Description
The growing popularity of hip arthroscopy to treat FAI has been supported by improvements in clinical outcomes. Social Determinants of Health (SDOH) are defined by the World Health Organization (WHO) as “conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.” SDOH have been shown to be associated with inferior outcomes after various orthopedic procedures including anterior cruciate ligament reconstruction, spine surgery, total hip arthroplasty, and rotator cuff repair. By evaluating SDOH on outcomes in patients undergoing hip arthroscopy, physicians may gain insight into factors that predispose patients to negative outcomes. The purpose of this systematic was to evaluate the effects of SDOH on Patient Reported Outcomes (PROs), revision rate, and conversion to Total Hip Arthroplasty (THA) rate following hip arthroscopy for FAI. It was hypothesized that SDOH including gender, smoking status, and socioeconomic status (SES) would be associated with inferior outcomes following arthroscopy for FAI.