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International Orthopaedics

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01-05-2018 | Original Paper

Cross-cultural adaptation and validation of a patient-reported hip outcome score

Authors: Horia Haragus, Radu Prejbeanu, Dan V. Poenaru, Bogdan Deleanu, Bogdan Timar, Dinu Vermesan

Published in: International Orthopaedics | Issue 5/2018

Abstract

Purpose

We aimed to perform psychometric testing for the translated Oxford Hip Score (OHS) for use as a recommended tool to measure treatment outcomes.

Methods

The original English questionnaire was translated and culturally validated using the instrument developer’s guidelines and the ISPOR principles of good practice. One hundred patients completed the form together with the Harris Hip Score (HHS) and EQ-5D-5 L. Fifty patients repeated the form after two days. They were suffering from hip osteoarthritis, had had hip replacement or underwent osteosynthesis for a fracture of the trochanteric region.

Results

The questionnaire had a high degree of reliability with a Cronbach α of 0.917 at the initial completion and 0.917 at the second testing, respectively. The two results were strongly positive and significantly correlated (Pearson’s r = 0.947; p < 0.001). The OHS was strongly and significantly correlated with the HHS (Pearson’s r = 0.880 initial and r = 0.840 s; p < 0.001) and strongly, positive and significantly correlated with the EQ-5D-5 L VAS (Pearson’s r = 0.614 initial and r = 0.704 s; p < 0.001).

Conclusions

Our study showed that the translation of the OHS is a reliable, reproducible and valid measure of function in patients who undergo treatment for hip pathology.

Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, Bridgett L, Williams S, Guillemin F, Hill CL, Laslett LL, Jones G, Cicuttini F, Osborne R, Vos T, Buchbinder R, Woolf A, March L (2014) The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis 73(7):1323–1330CrossRefPubMed

Poenaru DV, Prejbeanu R, Iulian P, Haragus H, Popovici E, Golet I, Vermesan D (2014) Epidemiology of osteoporotic hip fractures in western Romania. Int Orthop 38(11):2329–2334. https://doi.org/10.1007/s00264-014-2407-x CrossRefPubMed

Dawson J, Fitzpatrick R, Carr A, Murray D (1996) Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg Br 78(2):185–190CrossRefPubMed

Murray DW, Fitzpatrick R, Rogers K, Pandit H, Beard DJ, Carr AJ, Dawson J (2007) The use of the Oxford hip and knee scores. J Bone Joint Surg Br 89(8):1010–1014CrossRefPubMed

Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A et al (2005) Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health 8:94–104CrossRefPubMed

Euroqol Manual. http://www.euroqol.org/about-eq-5d/how-to-use-eq-5d.html. Accessed 4 Sept 2015

Nilsdotter A, Bremander A (2011) Measures of hip function and symptoms: Harris hip score (HHS), hip disability and osteoarthritis outcome score (HOOS), Oxford hip score (OHS), Lequesne index of severity for osteoarthritis of the hip (LISOH), and American Academy of Orthopedic surgeons (AAOS) hip and knee questionnaire. Arthritis Care Res 63(Suppl 11):S200–S207CrossRef

Hutchings L, Fox R, Chesser T (2011) Proximal femoral fractures in the elderly: how are we measuring outcome? Injury 42(11):1205–1213CrossRefPubMed

Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51(4):737–755CrossRefPubMed

10.

Naal FD, Sieverding M, Impellizzeri FM, von Knoch F, Mannion AF, Leunig M (2009) Reliability and validity of the cross-culturally adapted German Oxford hip score. Clin Orthop Relat Res 467:952–957 37CrossRefPubMed

11.

Delaunay C, Epinette JA, Dawson J, Murray D, Jolles BM (2009) Cross -cultural adaptations of the Oxford-12 hip score to the French speaking population. Orthop Traumatol Surg Res 95:89–99CrossRefPubMed

12.

Martinelli N, Longo UG, Marinozzi A, Franceschetti E, Costa V, Denaro V (2011) Cross -cultural adaptation and validation with reliability, validity, and responsiveness of the Italian version of the Oxford hip score in patients with hip osteoarthritis. Qual Life Res 20(6):923–929CrossRefPubMed

13.

Paulsen A, Odgaard A, Overgaard S (2012) Translation, cross -cultural adaptation and validation of the Danish version of the Oxford hip score: assessed against generic and disease-specific questionnaires. Bone Joint Res 1(9):225–233CrossRefPubMedPubMedCentral

14.

Zheng W, Li J, Zhao J, Liu D, Xu W (2014) Development of a valid simplified Chinese version of the Oxford hip score in patients with hip osteoarthritis. Clin Orthop Relat Res 472(5):1545–1551CrossRefPubMed

15.

Tuğay BU, Tuğay N, Güney H, Hazar Z, Yüksel İ, Atilla B (2015) Cross -cultural adaptation and validation of the Turkish version of Oxford hip score. Arch Orthop Trauma Surg 135(6):879–889CrossRefPubMed

16.

Martín-Fernández J, Gray-Laymón P, Molina-Siguero A, Martínez-Martín J, García-Maroto R, García-Sánchez I, García-Pérez L, Ramos-García V, Castro-Casas O, Bilbao A (2017) Cross-cultural adaptation and validation of the Spanish version of the Oxford hip score in patients with hip osteoarthritis. BMC Musculoskelet Disord 18(1):205CrossRefPubMedPubMedCentral

17.

Parsons N, Griffin XL, Achten J, Costa ML (2014) Outcome assessment after hip fracture: is EQ-5D the answer? Bone Joint Res 3(3):69–75CrossRefPubMedPubMedCentral

18.

Janssen MF, Pickard AS, Golicki D, Gudex C, Niewada M, Scalone L, Swinburn P, Busschbach J (2013) Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study. Qual Life Res 22(7):1717–1727CrossRefPubMed

19.

Rencz F, Gulácsi L, Drummond M, Golicki D, Prevolnik Rupel V, Simon J, Stolk EA, Brodszky V, Baji P, Závada J, Petrova G, Rotar A, Péntek M (2016) EQ-5D in central and Eastern Europe: 2000-2015. Qual Life Res 25(11):2693–2710CrossRefPubMed

20.

Deleanu B, Prejbeanu R, Tsiridis E, Vermesan D, Crisan D, Haragus H, Predescu V, Birsasteanu F (2015) Occult fractures of the proximal femur: imaging diagnosis and management of 82 cases in a regional trauma center. World J Emerg Surg 10:55. https://doi.org/10.1186/s13017-015-0049-y CrossRefPubMedPubMedCentral

21.

Vermesan D, Prejbeanu R, Haragus H, Niculescu M (2017) Similar short term outcomes with press-fit bipolar hemiarthroplasty and cemented total hip replacements in femoral neck fractures. Mater Plast 54(2):262–265 http://www.revmaterialeplastice.ro/pdf/14%20VERMESAN%20D%202%2017.pdf

22.

Haragus H, Prejbeanu R, Timar B, Vermesan D (2017) A-mode ultrasound analysis of postoperative thigh edema in patients with hip fracture. Mater Plast 54(3):553–556 http://www.revmaterialeplastice.ro/pdf/34%20HARAGAS%203%2017.pdf

23.

Deleanu B, Prejbeanu R, Poenaru D, Vermesan D, Haragus H (2014) Reamed versus unreamed intramedullary locked nailing in tibial fractures. Eur J Orthop Surg Traumatol 24(8):1597–1601. https://doi.org/10.1007/s00590-013-1401-0 CrossRefPubMed

24.

Deleanu B, Prejbeanu R, Crisan D, Predescu V, Popa I, Poenaru DV (2015) Gait characteristics before hardware removal in patients operated upon for tibial plateau fractures. Int Orthop 39(7):1411–1415. https://doi.org/10.1007/s00264-015-2691-0 CrossRefPubMed

25.

Predescu V, Prescura C, Olaru R, Savin L, Botez P, Deleanu B (2017) Patient specific instrumentation versus conventional knee arthroplasty: comparative study. Int Orthop 41(7):1361–1367. https://doi.org/10.1007/s00264-016-3356-3 CrossRefPubMed

26.

Vermesan D, Prejbeanu R, Haragus H, Dema A, Oprea MD, Andrei D, Poenaru DV, Niculescu M (2017) Case series of patients with pathological dyaphiseal fractures from metastatic bone disease. Int Orthop 41(10):2199–2203. https://doi.org/10.1007/s00264-017-3582-3 CrossRefPubMed

Title: Cross-cultural adaptation and validation of a patient-reported hip outcome score
Authors: Horia Haragus
Radu Prejbeanu
Dan V. Poenaru
Bogdan Deleanu
Bogdan Timar
Dinu Vermesan
Publication date: 01-05-2018
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 5/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-017-3742-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cross-cultural adaptation and validation of a patient-reported hip outcome score

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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