title: Pattern of impact of femoroacetabular impingement upon health-related quality of life: the determinant role of extra-articular factors.
abstract: OBJECTIVE
  Despite the interest in surgical treatment of femoroacetabular impingement (FAI), its impact upon health-related quality of life (HRQoL) has not been established. The objectives of this study were twofold: (a) to describe the pattern of impact of FAI on HRQoL and (b) to assess how articular and extra-articular factors influence HRQoL in this group of patients.
  
  
  METHODS
  A total of 108 patients [55 females (50.9 %); age 36.0 ± 12.4 years] with intraoperatively confirmed FAI and no evidence of secondary hip osteoarthritis were studied. The pattern of impact on HRQoL was studied using SF-36 V.2™ and then contrasted with other medical conditions employing the SF-36 spydergram. The best model explaining the influence of "articular" and "extra-articular" factors over the SF-36 physical and mental component scores (PCS/MCS) was selected using the Akaike information criterion.
  
  
  RESULTS
  The PCS was 53.2 ± 19.2 and MCS was 68.94 ± 17.15. The SF-36 spydergram depicted an impact pattern distinguishable from other conditions. A linear model predicted PCS would increase by 8.9 points in male patients and 3.7 points per point of University of California Los Angeles score (p value <0.01; R2 0.29). For MCS, obesity resulted in a 12.7 point reduction, psychiatric comorbidity reduced it by 11.1; and a combined reduction of 19 points (p value <0.01; R2 0.18). Unexpectedly, the extent of intra-articular disease had no influence on PCS or MCS.
  
  
  CONCLUSIONS
  FAI impacts HRQoL with a distinguishable pattern. In our study, the manner in which HRQoL is affected by FAI can be explained only by patients' characteristics unrelated to the extent of intra-articular disease.
  
  
  METHODS
  Prognostic Level IV.
authors: Rothman Institute, Philadelphia, PA, USA.
authors: Claudio
authors: C
authors: Diaz-Ledezma
authors: Paul M
authors: PM
authors: Lichstein
authors: Mitchell
authors: M
authors: Maltenfort
authors: Camilo
authors: C
authors: Restrepo
authors: Javad
authors: J
authors: Parvizi
mesh_terms: D000328:Adult; D005260:Female; D057925:Femoracetabular Impingement / Q000503:physiopathology*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009765:Obesity; D011788:Quality of Life; D012737:Sex Factors; D055815:Young Adult
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