Postoperative pain, physical function, and psychosocial PROs are associated with met expectations and satisfaction after hip arthroscopy

Abstract The aim of this study to identify the factors associated with patients’ met expectations and satisfaction two years after hip arthroscopy. It was hypothesized that postoperative patient-reported outcomes (PROs) would have the strongest correlation with met expectations and satisfaction. Patients undergoing hip arthroscopy for femoroacetabular impingement and/or labral tears were identified from a registry at a single academic institution. Preoperative and two-year postoperative PROs were collected, including the Patient-Reported Outcomes Measurement Information System (PROMIS). Met expectations and satisfaction were assessed using the Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS) and Surgical Satisfaction Questionnaire (SSQ-8). Statistical analysis was performed to assess met expectations and satisfaction based on patient characteristics, baseline PROs, and 2-year PROs. Of 99 patients identified, 70 (71%) completed 2-year postoperative questionnaires. MODEMS met expectations and SSQ-8 satisfaction were strongly correlated (r = 0.81, P < .001). A history of back pain was associated with lower satisfaction (65.0 versus 79.1, P = .04). There were no other significant differences in met expectations or satisfaction across patient characteristics or preoperative PROs. Postoperative PROs were correlated with both met expectations and satisfaction, including better PROMIS physical function (r = 0.75, P < .001; r = 0.66, P < .001, respectively), pain interference (r = −0.75, P < .001; r = −0.61, P < .001, respectively), anxiety (r = −0.36, P = .002; r = −0.28, P = .020, respectively), and depression (r = −0.24, P = .048; r = −0.25, P = .041, respectively). Postoperative PROs including physical function, pain, and psychosocial health, rather than baseline characteristics or preoperative PROs, were correlated with met expectations and satisfaction 2 years after hip arthroscopy. These findings suggest that maximizing postoperative PROs is important for meeting patient expectations and enhancing satisfaction. Level III, prospectively collected retrospective study.