Sim Yan, Horner Nolan S, de Sa Darren, Simunovic Nicole, Karlsson Jon, Ayeni Olufemi R
1. Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
J Hip Preserv Surg. 2015 Jun 30;2(3):224-41. doi: 10.1093/jhps/hnv048. eCollection 2015 Oct.
This systematic review was designed to evaluate the reporting of non-hip score outcomes following surgical management of femoroacetabular impingement (FAI). MEDLINE, EMBASE and PubMed were searched and screened in duplicate for studies involving non-hip score outcomes following the surgical management of FAI. A full-text review of eligible studies was conducted and references were searched using pre-determined inclusion and exclusion criteria. Thirty-three studies involving 3198 patients were included in this review. The most common non-hip score outcomes reported included: patient satisfaction (72.7%), symptom improvement (24.7%), pain improvement (12.4%), hip range of motion (12.3%) and return to sport (6.8%). The most frequently reported standardized hip outcome scores used were the modified Harris Hip Score (mHHS) (41.2%), Non-Arthritic Hip Score (NAHS) (29.4%), Hip Outcome Score-Activities of Daily Living (HOS-ADL) (26.5%), the Western Ontario McMaster Universities Index of Osteoarthritis (WOMAC) (17.6%), the HOS Sport-Specific Subscale (SSS) (17.6%). The most commonly reported non-hip score outcomes are patient satisfaction, symptom improvement and pain improvement. Patients report high levels of satisfaction when surveyed post-operatively. A discrepancy exists between what outcomes the literature suggests should be reported and what outcomes are actually reported. Return to sport is often held as a major patient-important outcome yet it is seldom reported in studies assessing the efficacy of FAI surgery. Second, despite emerging evidence that outcome measures such as the HOS or IHOT evaluate the FAI patient population precisely, other standardized hip score outcomes (mHHS and NAHS) are still more commonly reported.
本系统评价旨在评估股骨髋臼撞击症（FAI）手术治疗后非髋关节评分结果的报告情况。对MEDLINE、EMBASE和PubMed进行了检索，并由两人独立筛选涉及FAI手术治疗后非髋关节评分结果的研究。对符合条件的研究进行了全文综述，并使用预先确定的纳入和排除标准检索参考文献。本综述纳入了33项研究，共3198例患者。报告的最常见非髋关节评分结果包括：患者满意度（72.7%）、症状改善（24.7%）、疼痛改善（12.4%）、髋关节活动范围（12.3%）和恢复运动（6.8%）。最常报告使用的标准化髋关节结局评分是改良Harris髋关节评分（mHHS）（41.2%）、非关节炎髋关节评分（NAHS）（29.4%）、髋关节结局评分-日常生活活动（HOS-ADL）（26.5%）、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）（17.6%）、HOS运动特定子量表（SSS）（17.6%）。最常报告的非髋关节评分结果是患者满意度、症状改善和疼痛改善。患者术后接受调查时报告了较高的满意度。文献建议应报告的结果与实际报告的结果之间存在差异。恢复运动通常被视为一项对患者很重要的主要结局，但在评估FAI手术疗效的研究中很少报告。其次，尽管有新证据表明诸如HOS或IHOT等结局指标能准确评估FAI患者群体，但其他标准化髋关节评分结果（mHHS和NAHS）仍更常被报告。
