Hip Arthroscopy Outcomes With Respect to Patient Acceptable Symptomatic State and Minimal Clinically Important Difference

Levy, David M.; Kuhns, Benjamin D.; Chahal, Jaskarndip; Philippon, Marc J.; Kelly, Bryan T.; Nho, Shane J.

doi:10.1016/j.arthro.2016.05.014

Cited by 169 publications

(145 citation statements)

References 32 publications

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“…Other fields of medicine have established clearly defined MCID in various PRO measures within their domains . Similar attempts have only recently been undertaken in otolaryngology.…”

Section: Discussionmentioning

confidence: 99%

“…The small sample size in the subgroups that reported no change or worsening precluded determination of those specific MCID scores, but it is possible that the MCID may be different for improvement as compared to decline in symptoms. It is notable that the range of population size in the studies that define MCID is broad, spanning from as few as approximately 50 patients up to several thousand . A third potential limitation could be recall bias, particularly in relation to the GRCQ .…”

Section: Discussionmentioning

confidence: 99%

“…42 Other fields of medicine have established clearly defined MCID in various PRO measures within their domains. [11][12][13][15][16][17][18][19][20][21]23,24,26,27,[30][31][32][33][34][35][36][37] Similar attempts have only recently been undertaken in otolaryngology. To date in our field, the MCID has been described for the Sinonasal Outcome Test-22 (rhinology), 43 44 the Penn Acoustic Neuroma Quality of Life (otology), 25 the EuroQOL 5-Dimension questionnaire (facial plastics), 45 and the anterior skull base surgery questionnaire (skull base).…”

Section: Discussionmentioning

confidence: 99%

“…The MCID has been developed for many patient‐based measures in other fields of medicine including rheumatology, pulmonology, obstetrics–gynecology, neurology, neurosurgery, physical medicine and rehabilitation, and orthopedics, among others . However, no voice‐related PRO instrument has a defined MCID.…”

Section: Introductionmentioning

confidence: 99%

“…29 The MCID has been developed for many patientbased measures in other fields of medicine including rheumatology, pulmonology, obstetrics-gynecology, neurology, neurosurgery, physical medicine and rehabilitation, and orthopedics, among others. [11][12][13][15][16][17][18][19][20][21]23,24,26,27,[30][31][32][33][34][35][36][37] However, no voice-related PRO instrument has a defined MCID. The goal of this study was to define the MCID for the VHI-10 in patients with unilateral vocal fold paralysis (UVFP)/immobility.…”

Section: Introductionmentioning

confidence: 99%

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Minimal clinically important difference of voice handicap index‐10 in vocal fold paralysis

et al. 2017

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“…Other fields of medicine have established clearly defined MCID in various PRO measures within their domains . Similar attempts have only recently been undertaken in otolaryngology.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Minimal clinically important difference of voice handicap index‐10 in vocal fold paralysis

et al. 2017

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Sex‐specific sagittal and frontal plane gait mechanics in persons post‐hip arthroscopy for femoroacetabular impingement syndrome

Brown‐Taylor

Schroeder

Lewis

et al. 2020

Journal Orthopaedic Research

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Postoperative gait mechanics in persons with femoroacetabular impingement syndrome (FAIS) remain understudied as a treatment outcome despite observed, yet inconclusive, preoperative gait abnormalities. Females with FAIS demonstrate worse preoperative patient-reported hip function and altered hip mechanics when compared with males; it is unknown whether these sex differences persist postarthroscopy. The purpose of this study was to compare sex-specific gait kinematics between persons at least 1 year postarthroscopy for FAIS and healthy comparisons. General linear models with estimating equations were used to evaluate the effect of (a) limb and sex within each group, and (b) limb and group within each sex for peak sagittal and frontal plane trunk, pelvis, and hip kinematics during stance phase of gait. Analyses were covaried by gait speed. Seventeen females and eight males an average 2.5 years postarthroscopy (1.1-7.2 year) for FAIS were compared with healthy females (n = 7) and males (n = 5). Females in the FAIS group presented with an average of 4.6°more anterior pelvic tilt, and 4.8°less hip extension compared with healthy females (P ≤ .03) and 8.6°less trunk flexion, 4.8°more anterior pelvic tilt, 3.1°more pelvic drop, and 7.5°more hip flexion than males with FAIS (P ≤ .03). Males in the FAIS group presented with 2.9°less pelvic drop, and 3.2°less hip adduction than healthy males. Preoperative gait mechanics were not collected and thus changes in mechanics could not be evaluated. This study is significant to clinicians who treat patients postarthroscopy to consider sex-specific gait impairments.

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Prevalence of low back pain and related disability in patients with femoroacetabular impingement syndrome

Brown‐Taylor

Bordner

Glaws

et al. 2021

PM&R

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Background Low back pain (LBP) has been associated with worse hip function for persons with femoroacetabular impingement syndrome (FAIS). Reports are limited to surgical populations and based on the presence or absence of LBP, regardless of pain severity. Objectives To report the prevalence of clinically significant LBP for persons with FAIS; compare demographics, pain, and function between those with and without clinically significant LBP; and evaluate relationships between hip function and both LBP‐related disability and LBP severity. We hypothesized that participants with LBP would be older, have higher body mass index (BMI), and report worse groin pain, longer symptom duration, and worse hip function. We hypothesized that worse LBP‐related disability and LBP severity would be related to worse hip function. Design Observational cross‐sectional study. Setting Hip preservation clinic. Participants 158 persons with FAIS. Interventions n/a Main Outcome Measure(s) Visual analog pain scales (VAS 0‐100) were used to categorize participants with (≥30) and without (<30) clinically significant LBP. Age, sex, BMI, pain severity and duration, and hip function (33‐item Hip Outcome Tool [iHOT33]) were compared between those with and without clinically significant LBP. Correlations were evaluated between the modified Oswestry Disability Index (ODI) and iHOT33, ODI and groin pain severity, LBP severity and iHOT33, and LBP and groin pain severity. Results Sixty percent of participants reported clinically significant LBP (n = 95). These participants reported worse iHOT33 scores (mean difference: 10.1 points) than those without clinically significant LBP (p = .001). Worse ODI scores were associated with worse iHOT33 scores (P < .001; ρ = −0.74). Significant relationships were also observed between (1) ODI and groin pain, (2) LBP and iHOT33, and (3) LBP and groin pain, but the magnitudes of these correlations were weak (ρ ≤ 0.36). Conclusions Clinically significant LBP is highly prevalent in persons with FAIS and is associated with worse hip function. Worse LBP‐related disability, but not LBP severity, was strongly associated with worse hip function.

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Hip Arthroscopy Outcomes With Respect to Patient Acceptable Symptomatic State and Minimal Clinically Important Difference

Cited by 169 publications

References 32 publications

Minimal clinically important difference of voice handicap index‐10 in vocal fold paralysis

Minimal clinically important difference of voice handicap index‐10 in vocal fold paralysis

Sex‐specific sagittal and frontal plane gait mechanics in persons post‐hip arthroscopy for femoroacetabular impingement syndrome

Prevalence of low back pain and related disability in patients with femoroacetabular impingement syndrome

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