Associating Outcomes After Hip Arthroscopy With Patient Resilience

Abstract

Background: Higher patient resilience has been shown to be associated with improved patient-reported outcome measures (PROMs) at 6 months after hip arthroscopy. Purpose: To examine the relationship between patient resilience and PROMs at minimum 2 years after hip arthroscopy. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Included were 89 patients (mean age, 36.9 years; mean follow-up, 4.6 years). Patient demographics, surgical details, and preoperative International Hip Outcome Tool-12 (iHOT-12) and visual analog scale (VAS) pain scores were collected retrospectively. Postoperative variables were collected via a survey and included the Brief Resilience Scale (BRS), Patient Activation Measure–13 (PAM-13), Pain Self-efficacy Questionnaire–2 (PSEQ-2), VAS satisfaction, and postoperative iHOT-12, and VAS pain scores. Based on the number of standard deviations from the mean BRS score, patients were stratified as having low resilience (LR; n = 18), normal resilience (NR; n = 48), and high resilience (HR; n = 23). Differences in PROMs were compared between the groups, and a multivariate regression analysis was performed to assess the relationship between pre- to postoperative change (Δ) in PROMs and patient resilience. Results: There were significantly more smokers in the LR group compared with the NR and HR groups (P =.033). Compared with the NR and HR groups, patients in the LR group had significantly more labral repairs (P =.006), significantly worse postoperative iHOT-12, VAS pain, VAS satisfaction, PAM-13, and PSEQ-2 scores (P