EP8.52 Satisfaction Recovery After Primary Hip Arthroscopy: Identifying 1-Year Predictors of Delayed Satisfaction Achievement

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ID: 331122
2026
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Abstract
Abstract Purpose Patient satisfaction following hip arthroscopy may continue to change beyond 1 year. However, predictors of delayed satisfaction remain poorly defined. The purpose of this study was to assess potential predictors of delayed satisfaction between 1-year and 2-year follow-up after primary hip arthroscopy. Methods Patients from a prospectively maintained registry who underwent primary hip arthroscopy and had visual analog scale (VAS) satisfaction scores at both 1 and 2 years were included. A historical patient acceptable state (PASS) for the VAS satisfaction score of ≥ 89.7 was used to identify subjects who were unsatisfied at 1-year. Multivariable logistic regression was performed with PROMIS Pain Interference, PROMIS Anxiety, and PROMIS Depression while using the 1-year iHOT-12 to control for level of function to identify these variables as potential predictors of being unsatisfied (PASS VAS satisfaction score <89.7) at 2-year follow-up. Results 189 subjects met inclusion criteria (mean age 42.6 ± 12.7 years; 64.5% female). All patients underwent primary unilateral hip arthroscopy. Acetabular articular cartilage damage was present in 62.2% of patients. Beck chondral grade was predominantly Grade 1 (46.7%) or Grade 2 (30.4%). Of these 189 subjects that were unsatisfied at 1 year follow-up, 24.9% (N=47) went on to be satisfied with 75.1% (N=142) remaining unsatisfied. Among patients who achieved delayed satisfaction, the average baseline, 1-year, and 2-year iHOT-12 scores were 42.9 ± 23.2, 64.3 ± 20.8, and 79.8 ± 25.6, respectively. Among patients who remained unsatisfied, the average baseline, 1-year, and 2-year iHOT-12 scores were 40.3 ± 19.9, 51.9 ± 22.0, and 52.4 ± 24.2, respectively. On multivariable analysis, lower PROMIS Pain Interference scores at 1 year were independently associated with greater satisfaction at 2 years (OR 0.922; 95% CI 0.855–0.994; p = .035). PROMIS Anxiety, PROMIS Depression, and iHOT-12 scores were not independently associated with satisfaction. Conclusion Nearly one in four patients dissatisfied at 1 year following hip arthroscopy achieved meaningful satisfaction by 2 years. Each 1-point increase in pain interference score was associated with an approximately 8% reduction in the odds of being dissatisfied (OR 0.922), indicating that even modest improvements in pain-related functional impact at 1 year confer meaningful gains in long-term satisfaction. No independent associations were observed for anxiety, depression, or hip-specific function. Because patient satisfaction is increasingly linked to quality metrics and value-based reimbursement, these findings support pain interference as a clinically meaningful quality indicator and suggest that targeted interventions, such as activity-modified rehabilitation, pain-focused physical therapy, or multidisciplinary pain management, aimed at reducing pain interference by 1 year may yield improvements in patient-reported satisfaction.
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Authors Dean K. Matsuda, RobRoy L. Martin
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.432
URL
https://doi.org/10.1093/jhps/hnag043.432
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