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外文期刊>Orthopaedic Journal of Sports Medicine
>Defining the Clinically Meaningful Outcomes for Arthroscopic Treatment of Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-up: The Timing of Surgery Is Crucial
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Defining the Clinically Meaningful Outcomes for Arthroscopic Treatment of Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-up: The Timing of Surgery Is Crucial
Background: Arthroscopic treatment of femoroacetabular impingement syndrome (FAIS) has become a common procedure. However, meaningful long-term clinical outcomes have not been defined. Purpose: To define the minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) for the modified Harris Hip Score (mHHS) at a minimum 10-year follow-up in patients undergoing arthroscopic treatment for FAIS and identify preoperative predictors for achievement of the MCID, SCB, and PASS. Study Design: Case-control study; Level of evidence, 3. Methods: A consecutive series of patients undergoing arthroscopic treatment for FAIS between 2007 and 2009 with a minimum 10-year follow-up was analyzed. Patient data included patient characteristics, radiographic parameters, and the pre- and postoperative mHHS and visual analog scale (VAS) for pain score. Paired t tests were used to compare the patient-reported outcome measures (PROMs). The MCID was determined by calculating half of the standard deviation, and SCB and PASS were calculated by the anchor method. Correlation and logistic regression analyses were conducted to identify predictors for the achievement of the MCID, SCB, and PASS. Results: A total of 44 patients (27 men, 17 women) were included. The mean age and body mass index were 42.2 years (range, 16-67 years) and 22.3 kg/m ~(2) (range, 16.76-29.78 kg/m ~(2)), respectively. The MCID, absolute SCB, net change SCB, and PASS of the mHHS were calculated to be 19.6, 90.1, 31.5, and 84.4 points, respectively. Preoperative symptom duration was identified as an independent predictor for the achievement of meaningful clinical outcomes. The median symptom durations for patients who achieved the MCID, absolute SCB, net change SCB, and PASS were 11.7, 9.1, 9.0, and 10.8 months, respectively. The median symptom duration for patients who did not achieve the MCID, absolute SCB, net change SCB, and PASS were 15.8, 17.4, 17.3, and 18.4 months, respectively. No other statistically significant correlations were found. Conclusion: The preoperative duration of symptoms was identified as an independent predictor for achievement of the MCID, SCB, and PASS. These findings can be helpful in accelerating the transition to surgical treatment of FAIS.
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机译：背景：股骨诊断综合征的关节镜治疗已成为一种共同的程序。但是，没有定义有意义的长期临床结果。目的：要定义最小临床重要差异（MCID），大量临床益处（SCB），以及在接受关节镜的患者的最低10年后的改性哈里斯髋关节评分（MHHS）的患者可接受的症状状态（PACS）融合的治疗和鉴定术前预测因子，以实现McID，SCB和通过。研究设计：案例控制研究;证据水平，3.方法：分析了2007年至2009年期间在2007年至2009年期间进行关节镜治疗的连续系列患者，并进行了至少10年的随访。患者数据包括患者特征，射线照相参数和术后和术后MHHS和视觉模拟量表（VAS），用于疼痛评分。配对的T测试用于比较患者报告的结果措施（PROM）。通过计算标准偏差的一半确定MCID，通过锚法计算SCB和通过。进行相关性和逻辑回归分析，以识别用于实现MCID，SCB和通过的预测因子。结果：共有44名患者（27名男子，17名女性）。平均年龄和体重指数分别为42.2岁（范围，16-67岁）和22.3kg / m〜（2）（范围，16.76-29.78 kg / m〜（2））。 MHHS的MCID，绝对SCB，净变化SCB和PASE分别计算为19.6,90.1,31.5和84.4分。术前症状持续时间被确定为实现有意义的临床结果的独立预测因素。达到MCID，绝对SCB，净变化SCB和PASS患者的患者中位症状持续时间分别为11.7,9.1,9.0和10.8个月。患者的中位症状持续时间不达到MCID，绝对SCB，净变化SCB和PASS分别为15.8,17.4,17.3和18.4个月。没有发现其他统计学上的相关性。结论：术前症状持续时间被鉴定为实现McID，SCB和通过的独立预测因子。这些发现可以有助于加速转型到北甘丝的外科治疗。
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