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Does the modified Harris hip score reflect patient satisfaction after hip arthroscopy?
Alessandro Aprato1, Narlaka Jayasekera, Richard N Villar
1The Richard Villar Practice, Spire Cambridge Lea Hospital, Impington, Cambridge, United Kingdom. ale_aprato@hotmail.com
The American Journal of Sports Medicine
|October 2, 2012
Summary
The modified Harris Hip Score (mHHS) correlates with patient satisfaction after hip arthroscopy, but doesn't fully predict it. Further research is needed to understand all factors influencing patient outcomes.
Area of Science:
- Orthopaedic Surgery
- Patient-Reported Outcomes
- Hip Arthroscopy Research
Background:
- Limited research exists on the link between clinical outcomes and patient satisfaction following hip arthroscopy.
- Understanding this relationship is crucial for evaluating surgical success comprehensively.
Purpose of the Study:
- To prospectively compare the modified Harris Hip Score (mHHS) with patient satisfaction over a 2-year period after hip arthroscopy.
- To assess the predictive value of mHHS for patient satisfaction.
Main Methods:
- A case series design (Level of evidence, 4) was employed.
- Prospectively collected mHHS and patient satisfaction data from 697 patients were analyzed.
- Patients were evaluated preoperatively and at 1 and 2 years post-surgery.
Main Results:
- A significant correlation was found between mHHS and patient satisfaction at both 1 year (R = 0.451) and 2 years (R = .454) post-surgery (P < .001).
- The mHHS demonstrated moderate accuracy in predicting satisfaction (71% at 1 year, 76% at 2 years).
- A notable percentage of patients with fair to poor mHHS reported satisfaction (55-54%), while some with excellent/good mHHS reported dissatisfaction (14-9%).
Conclusions:
- While mHHS correlates with patient satisfaction after hip arthroscopy, it has limitations in predicting it.
- Additional factors beyond standard orthopaedic measures likely influence patient satisfaction.
- Further investigation is warranted to identify these broader determinants of patient satisfaction.
