Work

Number of Patient‐Reported Allergies and Other Mental Health Measures Correlate With Symptom Severity at Time of Hip Arthroscopy for Femoroacetabular Impingement Syndrome

Year: 2025

Type: article

Abstract: Purpose To determine whether patient‐reported allergies (a proposed indirect measure of mental health) or direct measures of mental health are associated with preoperative symptom scores, as measured by the 12‐item International Hip Outcome Tool (iHOT‐12) in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome. Methods This retrospective study analyzed prospectively collected data from consecutive patients undergoing outpatient hip arthroscopy for femoroacetabular impingement syndrome by a single surgeon. Patients completed the iHOT‐12 preoperatively. Number of allergies, medication classes with allergic reactions, and reaction types were documented. Mental health was assessed via pre‐existing psychiatric diagnoses, EQ‐5D‐5L anxiety/depression score, and Mental Health Inventory‐5 (MHI‐5) score. Associations between mental health measures (including allergies) and iHOT‐12 scores were determined using bivariate and multivariate regression with forward selection. Results Ninety‐one patients were included (69.2% male, 30.8% female), with a mean age of 36.6 (±13.7) years. In bivariate analysis, mental health measures associated with lower iHOT‐12 scores were number of allergies (−1.91 per allergy, SE = 0.62; P = .002), MHI‐5 score (+0.87 per point, SE = 0.38; P = .03), EQ‐5D‐5L anxiety/depression score (−3.87 per point, SE = 1.71; P = .03), and nonphysiologically appropriate allergic reactions (−3.78 per reaction, SE = 1.72; P = .03). Independent predictors of iHOT‐12 scores in multivariate analysis were number of allergies (−1.16 points per allergy, SE = 0.58; P = .04), EQ‐5D‐5L anxiety/depression score, (−3.68 per 1 point increase, SE = 1.51; P = .02), and UCLA activity score (2.83 per 1‐point increase, SE = 0.71; P = .001). Conclusions Number of self‐reported allergies is a simple, easily accessible measure that clinicians can use as a proxy measure of mental health that is predictive of patient‐reported outcome measures prior to hip arthroscopy. Level of Evidence Level III, Retrospective cross‐sectional.

Source: Arthroscopy Sports Medicine and Rehabilitation

DOI: 10.1016/j.asmr.2025.101293

Authors: Joshua T. Finerty, Nicholas R. Kossoff, Allison R. Garden, Joshua S. Everhart

Institutions: University of Kentucky, Indiana University Indianapolis, Indiana University School of Medicine, Western Michigan University, Edward Via College of Osteopathic Medicine

Language: English

Topic: Hip disorders and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,000