Differences in physician and patient ratings of items used to assess hip disorders.
BACKGROUND
The purpose of this study was to determine what issues are important to active individuals with hip lesions and to assess whether these issues are different from those that surgeons think are important.


OBJECTIVE
A discrepancy will be noted between what patients and surgeons believe to be important.


METHODS
Cross-sectional study; Level of evidence, 3.


METHODS
This study comprised 150 consecutive patients (73 men, 77 women) from the international practices of 9 orthopaedic surgeons specializing in the management of hip disorders. All participants were seeking treatment for musculoskeletal hip disease. Average patient age was 42 +/- 11 years (range, 18-60). Patients and surgeons rated the importance of 146 potential hip outcome assessment items on a 6-point Likert-type scale.


RESULTS
Of the 23 items identified as being important to patients, 16 were in the sports and recreation category. The top 11 items that the clinicians thought were most important were rated significantly lower by patients (P < .0005). Specifically, surgeons rated several items as being important that fell into the symptoms, functional limitations, and occupational issues categories, whereas patients did not. That is, a difference was found between patients and clinicians in how they rated items related to symptoms, functional limitations, and occupation (P < .01). A difference was not found between patients and surgeons in how they rated items related to sports and recreation and social-emotional lifestyle (P > .01).


CONCLUSIONS
The hypothesis of this study was affirmed: a discrepancy was found between what issues patients believe are important and what surgeons perceive as being important to patients. This information may be particularly important when assessing treatment outcomes from a patient's perspective. Clinicians must be careful in presuming that the issues that they are attempting to improve with treatment are issues that are important to patients. These findings also emphasize the importance of discussing appropriate postoperative expectations for those considering surgery.
Duquesne University, Pittsburgh, Pennsylvania, USA.
RobRoy L
RL
Martin
Nicholas G
NG
Mohtadi
Marc R
MR
Safran
Michael
M
Leunig
Hal D
HD
Martin
Joseph
J
McCarthy
Carlos A
CA
Guanche
Bryan T
BT
Kelly
J W Thomas
JW
Byrd
John C
JC
Clohisy
Marc J
MJ
Philippon
Jon K
JK
Sekiya
D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D025981:Hip Injuries / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009985:Orthopedics; D010361:Patients / Q000523:psychology*; D010820:Physicians / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult