患者报告的结果评分在髋关节保留手术后在家或在诊所进行时具有可比性

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-06-01 DOI:10.1016/j.asmr.2025.101103

Bill Garrett Bodine M.D., Ashley L. Kapron Ph.D., Benjamin T. Johnson B.S., Travis G. Maak M.D., Justin J. Ernat M.D., Stephen K. Aoki M.D.

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引用次数: 0

摘要

目的确定给药方式（家庭与诊所）是否会导致髋关节保存患者群体髋关节和一般身体功能评估问卷得分的显著差异。方法到髋关节保存门诊就诊的成年患者分别在门诊预约时和预约后3 ~ 5天内通过电子平板电脑和网站完成两次改良哈里斯髋关节评分（MHHS）、身体功能自动计算测试（PFCAT）和髋关节结局评分（HOS）的运动亚评分。患者随机分为两组，分别在就诊前后完成问卷调查。混合效应多变量线性回归分析，包括完成顺序作为协变量（即，家庭或诊所优先），用于确定家庭和诊所得分的差异。计算类内相关系数以评估信度。Bland-Altman分析评估了完井之间的一致性。结果共纳入52例患者，每组26例。平均年龄39.3±12.2岁，女性38例（73%）。在家庭和诊所完成所有3份问卷之间没有显著差异(所有P >；.270)。代表完成顺序的协变量不显著(P >；.346)。3份问卷的信度几乎为完美（均为类内相关系数>；0.93）。Bland-Altman分析表明，在所有3份问卷中，家庭得分高于诊所得分的偏差很小。PFCAT具有最严格的一致性限制（-5.9至5.5），其次是MHHS（-16.8至14.4）和居屋（-24.2至21.7）。结论MHHS、PFCAT和HOS具有较高的重复性，平均不受给药环境的影响。在回顾队列水平的数据时，不需要区分患者报告的结果是在家中还是在临床预约后5天内完成的。证据水平：二级，低质量随机对照试验。

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Patient-Reported Outcome Scores Are Comparable When Administered at Home or in Clinic Following Hip Preservation Surgery

Purpose

To determine if the setting of administration (home vs clinic) results in significant differences in patient scores from questionnaires assessing hip and general physical function in a hip preservation patient population.

Methods

Adult patients presenting to a hip preservation clinic completed the Modified Harris Hip Score (MHHS), the Physical Function Computed Automated Test (PFCAT), and the sports subscore of Hip Outcome Score (HOS) twice: on an electronic tablet during a clinic appointment and at home via website within 3 to 5 days of the clinic appointment. Patients were randomized into 2 groups to complete the home questionnaires before or after their clinic appointment. Mixed-effects multivariable linear regression analysis, including order of completion as a covariate (i.e., home or clinic first), was used to determine differences in home and clinic scores. Intraclass correlation coefficients were calculated to evaluate reliability. A Bland-Altman analysis evaluated the agreement between completions.

Results

A total of 52 patients were included, 26 in each group. Mean age was 39.3 ± 12.2 years, and 38 of 52 (73%) patients were female. There was no significant difference between home and clinic completions of all 3 questionnaires (all P > .270). The covariate representing order of completion was not significant (all P > .346). Reliability was almost perfect for all 3 questionnaires (all intraclass correlation coefficients >0.93). The Bland-Altman analysis indicated a very small bias of higher home than clinic scores for all 3 questionnaires. The PFCAT had the tightest limits of agreement (–5.9 to 5.5), followed by the MHHS (–16.8 to 14.4) and HOS (–24.2 to 21.7).

Conclusions

The MHHS, PFCAT, and HOS have high repeatability and are, on average, not affected by settings of administration. When reviewing data on the level of the cohort, no distinction is required for patient-reported outcomes completed at home or clinic within 5 days of a clinical appointment.