Scott Elizabeth J, Anthony Christopher A, O'Connor Michaela J, Lynch T Sean, Westermann Robert W
Department of Orthopedics and Rehabilitation, University of Iowa, Iowa City, Iowa, U.S.A..
Department of Orthopaedics, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.
Arthroscopy. 2022 May;38(5):1488-1495.e5. doi: 10.1016/j.arthro.2021.09.030. Epub 2021 Oct 13.
To assess an automated text-messaging system for patients after hip arthroscopy and its impact at 90 days on the Hip Disability Osteoarthritis Outcome Score Physical Function Short form (HOOS-PS, HOOS-Pain), compliance with rehabilitation guidelines, and patient satisfaction.
One hundred twenty-one participants (average age 29 ± 8.7 years, 52% female) undergoing hip arthroscopy at 2 academic institutions were prospectively enrolled and randomized to receive (1) standard perioperative communication or (2) additional automated mobile phone text messages. Inclusion criteria included ability to communicate in written English and access to a mobile phone with text-messaging capability. Patients undergoing revision surgery or simultaneous femoral or acetabular osteotomy were excluded. HOOS-PS and HOOS-Pain were collected preoperatively, and after surgery an automated mobile phone robot sent participants in the therapeutic arm intermittent text messages for 90 days. At 90 days all participants again completed HOOS-PS, HOOS-Pain, and additional survey questions on satisfaction with their experience (10-point scale), communication from the surgical team (10-point scale) and adherence to physical therapy exercises, weight-bearing guidelines, and brace use, The primary outcome assessed was a statistically significant change in HOOS-PS and HOOS-Pain; secondary outcomes included change in satisfaction, communication, and adherence to physical therapy exercises, weightbearing guidelines, or brace use. Wilcoxon rank sum was used to compare HOOS-PS and HOOS-Pain scores at 0 and 90 days. Demographic characteristics and survey variables were compared using Students t test for continuous variables and χ or Fisher exact test for categorical variables as appropriate.
There were statistically significant and clinically relevant improvements in HOOS-PS and HOOS-Pain in both groups (P < .05). Subjective feedback was strongly positive, with 96% of text message participants reporting they would choose automated messages if it was offered to them again in the future.
Ninety days of automated text messaging after hip arthroscopy failed to show a significant difference in HOOS-PS (P = .09), HOOS-Pain (P = .13), patient-reported compliance with postoperative guidelines, or satisfaction with support and communication from the surgical team.
I, randomized control trial (RCT).
评估髋关节镜检查术后针对患者的自动短信系统，以及该系统在90天时对髋关节功能障碍骨关节炎结果评分身体功能简表（HOOS-PS）、疼痛（HOOS-疼痛）、康复指南依从性和患者满意度的影响。
前瞻性纳入2家学术机构中接受髋关节镜检查的121名参与者（平均年龄29±8.7岁，52%为女性），并将其随机分为两组，分别接受（1）标准围手术期沟通或（2）额外的自动手机短信。纳入标准包括具备用英语书面交流的能力以及能使用具备短信功能的手机。接受翻修手术或同时进行股骨或髋臼截骨术的患者被排除。术前收集HOOS-PS和HOOS-疼痛数据，术后自动手机机器人向治疗组参与者发送为期90天的间歇性短信。90天时，所有参与者再次完成HOOS-PS、HOOS-疼痛评估，以及关于对其体验的满意度（10分制）、手术团队沟通（10分制）和对物理治疗锻炼、负重指南及支具使用的依从性的额外调查问题。评估的主要结果是HOOS-PS和HOOS-疼痛的统计学显著变化；次要结果包括满意度、沟通以及对物理治疗锻炼、负重指南或支具使用的依从性变化。采用Wilcoxon秩和检验比较0天和90天时的HOOS-PS和HOOS-疼痛评分。使用学生t检验比较连续变量的人口统计学特征和调查变量，对于分类变量，酌情使用χ²检验或Fisher精确检验。
两组的HOOS-PS和HOOS-疼痛均有统计学显著且具有临床意义的改善（P<.05）。主观反馈非常积极，96%的短信参与者表示如果未来再次提供自动短信，他们会选择接收。
髋关节镜检查术后90天的自动短信未能在HOOS-PS（P=.09）、HOOS-疼痛（P=.13）、患者报告的术后指南依从性或对手术团队支持和沟通的满意度方面显示出显著差异。
I，随机对照试验（RCT）。
