Evaluation of the patient acceptable symptom state following hip arthroscopy using the 12 item international hip outcome tool
Abstract Background The International Hip Outcome Tool 12 (iHOT-12) is a shorter version of the iHOT-33 which measures health related quality of life following treatment of hip disorders in young, active patients. The purpose of this study was identify a PASS threshold for a UK population undergoing...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-01-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-019-3026-x |
| _version_ | 1819299036771909632 |
|---|---|
| author | Patrick G. Robinson Julian F. Maempel Conor S. Rankin Paul Gaston David F. Hamilton |
| author_facet | Patrick G. Robinson Julian F. Maempel Conor S. Rankin Paul Gaston David F. Hamilton |
| author_sort | Patrick G. Robinson |
| collection | DOAJ |
| description | Abstract Background The International Hip Outcome Tool 12 (iHOT-12) is a shorter version of the iHOT-33 which measures health related quality of life following treatment of hip disorders in young, active patients. The purpose of this study was identify a PASS threshold for a UK population undergoing hip arthroscopy for intra-articular hip pathology. Methods Data was identified retrospectively from a prospective database of patients undergoing hip arthroscopy under the care of a single surgeon within the date range January 2013 to March 2017. All patients with a diagnosis of femoroacetabular impingment (FAI) undergoing arthroscopic treatment were included. iHOT-12, EuroQol 5D-5 L (EQ-5D-5 L) and a satisfaction questionnaire were available pre and post-operatively. PASS was calculated using an anchor-based approach and receiver operator characteristic (ROC) analysis. Results 171 patients underwent hip arthroscopy in the study period. Linked longitudinal follow-up data was available for 122 patients (71.3%) at a median of 24.3 months (740 days, interquartile range 576–1047). The PASS threshold for the iHOT-12 was 59.5 (sensitivity 81.1%, specificity 83.9%; area under the curve (AUC) 0.92, 95% CI 0.87–0.97). 64% of patients achieved this score. The median postoperative iHOT-12 score was 72.5 (IQR 44) and the mean change in score was 35 (SD 25, p < 0.001). The EQ-5D Index improved by 0.18 (SD 0.25, p < 0.001) and there was a mean change of 7.67 (SD 24.82) on the EQ-5D VAS (p = 0.001). Conclusions We report a PASS threshold of the iHOT-12 following hip arthroscopy for FAI as a measurable benchmark for clinicians using this outcome measure. |
| first_indexed | 2024-12-24T05:39:25Z |
| format | Article |
| id | doaj.art-fafc3ac60f0f4d65a5f10c12ee940fb9 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-24T05:39:25Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-fafc3ac60f0f4d65a5f10c12ee940fb92022-12-21T17:12:51ZengBMCBMC Musculoskeletal Disorders1471-24742020-01-0121111010.1186/s12891-019-3026-xEvaluation of the patient acceptable symptom state following hip arthroscopy using the 12 item international hip outcome toolPatrick G. Robinson0Julian F. Maempel1Conor S. Rankin2Paul Gaston3David F. Hamilton4Trauma and Orthopaedic Department, University of EdinburghTrauma and Orthopaedic Department, University of EdinburghTrauma and Orthopaedic Department, University of EdinburghTrauma and Orthopaedic Department, University of EdinburghTrauma and Orthopaedic Department, University of EdinburghAbstract Background The International Hip Outcome Tool 12 (iHOT-12) is a shorter version of the iHOT-33 which measures health related quality of life following treatment of hip disorders in young, active patients. The purpose of this study was identify a PASS threshold for a UK population undergoing hip arthroscopy for intra-articular hip pathology. Methods Data was identified retrospectively from a prospective database of patients undergoing hip arthroscopy under the care of a single surgeon within the date range January 2013 to March 2017. All patients with a diagnosis of femoroacetabular impingment (FAI) undergoing arthroscopic treatment were included. iHOT-12, EuroQol 5D-5 L (EQ-5D-5 L) and a satisfaction questionnaire were available pre and post-operatively. PASS was calculated using an anchor-based approach and receiver operator characteristic (ROC) analysis. Results 171 patients underwent hip arthroscopy in the study period. Linked longitudinal follow-up data was available for 122 patients (71.3%) at a median of 24.3 months (740 days, interquartile range 576–1047). The PASS threshold for the iHOT-12 was 59.5 (sensitivity 81.1%, specificity 83.9%; area under the curve (AUC) 0.92, 95% CI 0.87–0.97). 64% of patients achieved this score. The median postoperative iHOT-12 score was 72.5 (IQR 44) and the mean change in score was 35 (SD 25, p < 0.001). The EQ-5D Index improved by 0.18 (SD 0.25, p < 0.001) and there was a mean change of 7.67 (SD 24.82) on the EQ-5D VAS (p = 0.001). Conclusions We report a PASS threshold of the iHOT-12 following hip arthroscopy for FAI as a measurable benchmark for clinicians using this outcome measure.https://doi.org/10.1186/s12891-019-3026-xFemoracetabularImpingementHipPyschometriciHOT-12 |
| spellingShingle | Patrick G. Robinson Julian F. Maempel Conor S. Rankin Paul Gaston David F. Hamilton Evaluation of the patient acceptable symptom state following hip arthroscopy using the 12 item international hip outcome tool BMC Musculoskeletal Disorders Femoracetabular Impingement Hip Pyschometric iHOT-12 |
| title | Evaluation of the patient acceptable symptom state following hip arthroscopy using the 12 item international hip outcome tool |
| title_full | Evaluation of the patient acceptable symptom state following hip arthroscopy using the 12 item international hip outcome tool |
| title_fullStr | Evaluation of the patient acceptable symptom state following hip arthroscopy using the 12 item international hip outcome tool |
| title_full_unstemmed | Evaluation of the patient acceptable symptom state following hip arthroscopy using the 12 item international hip outcome tool |
| title_short | Evaluation of the patient acceptable symptom state following hip arthroscopy using the 12 item international hip outcome tool |
| title_sort | evaluation of the patient acceptable symptom state following hip arthroscopy using the 12 item international hip outcome tool |
| topic | Femoracetabular Impingement Hip Pyschometric iHOT-12 |
| url | https://doi.org/10.1186/s12891-019-3026-x |
| work_keys_str_mv | AT patrickgrobinson evaluationofthepatientacceptablesymptomstatefollowinghiparthroscopyusingthe12iteminternationalhipoutcometool AT julianfmaempel evaluationofthepatientacceptablesymptomstatefollowinghiparthroscopyusingthe12iteminternationalhipoutcometool AT conorsrankin evaluationofthepatientacceptablesymptomstatefollowinghiparthroscopyusingthe12iteminternationalhipoutcometool AT paulgaston evaluationofthepatientacceptablesymptomstatefollowinghiparthroscopyusingthe12iteminternationalhipoutcometool AT davidfhamilton evaluationofthepatientacceptablesymptomstatefollowinghiparthroscopyusingthe12iteminternationalhipoutcometool |