{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:45:02Z","timestamp":1787841902700,"version":"build-2784847793"},"reference-count":36,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To review outcomes of patients with low\u2010back pathology undergoing primary hip arthroscopy for the treatment of femoroacetabular impingement (FAI) syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The PubMed, Cochrane Trials, and Scopus databases were queried in June 2022 to conduct this systematic review using the following terms: (\u201chip\u201d OR \u201cfemoroacetabular impingement\u201d) AND (\u201carthroscopy\u201d OR \u201carthroscopic\u201d) AND (\u201cspine\u201d OR \u201clumbar\u201d OR \u201csacral\u201d OR \u201chip\u2010spine\u201d OR \u201cback\u201d) AND (\u201coutcomes\u201d). Articles were included if they reported on patient\u2010reported outcomes (PROs) and\/or clinical benefit of patients undergoing hip arthroscopy with concomitant low\u2010back pathology. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta\u2010analyses (PRISMA) criteria. Case reports, opinion articles, review articles, and technique articles were excluded from this study. Forest plots were created to analyze preoperative and postoperative outcomes among patients with low\u2010back pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen studies were included in the review. There were 750 hips with low\u2010back pathology and FAI (hip\u2010spine syndrome) and 1,800 hips with only FAI (no hip\u2010spine syndrome). All 14 studies reported PROs. In 4 studies in the group with hip\u2010spine syndrome and 8 studies in the group with FAI without low\u2010back pathology, the respective cohorts were reported to achieve the minimal clinically important difference in at least 1 PRO at a rate of 80%. Eight studies reported that patients with low\u2010back pathology were associated with inferior outcomes or clinical benefit compared with patients without low\u2010back pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients undergoing primary hip arthroscopy with concomitant low\u2010back pathology can expect favorable outcomes, but outcomes are superior in patients undergoing hip arthroscopy for FAI alone compared with FAI with concomitant low\u2010back pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level II to Level IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.05.004","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T23:37:08Z","timestamp":1684366628000},"page":"2547-2567","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Over 50% of Studies Report Low\u2010Back Pain Is Associated With Worse Outcomes After Hip Arthroscopy When Compared With a Control Group: A Systematic Review"],"prefix":"10.1002","volume":"39","author":[{"given":"Michael S.","family":"Lee","sequence":"first","affiliation":[{"name":"Medical College of Wisconsin Milwaukee Wisconsin U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronak J.","family":"Mahatme","sequence":"additional","affiliation":[{"name":"University of Connecticut School of Medicine Farmington Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacquelyn","family":"Simington","sequence":"additional","affiliation":[{"name":"University of Connecticut Storrs Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen M.","family":"Gillinov","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David N.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Moran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wasif","family":"Islam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Fong","sequence":"additional","affiliation":[{"name":"Advanced Orthopaedics &amp; Sports Medicine San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Pettinelli","sequence":"additional","affiliation":[{"name":"Kansas City University College of Osteopathic Medicine Kansas City Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy Y.","family":"Lee","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin Milwaukee Wisconsin U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew E.","family":"Jimenez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,17]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.01060"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.01499"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.12.188"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.06.044"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.03.034"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.18.1.24"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-20-07-434"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.01.068"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221092144"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.01.055"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.002"},{"key":"e_1_2_2_14_2","unstructured":"Boutron I Page MJ Higgins JPT et\u00a0al. 7.7.3.2 Obtaining standard deviations from standard errors and confidence intervals for group means. In: Higgins JPT Thomas J Chandler J et\u00a0al eds.Cochrane Handbook for Systematic Reviews of Interventions.https:\/\/handbook\u20105\u20101.cochrane.org\/chapter_7\/7_7_3_2_obtaining_standard_deviations_from_standard_errors_and.htm. Accessed October 22 \u00a02022."},{"key":"e_1_2_2_15_2","unstructured":"Deeks JJ Higgins JPT Altman DG. Chapter 10: Analysing data and undertaking meta\u2010analyses. In: Higgins JPT Thomas J Chandler J et\u00a0al eds.Cochrane Handbook for Systematic Reviews of Interventions.https:\/\/training.cochrane.org\/handbook\/current\/chapter\u201010. 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