髋关节镜治疗股骨髋臼撞击综合征后抑郁评分降低

Q3 Medicine Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2024-03-11 DOI:10.1016/j.asmr.2023.100871

Anthony J. Zacharias M.D. , Matthew Dooley B.S. , Samuel Mosiman M.S. , Andrea M. Spiker M.D.

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引用次数: 0

摘要

方法股骨髋臼撞击综合征患者在术前和术后就诊时完成 PROMIS-D 计算机适应性测试和其他患者报告结果 (PRO) 测量。根据术前 PROMIS-D 评分将患者分为术前临床抑郁（CD）组和非临床抑郁（NCD）组。得分≥55分与轻度临床抑郁相关，因此以此为分界线确定术前抑郁状态。PROMIS-D 评分和功能结果评分在术后 6 个月和至少 1 年时进行评估。其中 21 人（21%）被归类为术前 CD 患者。术前 CD 组和 NCD 组在人口统计学或放射学变量方面没有差异。术后 6 个月和 12 个月，术前 CD 组患者中持续抑郁的比例分别为 33.3% 和 23.8%。总体而言，CD 组 PROMIS-D 评分的 1 年变化为-9.1，而 NCD 组为-0.8（P = .001）。结论根据PROMIS-D评分，术前有CD症状的患者在髋关节镜术后抑郁症状明显改善。此外，与NCD患者相比，术前有CD症状的患者在术后PROs上达到最小临床重要差异或患者可接受症状状态的比率并没有降低。

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Depression Scores Decrease After Hip Arthroscopy for Femoroacetabular Impingement Syndrome

Purpose

To evaluate clinical depression scores and functional outcomes following arthroscopic treatment of femoroacetabular impingement syndrome in patients with elevated preoperative depressive symptoms as defined by Patient-Reported Outcomes Measurement Information System for Depression (PROMIS-D).

Methods

Patients with femoroacetabular impingement syndrome completed the PROMIS-D Computer Adaptive Test and additional patient-reported outcome (PRO) measures preoperatively and at the time of postoperative visits. Patients were categorized into preoperative clinically depressed (CD) and nonclinically depressed (NCD) groups based on preoperative PROMIS-D scores. Scores ≥55 correlate to mild clinical depression, and this cutoff was used to determine preoperative depression status. PROMIS-D scores and functional outcome scores were assessed at 6 months and a minimum of 1-year postoperatively.

Results

In total, 100 patients were included with complete PROs at a minimum of 1-year follow-up. Of those included, 21 (21%) were categorized with preoperative CD. There were no differences in demographic or radiographic variables between the preoperative CD and NCD groups. At 6 months and 12 months postoperatively, the percentage of patients in the preoperative CD group with continued depression was 33.3% and 23.8%, respectively. Overall, 1-year change in PROMIS-D score for the CD group was –9.1 versus –0.8 in the NCD group (P = .001). There was no significant difference in rates of patients achieving patient acceptable symptom state between the preoperative CD and NCD groups.

Conclusions

Patients with symptoms of preoperative CD, as defined by the PROMIS-D score, demonstrated significant improvement in depressive symptoms following hip arthroscopy. In addition, patients with CD preoperatively did not show decreased rates of achieving minimum clinically important difference or patient acceptable symptom state on postoperative PROs compared with patients with NCD.