/325 mg). Prolonged opioid use was defined as the ongoing use of any dosage of opioids reported at either 2 or 6 weeks after surgery to treat femoroacetabular impingement, as recorded in the patient's study medication log. Multivariable logistic regressions were performed to evaluate patient and surgical characteristics, such as preoperative opioid use, type of surgical procedure and intraoperative cartilage state that may be associated with prolonged opioid use at either 2 and 6 weeks postoperatively.ResultsA total of 265 and 231 patients were included for analysis at 2 and 6 weeks postoperatively, respectively. The median age of participants was 35 years (interquartile range [IQR]: 27–42) and 33% were female. At 2 weeks postoperatively, female sex (odds ratio [OR]: 2.56; 95% confidence interval: [CI] 1.34–4.98, p = 0.005), higher body mass index (BMI) (OR: 1.10; 95% CI: 1.02–1.18, p = 0.009), active tobacco use (OR: 4.06; 95% CI: 1.90–8.97, p < 0.001), preoperative opioid use (OR: 10.1; 95% CI: 3.25–39.1, p < 0.001) and an Outerbridge classification of ≥3 (OR: 2.33; 95% CI: 1.25–4.43, p = 0.009) were significantly associated with prolonged opioid use. At 6 weeks postoperatively, only preoperative opioid use was significantly associated with prolonged opioid consumption (OR: 10.6; 95% CI: 3.60–32.6, p < 0.001).ConclusionPreoperative opioid use was significantly associated with continued opioid use at 2 and 6 weeks postoperatively. Specific patient factors including female sex, higher BMI, active tobacco use and more severe cartilage damage should be considered in developing targeted strategies to limit opioid use after surgery.Level of EvidenceLevel III.

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Section: Introductionmentioning

confidence: 99%

Risk factors for prolonged opioid consumption following hip arthroscopy: A secondary analysis of the Femoroacetabular Impingement RandomiSed controlled Trial and embedded cohort study

Bourgeault‐Gagnon,

Khalik,

Patel

et al. 2024

Knee surg. sports traumatol. arthrosc.

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Moderate burden amongst caregivers posthip arthroscopy linked to younger caregiver age and task load: A cross‐sectional survey study

Bourgeault‐Gagnon,

Patel,

Walker

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeTo evaluate the burden experienced by primary informal caregivers of patients who have undergone hip arthroscopy and to identify factors that predict increased caregiver burden.MethodsA cross‐sectional study was conducted at a single academic hospital centre, enroling caregivers of patients who underwent hip arthroscopy between November 2018 and November 2023. Caregiver burden was assessed using the Caregiver Burden Inventory (CBI) survey. Multivariable linear regression models were used to identify predictors of caregiver burden, with the global CBI score serving as the primary outcome measure. Secondarily, open‐ended survey questions were analyzed qualitatively to elucidate specific challenges and facilitators of caregiving, as reported by the caregivers themselves.ResultsThe study involved 99 eligible caregivers (mean [standard deviation] age; 47 [11] years), 58% were female, and 85% were relatives of the patient. The median global CBI score was 13.0 (interquartile range: 8.0–22.4), indicating a moderate burden. Regression analyses demonstrated that younger caregiver age and a higher number of caregiving tasks were significant predictors of increased global burden. Additionally, nonweightbearing status of patients, female gender of caregivers and working full‐time statistically significantly increased specific dimensions of caregiver burden.ConclusionThis study highlights the meaningful burden faced by caregivers of patients undergoing hip arthroscopy, despite its minimally invasive nature and outpatient setting. Identified risk factors such as younger caregiver age, female gender of the caregiver, nonweight‐bearing status and increased caregiving tasks suggest targeted areas for intervention. The qualitative analysis revealed that caregivers struggle with time management and physical and emotional strain, yet better communication and practical support from healthcare teams could help to alleviate these challenges.Level of EvidenceLevel IV, prognostic study.

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[Translated article] Past and projected temporal trends in arthroscopic hip surgery in Spain between 1998 and 2018

Cited by 2 publications

References 27 publications

Risk factors for prolonged opioid consumption following hip arthroscopy: A secondary analysis of the Femoroacetabular Impingement RandomiSed controlled Trial and embedded cohort study

Risk factors for prolonged opioid consumption following hip arthroscopy: A secondary analysis of the Femoroacetabular Impingement RandomiSed controlled Trial and embedded cohort study

Moderate burden amongst caregivers posthip arthroscopy linked to younger caregiver age and task load: A cross‐sectional survey study

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