CHANGES IN SOCIAL AND EMOTIONAL HEALTH FOLLOWING HIP PRESERVATION SURGERY: A NON-ARTHROPLASTY HIP REGISTRY STUDY
Notice bibliographique
Résumé
Pain and musculoskeletal conditions can have important consequences on the mental health of patients living with them. Hip pathology in young adult patients can be particularly troubling, as it can impact a range of important domains in a patient's life, including physical activity participation and sexual activity. Hip preservation surgery to treat conditions such as femoroacetabular impingement and acetabular dysplasia improve function and return patients to their physical activities. It is important to understand if there is a concordant improvement in mental health among these patients. Thus, the purpose of this study was to evaluate anxiety and depression scores before and after hip preservation surgery (hip arthroscopy and periacetabular osteotomy (PAO)). The Non-Arthroplasty Hip Registry (NAHR) collects data on patients undergoing hip preservation surgery across the United Kingdom. Patients in the registry who had undergone hip arthroscopy or PAO were included in this study. The EuroQol-5-Dimensions (EQ-5D), and the International Hip Outcome Tool (iHOT-12) are routinely collected as part of the NAHR data collection. Paired samples analyses were performed to evaluate the change from baseline to 1-year post-operative. Sensitivity analyses included separate analysis of hip arthroscopy and PAO, and separate analysis of male and female patients. A total of 8408 patients were included, of whom 1327 underwent PAO and 7081 underwent hip arthroscopy. Mean age among the included patients was 35.4 (standard deviation: 11.1). The mean score on the Social/Emotional Domain of the International Hip Outcome Tool (iHOT-12) improved significantly from 32.8 at baseline to 42.7 at 6 weeks (p < 0.001), and 57.3 at 6 months. These improvements were maintained at one year (58.5). Based on the EQ-5D, the proportion of patients who stated they were “not anxious or depressed” at baseline was 41.6%, which increased significantly to 55.7% at six months (p < 0.001), and remained at 55.3% at one year. The findings were similar between when patients undergoing hip arthroscopy and PAO were analyzed separately, and when male and female patients were analyzed separately. Patients undergoing hip preservation surgery demonstrate measurable improvements in their mental health, including significant improvements in anxiety and depression scores at six months post hip preservation surgery, and these improvements are maintained at one year. In addition to functional improvements demonstrated in previous literature, hip preservation surgery is associated with a substantial improvement in social and emotional health. Future studies should evaluate the long-term mental and social health of patients undergoing hip preservation surgery.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».