Associating Outcomes After Hip Arthroscopy With Patient Resilience.

Autor:	Szukics PF; Jefferson Health New Jersey, Stratford, New Jersey, USA., Otlans P; Proliance Southwest Seattle Orthopedics, Seattle, Washington, USA., Meade M; Jefferson Health New Jersey, Stratford, New Jersey, USA., Lynch J; Jefferson Health New Jersey, Stratford, New Jersey, USA., Salvo J; Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Jazyk:	angličtina
Zdroj:	Orthopaedic journal of sports medicine [Orthop J Sports Med] 2023 Feb 24; Vol. 11 (2), pp. 23259671221147279. Date of Electronic Publication: 2023 Feb 24 (Print Publication: 2023).
DOI:	10.1177/23259671221147279
Abstrakt:	Background: Higher patient resilience has been shown to be associated with improved patient-reported outcome measures (PROMs) at 6 months after hip arthroscopy. Purpose: To examine the relationship between patient resilience and PROMs at minimum 2 years after hip arthroscopy. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Included were 89 patients (mean age, 36.9 years; mean follow-up, 4.6 years). Patient demographics, surgical details, and preoperative International Hip Outcome Tool-12 (iHOT-12) and visual analog scale (VAS) pain scores were collected retrospectively. Postoperative variables were collected via a survey and included the Brief Resilience Scale (BRS), Patient Activation Measure-13 (PAM-13), Pain Self-efficacy Questionnaire-2 (PSEQ-2), VAS satisfaction, and postoperative iHOT-12, and VAS pain scores. Based on the number of standard deviations from the mean BRS score, patients were stratified as having low resilience (LR; n = 18), normal resilience (NR; n = 48), and high resilience (HR; n = 23). Differences in PROMs were compared between the groups, and a multivariate regression analysis was performed to assess the relationship between pre- to postoperative change (Δ) in PROMs and patient resilience. Results: There were significantly more smokers in the LR group compared with the NR and HR groups ( P = .033). Compared with the NR and HR groups, patients in the LR group had significantly more labral repairs ( P = .006), significantly worse postoperative iHOT-12, VAS pain, VAS satisfaction, PAM-13, and PSEQ-2 scores ( P < .001 for all), and significantly lower ΔVAS pain and ΔiHOT-12 scores ( P = .01 and .032, respectively). Regression analysis showed significant associations between ΔVAS pain and NR (β = -22.50 [95% CI, -38.81 to -6.19]; P = .008) as well as HR (β = -28.31 [95% CI, -46.96 to -9.67; P = .004) and between ΔiHOT-12 and NR (β = 18.94 [95% CI, 6.33 to 31.55]; P = .004) as well as HR (β = 20.63 [95% CI, 6.21 to 35.05]; P = .006). Male sex was a significant predictor of ΔiHOT-12 (β = -15.05 [95% CI, -25.42 to -4.69]; P = .006). Conclusion: The study results indicate that lower postoperative resilience scores were associated with significantly worse PROM scores, including pain and satisfaction, at 2 years after hip arthroscopy. Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: P.O. has received education payments from Liberty Surgical, Smith & Nephew, and Summit Surgical. J.S. has received education payments from Liberty Surgical. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. (© The Author(s) 2023.)
Databáze:	MEDLINE
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