TP8.2 Younger Patients Expect More: Age-Based differences in PASS Cutoff Values After Hip Arthroscopy

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ID: 331341
2026
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Abstract
Abstract Background Expectations after hip arthroscopy vary with age. Younger patients aim for high-level activity, while older adults prioritize pain reduction and daily mobility. Because expectations influence what patients consider an acceptable symptom state, the values that define clinical acceptability may differ across age groups. This study aimed to determine whether PASS cutoff values for PROs differ across age groups at 2, 5, and 10-year follow-up after hip arthroscopy. Methods Prospectively collected data were analysed for patients who underwent primary hip arthroscopy for femoroacetabular impingement and labral pathology. Patients were included if they had pre- and minimum of 2-year PROs and had answered the anchor question. The PASS thresholds were then defined using the anchor-based method for mHHS, NAHS, iHOT 12, HOS-SSS, and VAS. Patients were stratified into six age groups: under 20, 20-30, 30-40, 40-50, 50-60, and over 60 years. PASS values were calculated independently for each age group at 2, 5, and 10 years. Trends in threshold variation across age groups were evaluated. Results The study included 2628 hips. PASS values demonstrated a consistent age-dependent decline for all PROs. At 2 years, the highest PASS thresholds were observed in patients under 20 years (mHHS 91.5, NAHS 90.6, iHOT 12 83.5, HOS SSS 78.2), while the lowest thresholds were seen in patients over 60 (mHHS 74.5, NAHS 75.6, iHOT 63.8, HOS SSS 44.4). Similar patterns persisted at 5 and 10 years. VAS demonstrated a less consistent pattern but still trended toward Higher thresholds in older groups. Conclusion Our findings indicate that PASS thresholds declined with advancing age. This pattern does not imply inferior outcomes among older adults but rather highlights that their goals differ. Younger patients often seek high-performance function, which requires higher PRO scores to feel satisfied. Older patients generally aim for stable mobility and symptom relief, therefore accept lower functional thresholds.
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Authors Itay Perets, Shahar R. Barda, Wonjin Ko, Benjamin Domb, Roger Quesada-Jimenez
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.172
URL
https://doi.org/10.1093/jhps/hnag043.172
Keywords Keywords not found

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