Top

Journal of Orthopaedic Science

Published in:

01-09-2013 | Original Article

Reliability and validity of the Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ) for patients with hip disease

Authors: Taisuke Seki, Yukiharu Hasegawa, Kazuma Ikeuchi, Naoki Ishiguro, Yoshimitsu Hiejima

Published in: Journal of Orthopaedic Science | Issue 5/2013

Abstract

Background

The Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ) was developed to evaluate the quality of life (QOL) in patients with hip disease. This questionnaire consists of three subscales: pain; movement; and mental. The purpose of this study was to assess the reliability and validity of the JHEQ for use as a clinical evaluation tool.

Methods

We investigated patients who visited the outpatient department at our hospital and affiliated hospital between April and May 2010. The study population comprised 286 patients (239 women) with a mean age of 56.8 years. The diagnosis was osteoarthritis of the hip in 230 patients, avascular osteonecrosis of the femoral head in 49 patients, and other conditions in 7 patients. The JHEQ questionnaire, the SF-36 questionnaire as a generic QOL scale, and the Oxford hip score (OHS) as a disease-specific scale, were filled out by the patient while waiting in the outpatient department.

Results

Pearson’s correlation coefficients of 0.6 were observed between JHEQ pain and SF-36 bodily pain (BP) subscales, and between JHEQ movement and SF-36 physical functioning (PF) subscales. The JHEQ mental subscale correlated with SF-36 social functioning (SF) and BP subscales. A strong negative correlation was seen between JHEQ pain and OHS pain subscales (r = −0.817). JHEQ movement subscale also showed a strong negative correlation with the OHS function subscale (r = −0.715). These results indicated the convergent validity of JHEQ. The internal consistency of pain, movement, and mental subscales of JHEQ was satisfactory, indicated by Cronbach’s α coefficients of 0.92, 0.91, and 0.94, respectively. Each subscale also showed high test–retest reliability with intra-class correlation coefficients of 0.89, 0.93, and 0.85, respectively.

Conclusions

We determined the reliability and validity of JHEQ as a self-administered questionnaire that evaluates hip disease. JHEQ is useful as a tool for evaluating patients with hip disease.

Salaffi F, Carotti M, Grassi W. Health-related quality of life in patients with hip or knee osteoarthritis: comparison of generic and disease-specific instruments. Clin Rheumatol. 2005;24:29–37.PubMedCrossRef

Kawasaki M, Hasegawa Y, Sakano S, Torii Y, Warashina H. Quality of life after several treatments for osteoarthritis of the hip. J Orthop Sci. 2003;8:32–5.PubMedCrossRef

Harris WH. 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. 1969;51:737–55.PubMed

D’Aubigne RM, Postel M. Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am. 1954;36:451–75.PubMed

Lieberman JR, Dorey F, Shekelle P, Schumacher L, Thomas BJ, Kilgus DJ, Finerman GA. Differences between patientsʼ and physiciansʼ evaluations of outcome after total hip arthroplasty. J Bone Joint Surg Am. 1996;78:835–8.PubMed

Brokelman RB, van Loon CJ, Rijnberg WJ. Patient versus surgeon satisfaction after total hip arthroplasty. J Bone Joint Surg Br. 2003;85:495–8.PubMed

Ragab AA. Validity of self-assessment outcome questionnaires: patient-physician discrepancy in outcome interpretation. Biomed Sci Instrum. 2003;39:579–84.PubMed

Kuribayashi M, Takahashi KA, Fujioka M, Ueshima K, Inoue S, Kubo T. Reliability and validity of the Japanese orthopaedic association hip score. J Orthop Sci. 2010;15:452–8.PubMedCrossRef

Ware JE Jr. Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473–83.PubMedCrossRef

10.

Fukuhara S, Bito S, Green J, Hsiao A, Kurokawa K. Translation, adaptation, and validation of the SF-36 health survey for use in Japan. J Clin Epidemiol. 1998;51:1037–44.PubMedCrossRef

11.

Fukuhara S, Ware JE, Kosinski M, Wada S, Gandek B. Psychometric and clinical tests of validity of the Japanese SF-36 health survey. J Clin Epidemiol. 1998;51:1045–53.PubMedCrossRef

12.

Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15:1833–40.PubMed

13.

Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg Br. 1996;78:185–90.PubMed

14.

Naal FD, Sieverding M, Impellizzeri FM, von Knoch F, Mannion AF, Leunig M. Reliability and validity of the cross-culturally adapted German Oxford hip score. Clin Orthop Relat Res. 2009;467:952–7.PubMedCrossRef

15.

Uesugi Y, Makimoto K, Fujita K, Nishii T, Sakai T, Sugano N. Validity and responsiveness of the Oxford hip score in a prospective study with Japanese total hip arthroplasty patients. J Orthop Sci. 2009;14:35–9.PubMedCrossRef

16.

Matsumoto T, Kaneuji A, Hiejima Y, Sugiyama H, Akiyama H, Atsumi T, Ishii M, Izumi K, Ichiseki T, Ito H, Okawa T, Ohzono K, Otsuka H, Kishida S, Kobayashi S, Sawaguchi T, Sugano N, Nakajima I, Nakamura S, Hasegawa Y, Fukuda K, Fujii G, Mawatari T, Mori S, Yasunaga Y, Yamaguchi M. Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ): a patient-based evaluation tool for hip-joint disease. The Subcommittee on Hip Disease Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association. J Orthop Sci. 2012;17:25–38.PubMedCrossRef

17.

Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16:297–334.CrossRef

18.

Rosemann T, Joos S, Koerner T, Szecsenyi J, Laux G. Comparison of AIMS2-SF, WOMAC, X-ray and a global physician assessment in order to approach quality of life in patients suffering from osteoarthritis. BMC Musculoskelet Disord. 2006;7:6.PubMedCrossRef

Title: Reliability and validity of the Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ) for patients with hip disease
Authors: Taisuke Seki
Yukiharu Hasegawa
Kazuma Ikeuchi
Naoki Ishiguro
Yoshimitsu Hiejima
Publication date: 01-09-2013
Publisher: Springer Japan
Published in: Journal of Orthopaedic Science / Issue 5/2013
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-013-0436-8

At a glance: The STEP trials

Springer Medicine

Reliability and validity of the Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ) for patients with hip disease

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 5/2013

A meta-analysis of bisphosphonates for periprosthetic bone loss after total joint arthroplasty

Improvement of atelectasis after corrective fusion for lordoscoliosis with intrathoracic vertebral protrusion in arthrogryposis multiplex congenita: efficacy of positive-pressure ventilation test

Dumbbell-type hemangiopericytoma in the cervical spine: a case report and review

Change with increasing age in control of the lower limbs during jump–landing in adolescents: a 5-year prospective study

Factors influencing the residual rib hump after posterior spinal fusion for adolescent idiopathic scoliosis with Lenke 1 and 2 curves

Posterior buttress plate with locking compression plate for Hoffa fracture