Defining Thresholds and Predictors for Achieving the Patient Acceptable Symptom State for Patient-Reported Outcome Measures After Revision Hip Arthroscopy
Authors: Maldonado DR, George T, Padmanabhan S, Curley AJ, Domb BG
Journal: American Journal of Sports Medicine, December 2023
DOI: 10.1177/03635465231209320
Objective
To establish benchmarks and predictors for achieving a Patient Acceptable Symptom State (PASS) after revision hip arthroscopy.
Key Findings
- Approximately 50% of patients reached an acceptable symptom state following revision hip arthroscopy.
- Specific thresholds on patient-reported outcome measures (e.g., Harris Hip Score ≥76) correlated with satisfactory outcomes.
- Lower BMI (≤25.4) was associated with higher likelihood of achieving positive symptom relief.
Conclusion
These predictive thresholds and factors can guide preoperative counseling and postoperative expectations for revision hip arthroscopy patients.
What Does This Mean for Providers?
- Use identified PROM thresholds to set realistic expectations with patients undergoing revision hip arthroscopy.
- Encourage weight management strategies preoperatively to optimize outcomes, especially BMI reduction.
- Incorporate these predictors into shared decision-making to improve patient satisfaction and clinical results.