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The Methodological Index for Non\u2010randomized Studies (MINORS) was used to assess study quality. Data are presented descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 17 studies were included, consisting of 6,696 patients (37.5%) with a mean age of 61.4 \u00b1 5.0 years and a median follow\u2010up of 24 months (range: 1.4\u201070.1). Indications for hip arthroscopy in patients aged 50 years or older were unspecified\/undefined (93.8%), mixed pathology (i.e., combined femoroacetabular impingement [FAI], labral tear, osteoarthritis, etc.) (2.7%), and FAI (2.6%). Eleven studies demonstrated significant improvement in functional outcome scores from baseline to final follow\u2010up. Of the 6 studies that compared outcomes across multiple age groups, 3 demonstrated significantly worse functional outcomes, and 2 demonstrated significantly higher rates of conversion to THA for older patients compared to younger patients. Lastly, the overall complication rates ranged from 0 to 38.3%. The rate of conversion to THA ranged from 0 to 34.6%, occurring between 6 and 60 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hip arthroscopy for patients aged 50 years or older yields significant improvements in patient\u2010reported outcomes postoperatively compared to baseline, with a moderate rate of conversion to THA (range: 0 to 34.6%). Clinicians should consider patient history (e.g., imaging, comorbidities, etc.) and values when electing for hip arthroscopy in the older population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>IV, systematic review of Level III and IV studies<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.08.019","type":"journal-article","created":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T03:47:58Z","timestamp":1661917678000},"page":"1539","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["Hip Arthroscopy Improves Outcomes With Moderate Conversion to Total Hip Arthroplasty Rates in Patients Aged 50 Years or Older: A Systematic Review"],"prefix":"10.1002","volume":"39","author":[{"given":"Ajaykumar","family":"Shanmugaraj","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of British Columbia Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mithilesh V.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Al Naji","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Department of Surgery McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Simunovic","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Department of Surgery McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc J.","family":"Philippon","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olufemi R.","family":"Ayeni","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Department of Surgery McMaster University Hamilton Ontario Canada"},{"name":"Department of Health Research Methods Evidence, and Impact McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,30]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200607000-00006"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.04.049"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.21481"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.09.004"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.07.016"},{"key":"e_1_2_6_7_2","first-page":"301","article-title":"Hip arthroscopy: indications, outcomes, and complications","volume":"55","author":"McCarthy J.C.","year":"2006","journal-title":"Instr Course Lect"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.03.023"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.02.039"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01886"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.11.005"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.06.008"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2014.29.2.277"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh086"},{"key":"e_1_2_6_15_2","article-title":"Prevalence of symptomatic hip, knee, and spine osteoarthritis nationwide health survey analysis of an elderly Korean population","volume":"96","author":"Jung\u2010Ho P.","year":"2017","journal-title":"Medicine (United States)"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh458"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2010.08.005"},{"key":"e_1_2_6_18_2","first-page":"48","article-title":"Hip pain in the elderly: evaluation and diagnosis","volume":"43","author":"Schon L.","year":"1988","journal-title":"Geriatrics"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.06.044"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516667915"},{"key":"e_1_2_6_21_2","unstructured":"Higgins J Chandler J Cumpston M Li T Page M Welch V. 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