Prevalence of Psychiatric Diagnoses and Preoperative Opioid Use Among Patients Undergoing Hip Arthroscopy: A Systematic Review and Meta-analysis.
Alan D Villegas Meza, Michael Nocek, Blanca Morales Lugo et al.
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In 30 seconds
This systematic review and meta-analysis pooled observational studies of adults undergoing hip arthroscopy to estimate the prevalence of psychiatric diagnoses and prior opioid use, and to assess differences by ascertainment method. Across 38 studies, pooled prevalence was 24.6% for any psychiatric diagnosis (95% CI, 17.3%-33.8%), 16.6% for anxiety, 12.9% for depression, and 14.8% for prior opioid use. Validated screening instruments identified higher prevalences than International Classification of Diseases or administrative codes, indicating that estimates depend substantially on how conditions are assessed.
Key findings
- Pooled prevalence of any psychiatric diagnosis was 24.6% (95% CI, 17.3%-33.8%; I 2 = 99.3%).
- Pooled prevalences were 16.6% for anxiety, 12.9% for depression, and 14.8% for prior opioid use.
- Validated screeners yielded higher prevalence estimates than diagnostic or administrative codes; ascertainment explained 33.1% of between-study variability for anxiety.
Why it matters
Psychiatric conditions and prior opioid use are common in adults presenting for hip arthroscopy, but prevalence estimates vary markedly with the method used to identify them. This affects interpretation of prevalence research and may influence whether relevant needs are recognized before surgery. Consistent ascertainment and reporting can support more comparable studies and clearer identification of patients who may benefit from further assessment.
What to keep in mind
Between-study heterogeneity was very high for all pooled estimates, limiting how precisely these prevalences represent individual settings.