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
Authors
Maldonado DR, Fox JD, Kyin C, Jimenez AE, Saks BR, Curley AJ, Lall AC, Domb BG
Journal
Arthrosc Sports Med Rehabil, April 2022
Background
This study explores how patients' maximal outcome improvement willingness thresholds (MOWT) for hip arthroscopy influence their decision to undergo the same surgery again, based on the known outcomes.
Methods
- Patients who underwent hip arthroscopy with gluteus medius tear repair were surveyed.
- MOWTs for the Nonarthritic Hip Score (NAHS) and visual analog scale (VAS) were calculated using receiver operating characteristic (ROC) analysis.
Key Findings
- The MOWT for NAHS and VAS was found to be 54.7% and 62.6%, respectively.
- Patients who met these thresholds had an 85% likelihood of being willing to undergo the surgery again.
Conclusions
The MOWT is a useful predictor of a patient's willingness to repeat surgery, reflecting the importance of patient satisfaction in outcome-based decision-making.
What Does This Mean For Patients
If you’re considering hip arthroscopy, the surgery’s outcomes may influence your decision to undergo the same procedure again in the future, especially if you achieve certain levels of improvement in pain and function.