Maximal Outcome Improvement Willingness Thresholds Are Predictive of a Patient’s Willingness to Undergo the Same Surgery, in Retrospect, Given the Known Outcome of Their Primary Hip Arthroscopy

• Published in: Arthroscopy, Sports Medicine, and Rehabilitation Sports Medicine, and Rehabilitation, 2022-06, Vol.4 (3), p.e1007-e1013
• Main Authors: Maldonado, David R., Fox, James D., Kyin, Cynthia, Jimenez, Andrew E., Saks, Benjamin R., Curley, Andrew J., Lall, Ajay C., Domb, Benjamin G.
• Format: Article
• Language: English
• Subjects: Original
• ISSN: 2666-061X; 2666-061X
• DOI: 10.1016/j.asmr.2022.02.004

To determine the percent maximal outcome improvement willingness thresholds (MOWTs) for the Nonarthritic Hip Score (NAHS) and the visual analog scale (VAS) for pain that were associated with a patient’s willingness to undergo surgery, in retrospect, given the known outcome of their primary hip arthroscopy with concomitant endoscopy for gluteus medius (GM) tear repair. An anchor question was provided to patients who underwent primary hip arthroscopy for femoroacetabular impingement syndrome with concomitant endoscopic GM tear repair between April 2008 to April 2020. Patients were included if they answered the anchor question and had baseline and postoperative minimum 1-year follow-up scores for the NAHS and VAS. Patients were excluded if they had a previous ipsilateral hip surgery, Tönnis grade >1, hip dysplasia, previous hip conditions, or a preoperative score that was already at the maximum value for the NAHS and VAS scores. Receiver operating characteristic (ROC) analysis was used to determine the MOWT. Significance was indicated by a P value