{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:46:45Z","timestamp":1792612005340,"version":"4.5.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Psychiatric comorbidity has been linked to inferior orthopaedic outcomes, but studies evaluating its impact on survivorship after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) in the long term remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the association between preoperative psychiatric comorbidity, particularly among those who are using psychotropic medications, and failure, patient-reported outcome measure (PROM) scores, and failure-free survivorship after hip arthroscopy for FAIS at a minimum 10-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective review was performed on 243 adult patients who underwent primary hip arthroscopy for FAIS between 2010 and 2014. A preoperative psychiatric comorbidity diagnosis and psychotropic medication use were identified through a medical record review. Failure was defined as revision hip arthroscopy or conversion to total hip arthroplasty. Kaplan-Meier analysis was used to assess failure-free survivorship. Logistic regression analyses were performed to evaluate associations between psychiatric comorbidity and failure. PROMs, including the modified Harris Hip Score (mHHS) and Non-Arthritic Hip Score (NAHS), were administered preoperatively and at 10-year follow-up. A post hoc power analysis was performed using a 2-proportion model. Significance was considered at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Psychiatric comorbidity was present in 73 patients (30.0%), and psychotropic medication use was identified in 51 patients (21.0%). Failure occurred in 26 patients (10.7%) overall and was more common among those with psychiatric comorbidity compared with those without (23.3% vs 5.3%, respectively;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Patients with psychiatric comorbidity demonstrated inferior failure-free survivorship times (11.49 vs 13.68 years, respectively;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .0105) and lower 2-, 5-, and 10-year survivorship rates. On adjusted multivariable analysis, anxiety, depression, combined anxiety and depression, and combined psychiatric comorbidity and psychotropic medication use were independently associated with increased odds of failure (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2264 .002). Although both the psychiatric comorbidity and no psychiatric comorbidity groups improved significantly, patients with psychiatric comorbidity achieved smaller improvements and lower postoperative PROM scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Psychiatric comorbidity was associated with increased failure rates, reduced long-term survivorship, and lower PROM scores after hip arthroscopy for FAIS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465261480939","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T07:56:40Z","timestamp":1788940600000},"page":"2898-2906","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychiatric Comorbidity Is Associated With Increased Failure Rates and Inferior Clinical Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome at a Minimum 10-Year Follow-up"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0166-1505","authenticated-orcid":false,"given":"Rushani K.","family":"Cameron","sequence":"first","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Health, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Jazrawi","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Health, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Samuel R.","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Health, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0217-6048","authenticated-orcid":false,"given":"Raven","family":"Hollis","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Health, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Budis","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Health, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Samsonov","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Health, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spencer","family":"Stein","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department 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