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.

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Citation

Published Version (Please cite this version)

10.1016/j.asmr.2021.11.008

Publication Info

Cheah, Jonathan W, Richard Danilkowicz, Carolyn Hutyra, Brian Lewis, Steve Olson, Emily Poehlein, Cynthia L Green, Richard Mather, et al. (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.

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Scholars@Duke

Lewis

Brian David Lewis

Associate 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 patients.

Olson

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 areas of research are 1) Hip Arthroscopy and treatment of hip disorders, and treatment of labral tears in the treatment of hip pain. 2) Periacetabular osteotomy for the treatment of hip dysplasia.

Green

Cynthia Lea Green

Associate Professor of Biostatistics & Bioinformatics

Survival Analysis
Longitudinal Data Analysis
Logistic Regression
Missing Data
Clinical Trial Methods
Maximum Likelihood Methods


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