Effect of Alcohol Consumption on Patient-Reported Outcomes in Hip Arthroscopy: A Matched Controlled Study With Minimum 2-Year Follow-Up
Authors: Lall AC, Secretov E, Battaglia MR, Maldonado DR, Perets I, Domb BG
DOI: 10.1177/1120700019853554
Background
- The relationship between alcohol consumption and surgical outcomes is not well defined in hip arthroscopy.
- This study assesses the impact of heavy alcohol use on functional recovery and patient-reported outcomes (PROs).
Methods
- A matched-pair analysis comparing heavy drinkers and non-drinkers, with at least 2 years of follow-up.
- Functional improvement and achievement of Patient Acceptable Symptom State (PASS) were evaluated.
Key Findings
- Heavy alcohol consumers had significantly worse improvements in pain and function.
- They were less likely to achieve threshold values for clinically meaningful recovery.
Conclusions
- Excessive alcohol consumption is associated with inferior hip arthroscopy outcomes.
- Preoperative alcohol use should be addressed as part of surgical risk assessment.
What Does This Mean for Providers?
- Screen for alcohol use preoperatively and counsel patients on its potential impact on surgical recovery.
- Encourage alcohol reduction or abstinence before and after surgery to optimize outcomes.
- Consider integrating behavioral support or addiction services into perioperative care plans for at-risk patients.