Evidence map›Paper›PMID 35833961›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023

Hip arthroscopy for femoroacetabular impingement is associated with significant improvement in early patient reported outcomes: analysis of 4963 cases from the UK non-arthroplasty registry (NAHR) dataset.

Richard Holleyman, Mark Andrew Sohatee, Stephen Lyman, Ajay Malviya, Vikas Khanduja, NAHR User Group

Open access · hybridAbstract read
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  5. The trajectory of patient-reported outcomes after hip preservation surgery: A National Registry Study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
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  17. The growth of hip preservation as a speciality.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Richard HolleymanPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, England.
Mark Andrew SohateeNorthumbria NHS Foundation Trust, Newcastle upon Tyne, England.
Stephen LymanThe Hospital for Special Surgery, New York, NY, USA.
Ajay MalviyaNorthumbria NHS Foundation Trust, Newcastle upon Tyne, England.
Vikas KhandujaAddenbrooke's - Cambridge University Hospitals NHS Foundation Trust, Cambridge, England. vk279@cam.ac.uk.ORCID http://orcid.org/0000-0001-9454-3978
NAHR User Group
Cumbria Northumberland Tyne and Wear NHS Foundation Trust · GBCambridge University Hospitals NHS Foundation Trust · GBHospital for Special Surgery · USNewcastle University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeResults from recent randomised controlled trials demonstrate the superiority of surgery over physiotherapy in patients with femoroacetabular impingement (FAI) of the hip in early follow-up. However, there is paucity of evidence regarding which factors influence outcomes of FAI surgery, particularly notable is the lack of information on the effect of impingement subtype (cam or pincer or mixed) on patient reported outcomes measures (PROMs). This study aims to evaluate the early outcomes of hip arthroscopy for FAI, and their determinants.

methodsThis is a retrospective analysis of prospectively collected data from the UK Non-Arthroplasty Hip Registry (NAHR) of patients undergoing arthroscopic intervention for FAI between 2012 and 2019. The null hypothesis was that there is no difference in PROMs, based on morphological subtype of FAI treated or patient characteristics, at each follow-up timepoint. The outcome measures used for the study were the iHOT-12 score and the EQ5D Index and VAS 6- and 12-month follow-up.

resultsA cohort of 4963 patients who underwent arthroscopic treatment of FAI were identified on the NAHR database. For all FAI pathology groups, there was significant improvement from pre-operative PROMs when compared to those at 6 and 12 months. Overall, two-thirds of patients achieved the minimum clinically important difference (MCID), and almost half achieved substantial clinical benefit (SCB) for iHOT-12 by 12 months. Pre-operatively, and at 12-month follow-up, iHOT-12 scores were significantly poorer in the pincer group compared to the cam and mixed pathology groups (p < 0.01). Multivariable analysis revealed PROMS improvement in the setting of a higher-grade cartilage lesion.

conclusionThis registry study demonstrates that hip arthroscopy is an effective surgical treatment for patients with symptomatic FAI and results in a statistically significant improvement in PROMs which are maintained through 12 months follow-up. LEVEL OF EVIDENCE: III.

Indexed as

Femoracetabular ImpingementArthroscopyHip JointHumansPatient Reported Outcome MeasuresRegistriesRetrospective StudiesTreatment OutcomeUnited KingdomCohortFemoroacetabular impingementHipHip arthroscopyHip surgeryImpingementOutcomesRegistry

Identifiers

PMID35833961
PMCPMC9859857
OpenAlexW4285386711

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.