Bodine Bill Garrett, Kapron Ashley L, Johnson Benjamin T, Maak Travis G, Ernat Justin J, Aoki Stephen K
Department of Orthopaedics, University of Utah, Salt Lake City, Utah, U.S.A.
Department of Orthopaedics, University of Utah.
Arthrosc Sports Med Rehabil. 2025 Feb 10;7(3):101103. doi: 10.1016/j.asmr.2025.101103. eCollection 2025 Jun.
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 > .270). The covariate representing order of completion was not significant (all > .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. LEVEL OF EVIDENCE: Level II, lesser quality randomized controlled trial.
目的：确定给药环境（在家与在诊所）是否会导致髋关节保留患者群体中，评估髋关节和一般身体功能的问卷所得到的患者评分出现显著差异。 方法：到髋关节保留诊所就诊的成年患者完成了改良Harris髋关节评分（MHHS）、身体功能计算机自动测试（PFCAT）以及髋关节结果评分（HOS）的运动子评分，各完成两次：一次是在诊所预约就诊期间通过电子平板电脑完成，另一次是在诊所预约就诊后的3至5天内通过网站在家中完成。患者被随机分为两组，分别在诊所预约就诊之前或之后完成家庭问卷。采用混合效应多变量线性回归分析，将完成顺序作为协变量（即先在家中还是先在诊所完成），以确定在家中和诊所完成问卷所得分数的差异。计算组内相关系数以评估可靠性。采用Bland-Altman分析评估两次完成情况之间的一致性。 结果：共纳入52例患者，每组26例。平均年龄为39.3±12.2岁，52例患者中有38例（73%）为女性。所有3份问卷在家中和诊所完成的情况之间均无显著差异（均P>.270）。代表完成顺序的协变量不显著（均P>.346）。所有3份问卷的可靠性几乎完美（所有组内相关系数>0.93）。Bland-Altman分析表明，所有3份问卷在家中完成的分数均略高于在诊所完成的分数，偏差非常小。PFCAT的一致性界限最窄（-5.9至5.5），其次是MHHS（-16.8至14.4）和HOS（-·24.2至21.7）。 结论：MHHS、PFCAT和HOS具有高重复性，且一般不受给药环境影响。在分析队列水平的数据时，对于在临床预约就诊后5天内在家中或诊所完成的患者报告结局无需加以区分。 证据水平：二级，质量较低的随机对照试验。
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