EP6.11 Analyzing the Effect of the Area Deprivation Index on Patient-Reported Outcomes in Patients Undergoing Hip Arthroscopy Article Swipe
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· 2025
· Open Access
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· DOI: https://doi.org/10.1093/jhps/hnaf011.300
· OA: W4409088664
Background: Hip arthroscopy is a relatively recently developed technique through which intra and extra-articular hip pathologies may be addressed, with the primary goal of improving pain, and function, and preventing progression to osteoarthritis. Little data is available regarding the impact of social determinants of health on hip arthroscopy outcomes. Using the area deprivation index (ADI), we sought to determine if a patient’s lived environment influenced their outcome. Methods: Patients who underwent hip arthroscopy between 1/1/2015–6/30/2022 at our institution were identified using Current Procedural Terminology (CPT) codes. Patients’ zip codes were utilized to identify an ADI measure for each patient. Patients were divided into quartiles based upon the ADI, and the most deprived (ADIHigh) and least deprived (ADILow) quartiles were compared. Pre- and post-operative patient-reported outcomes measurement information system (PROMIS) scores along the pain interference (PI), physical function (PF), and depression (D) domains were obtained. The minimal clinically important difference (MCID) was defined and calculated as one-half of the standard deviation for pre-operative PROMIS scores across each domain. Results: 184 patients were included in the analysis of the ADIHigh and ADILow cohorts. Age, BMI, smoking status, and race did not significantly vary between groups. No significant differences in MCID attainment were observed at any time point in the PF and D domains. There was no significant difference in MCID attainment for PI at the final follow-up. In a multivariate regression analysis, ADI did not influence the odds of a patient reaching the MCID in any domain. Conclusion: ADI did not alter the proportion of patients undergoing hip arthroscopy attaining MCID in any domain. Additional studies with diverse demographic cohorts are needed to confirm or refute this finding.
