EP264 Lack of Validated Patient Reported Outcome Tools Persists in Pediatric and Adolescent Hip Arthroscopy – A Systematic Review
Bibliographic record
Abstract
Abstract Purpose Hip arthroscopy is increasingly used in hip pathologies in children and adolescents. However, the validity of adult-derived patient-reported outcome (PRO) tools in pediatric patients remains unclear. This study aims to identify commonly used PRO scores in this subgroup and evaluate their validity. Methods Two systematic searches of MEDLINE, Embase, and CENTRAL, from inception to March 31st, 2024 and August 22nd, 2024, respectively, followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The first search identified PRO instruments used in studies on hip arthroscopy on patients aged 19 and under. The second focused on clinimetric properties of these tools in pediatric hip arthroscopy. PRO utilization was stratified by pathology, trends over 5-year intervals from 2005 to 2024, and publication type. A descriptive analysis was planned for clinimetric studies. Results Fifty-seven studies were included, identifying 10 hip-specific and 5 nonspecific PROs. The second search did not identify any clinimetric studies on these tools used in pediatric patients. The most commonly reported hip-specific PRO were the modified Hip Harris Score (mHHS) (n=48), the Hip Outcome Score – Sport Specific Subscale (HOS-SS) (n=25) and the Non-Arthritic Hip Score (n=20). Hip arthroscopy was used to treat over seven different conditions, with femoroacetabular impingement being the most common (n=41, 77%). Between 2005 and 2024, the variety of hip-specific PROs increased, with seven new introduced by 2019-2024. Additionally, this study found a relatively equal distribution of outcomes across presentation abstracts and manuscripts. Conclusion The key finding of this study is the ongoing lack of hip-specific PRO tools in the pediatric hip arthroscopy literature, with reliance on adult-derived instruments. The absence of clinimetric studies and heterogeneity in PRO use emphasises the need for standardized, pediatric-specific tools. Developing and validating such instruments should be prioritized to ensure accurate, age-appropriate outcome assessment and care.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".