A Systematic Review of the Impact of Patient Pain Catastrophizing and Resiliency on Patient Reported Outcomes in Hip Arthroscopy for Femoroacetabular Impingement

Pain catastrophizing and resilience have been shown to influence pain and postoperative patient reported outcomes (PROs) within orthopaedics. However, there are few studies examining the association between patient pain catastrophizing and resilience and their impact on outcomes following hip arthroscopy for femoroacetabular impingement (FAI). This systematic review aimed to identify any potential relationships. Seven studies met final inclusion criteria. A total of 231 patients were included from pain catastrophizing studies, and 196 patients were included from resilience studies. In all pain catastrophizing studies, postoperative PROs improved, and higher pain catastrophizing was associated with worse outcomes. Significant improvement was seen between pre and postoperative PROs in all resilience studies, and 2 of 3 resilience studies found lower resilience correlated with worse outcomes.