Sex-Based Differences in Outcomes After Hip Arthroscopic Surgery for Femoroacetabular Impingement: A Systematic Review
dc.contributor.author | McCormack, Thomas J. | |
dc.contributor.author | Vopat, Matthew L. | |
dc.contributor.author | Rooker, Jacob | |
dc.contributor.author | Tarakemeh, Armin | |
dc.contributor.author | Baker, Jordan | |
dc.contributor.author | Templeton, Kimberly J. | |
dc.contributor.author | Mulcahey, Mary K. | |
dc.contributor.author | Mullen, Scott M. | |
dc.contributor.author | Schroeppel, John P. | |
dc.contributor.author | Vopat, Bryan G. | |
dc.date.accessioned | 2023-01-16T18:16:36Z | |
dc.date.available | 2023-01-16T18:16:36Z | |
dc.date.issued | 2022-11-25 | |
dc.identifier.citation | McCormack TJ, Vopat ML, Rooker J, et al. Sex-Based Differences in Outcomes After Hip Arthroscopic Surgery for Femoroacetabular Impingement: A Systematic Review. Orthopaedic Journal of Sports Medicine. 2022;10(11). doi:10.1177/23259671221137857 | en_US |
dc.identifier.uri | http://hdl.handle.net/1808/33711 | |
dc.description | A grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml. | en_US |
dc.description.abstract | Background: While sex-based differences in outcomes after hip arthroscopic surgery for femoroacetabular impingement syndrome (FAIS) are often recorded, no studies have been dedicated to analyzing the literature as a whole.Purpose: To investigate whether sex is a predictor of outcomes in studies evaluating hip arthroscopic surgery for FAIS.Study Design: Systematic review; Level of evidence, 4.Methods: A systematic review was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We searched the PubMed, Embase, Cochrane, Ovid, and PubMed Central databases for English-language studies that evaluated sex-specific outcomes in human populations. The search terms used were as follows: (“Hip Arthroscopy”) AND (“Femoroacetabular Impingement” OR “FAI”) AND (“Sex” OR “Gender” OR “Male” OR “Female”). Studies with evidence levels 2 through 4 were included. The studies were then screened, followed by data extraction. Modified Harris Hip Score (mHHS) outcomes and return-to-sport (RTS) rates were recorded. These were analyzed using random-effects meta-analysis. Heterogeneity was calculated using the I2 statistic.Results: Of 256 full-text articles screened, 48 articles were included in this analysis; of these, 14 studies (29%) concluded that female sex was a negative predictor of postoperative outcomes, while 6 studies (13%) found female sex to be positive predictor. The remaining 28 studies (58%) found no sex-based differences in postoperative outcomes. Of 7 studies (416 male and 519 female) included in the mHHS analysis, 2 studies concluded that male patients had significantly higher postoperative mHHS scores. Of 6 studies (502 male and 396 female) included in the RTS analysis, 1 study concluded that male patients had a significantly higher RTS rate.Conclusion: Almost one-third of the included studies determined that female sex was a negative predictor of postoperative outcomes, 13% found female sex to be a positive predictor, and 58% found no sex-based differences. Our study illustrates an insufficiency of high-level evidence supporting sex-specific differences in outcomes after hip arthroscopic surgery, but findings indicated that the postoperative mHHS score and RTS rate may be influenced by sex. | en_US |
dc.publisher | SAGE Publications | en_US |
dc.rights | © The Author(s) 2022. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed. | en_US |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0 | en_US |
dc.subject | Femoroacetabular impingement syndrome | en_US |
dc.subject | Sex-based outcomes | en_US |
dc.subject | Hip arthroscopic surgery | en_US |
dc.title | Sex-Based Differences in Outcomes After Hip Arthroscopic Surgery for Femoroacetabular Impingement: A Systematic Review | en_US |
dc.type | Article | en_US |
kusw.kuauthor | McCormack, Thomas J. | |
kusw.kuauthor | Vopat, Matthew L. | |
kusw.kuauthor | Rooker, Jacob | |
kusw.kuauthor | Tarakemeh, Armin | |
kusw.kuauthor | Baker, Jordan | |
kusw.kuauthor | Templeton, Kimberly J. | |
kusw.kuauthor | Mullen, Scott M. | |
kusw.kuauthor | Schroeppel, John P. | |
kusw.kuauthor | Vopat, Bryan G. | |
kusw.kudepartment | University of Kansas Medical Center | en_US |
dc.identifier.doi | 10.1177/23259671221137857 | en_US |
kusw.oaversion | Scholarly/refereed, publisher version | en_US |
kusw.oapolicy | This item meets KU Open Access policy criteria. | en_US |
dc.rights.accessrights | openAccess | en_US |
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Except where otherwise noted, this item's license is described as: © The Author(s) 2022. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed.