High Prevalence of Sleep Disturbance Is Associated with Femoroacetabular Impingement Syndrome
Abstract
Purpose: The purpose of this study was to identify an association between Patient-Reported
Outcomes Measurement Information System (PROMIS) sleep scores and other PROMIS domains
in patients with femoroacetabular impingement syndrome (FAIS). Methods: Patients were
retrospectively identified for FAIS pathology, and PROMIS outcomes were assessed at
multiple visits. Individual generalized linear mixed-effects models were fit with
PROMIS sleep score as the predictor variable, and each subsequent PROMIS metric as
the response variable. Additionally, models were fit using a clinically significant
dichotomization of PROMIS sleep score to assess differences in average PROMIS scores
between those with disrupted sleep (>55) and those with normal sleep (≤55). Results:
PROMIS scores at baseline differed between those with and without sleep disturbance.
Specifically, higher PROMIS sleep scores were associated with higher anxiety, depression,
fatigue, pain intensity, and pain interference scores and lower physical function,
and social participation. Conclusion: An association between PROMIS sleep score and
other PROMIS outcomes does exist. Sleep disturbance is associated with increased anxiety,
depression, fatigue, pain intensity, pain interference and decreased physical function,
and social participation when analyzing PROMIS score, as both a continuous and dichotomized
variable. Because of the observational design of this study, no causal inference can
be made on these results.
Type
Journal articlePermalink
https://hdl.handle.net/10161/24546Published Version (Please cite this version)
10.1016/j.asmr.2021.11.008Publication Info
Cheah, Jonathan W; Danilkowicz, Richard; Hutyra, Carolyn; Lewis, Brian; Olson, Steve;
Poehlein, Emily; ... Mather, Richard (2022). High Prevalence of Sleep Disturbance Is Associated with Femoroacetabular Impingement
Syndrome. Arthroscopy, Sports Medicine, and Rehabilitation. 10.1016/j.asmr.2021.11.008. Retrieved from https://hdl.handle.net/10161/24546.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
Collections
More Info
Show full item recordScholars@Duke
Cynthia Lea Green
Associate Professor of Biostatistics & Bioinformatics
Survival Analysis Longitudinal Data Analysis Logistic Regression Missing Data Clinical
Trial Methods Maximum Likelihood Methods
Brian David Lewis
Assistant Professor of Orthopaedic Surgery
I am an assistant professor in the department of orthopaedics. My sub-specialty interest
is in hip surgery including arthroplasty and non-arthoplasty hip surgery. This includes
the treatment of osteoarthritis, hip dysplasia, hip impingement, labral tears, as
well as various tendon disorders around the hip.The research interests include outcomes
research for hip surgeries, hip movement disorders related to hip conditions, and
factors influencing opioid use in post-surgical
Richard Charles Mather III
Clinical Associate in the Department of Orthopaedic Surgery
Richard C. “Chad” Mather III MD, MBA is an assistant professor and vice
chairman of practice innovation in the Department of Orthopaedic Surgery at Duke University
School of Medicine. He is also a faculty member at the Duke Clinical Research Institute.
Dr. Mather is a health services researcher and decision scientist with a focus on
economic analysis, health policy, health preference measurement and personalized decision-making.
His current work focuses on buildi
Steven Arthur Olson
Goldner Jones Distinguished Professor of Orthopaedic Surgery
As an Orthopedic Surgeon my primary focus of research is joint preservation. My primary
clinical interests are Orthopedic Trauma and Hip Reconstruction. In Orthopedic Trauma
my research interests are 1) Basic science investigations of articular fractures with
two current animal models in use. 2) Clinical research includes evaluation of techniques
to reduce and stabilize articular fractures, as well as management of open fractures.
In the area of Hip Reconstruction my ar
Emily Poehlein
Biostatistician II
Alphabetical list of authors with Scholars@Duke profiles.

Articles written by Duke faculty are made available through the campus open access policy. For more information see: Duke Open Access Policy
Rights for Collection: Scholarly Articles
Works are deposited here by their authors, and represent their research and opinions, not that of Duke University. Some materials and descriptions may include offensive content. More info