Skip to main content
Top
Published in: Journal of Orthopaedic Surgery and Research 1/2017

Open Access 01-12-2017 | Research article

Simplified Chinese version of the Forgotten Joint Score (FJS) for patients who underwent joint arthroplasty: cross-cultural adaptation and validation

Authors: Shiqi Cao, Ning Liu, Wuxiang Han, Yunpeng Zi, Fan Peng, Lexiang Li, Qiwei Fu, Yi Chen, Weijie Zheng, Qirong Qian

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2017

Login to get access

Abstract

Background

The Forgotten Joint Score (FJS) is a newly developed health-related quality of life (HRQoL) questionnaire designed to evaluate the awareness after total knee arthroplasty (TKA). This study cross-culturally adapted and psychometrically validated a simplified Chinese version of the FJS (SC-FJS).

Methods

Cross-cultural adaptation was performed according to the internationally recognized guidelines. One-hundred and fifty participants who underwent primary TKA were recruited in this study. Cronbach’s α and intra-class correlations were used to determine reliability. Construct validity was analyzed by evaluating the correlations between SC-FJS and the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the short form (36) health survey (SF-36).

Results

Each of the 12 items was properly responded and correlated with the total items. SC-FJS had excellent reliability [Cronbach’s α = 0.907, intra-class correlation coefficient (ICC) = 0.970, 95% CI 0.959–0.978). Elimination of any one item in all did not result in a value of Cronbach’s α of <0.80. SC-FJS had a high correlation with symptoms (0.67, p < 0.001) and pain (0.60, p < 0.001) domains of KOOS and social functioning (0.66, p < 0.001) domain of SF-36, and it also moderately correlated with function in daily living (0.53, p < 0.001) and function in sport and recreation (0.40, p < 0.001) domains of KOOS, and physical subscale of SF-36 (0.49–0.53, p < 0.001) but had a low (r = 0.20) or not significant (p > 0.05) correlation with mental subscale of SF-36.

Conclusions

SC-FJS demonstrated excellent acceptability, internal consistency, reliability, and construct validity, which can be recommended for patients who underwent joint arthroplasty in Mainland China.
Appendix
Available only for authorised users
Literature
1.
go back to reference Fischer M, von Eisenhart-Rothe R, Simank HG. Comparable short-term results seen with standard and high-flexion knee arthroplasty designs in European patients. J Orthop. 2013;10:119–22.CrossRefPubMedPubMedCentral Fischer M, von Eisenhart-Rothe R, Simank HG. Comparable short-term results seen with standard and high-flexion knee arthroplasty designs in European patients. J Orthop. 2013;10:119–22.CrossRefPubMedPubMedCentral
2.
go back to reference Hawker G, Wright J, Coyte P, Paul J, Dittus R, Croxford R, Katz B, Bombardier C, Heck D, Freund D. Health-related quality of life after knee replacement. J Bone Joint Surg Am. 1998;80:163–73.CrossRefPubMed Hawker G, Wright J, Coyte P, Paul J, Dittus R, Croxford R, Katz B, Bombardier C, Heck D, Freund D. Health-related quality of life after knee replacement. J Bone Joint Surg Am. 1998;80:163–73.CrossRefPubMed
3.
go back to reference Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417–32.CrossRefPubMed Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417–32.CrossRefPubMed
4.
go back to reference Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med. 1993;118:622–9.CrossRefPubMed Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med. 1993;118:622–9.CrossRefPubMed
5.
go back to reference Freedman KB, Back S, Bernstein J. Sample size and statistical power of randomised, controlled trials in orthopaedics. J Bone Joint Surg (Br). 2001;83:397–402.CrossRef Freedman KB, Back S, Bernstein J. Sample size and statistical power of randomised, controlled trials in orthopaedics. J Bone Joint Surg (Br). 2001;83:397–402.CrossRef
6.
go back to reference Pynsent PB. Choosing an outcome measure. J Bone Joint Surg (Br). 2001;83:792–4.CrossRef Pynsent PB. Choosing an outcome measure. J Bone Joint Surg (Br). 2001;83:792–4.CrossRef
7.
go back to reference Zheng W, Li J, Zhao J, Liu D, Xu W. Development of a valid simplified Chinese version of the Oxford hip score in patients with hip osteoarthritis. Clin Orthop Relat Res. 2014;472:1545–51.CrossRefPubMed Zheng W, Li J, Zhao J, Liu D, Xu W. Development of a valid simplified Chinese version of the Oxford hip score in patients with hip osteoarthritis. Clin Orthop Relat Res. 2014;472:1545–51.CrossRefPubMed
8.
go back to reference Behrend H, Giesinger K, Giesinger JM, Kuster MS. The “forgotten joint” as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty. 2012;27:430–6. e431.CrossRefPubMed Behrend H, Giesinger K, Giesinger JM, Kuster MS. The “forgotten joint” as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty. 2012;27:430–6. e431.CrossRefPubMed
9.
go back to reference Thomsen MG, Latifi R, Kallemose T, Barfod KW, Husted H, Troelsen A. Good validity and reliability of the forgotten joint score in evaluating the outcome of total knee arthroplasty. Acta Orthop. 2016;87:280–5.CrossRefPubMedPubMedCentral Thomsen MG, Latifi R, Kallemose T, Barfod KW, Husted H, Troelsen A. Good validity and reliability of the forgotten joint score in evaluating the outcome of total knee arthroplasty. Acta Orthop. 2016;87:280–5.CrossRefPubMedPubMedCentral
10.
go back to reference Thienpont E, Opsomer G, Koninckx A, Houssiau F. Joint awareness in different types of knee arthroplasty evaluated with the Forgotten Joint score. J Arthroplasty. 2014;29:48–51.CrossRefPubMed Thienpont E, Opsomer G, Koninckx A, Houssiau F. Joint awareness in different types of knee arthroplasty evaluated with the Forgotten Joint score. J Arthroplasty. 2014;29:48–51.CrossRefPubMed
11.
go back to reference Shadid MB, Vinken NS, Marting LN, Wolterbeek N. The Dutch version of the Forgotten Joint Score: test-retesting reliability and validation. Acta Orthop Belg. 2016;82:112–8.PubMed Shadid MB, Vinken NS, Marting LN, Wolterbeek N. The Dutch version of the Forgotten Joint Score: test-retesting reliability and validation. Acta Orthop Belg. 2016;82:112–8.PubMed
12.
go back to reference Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.CrossRefPubMed Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.CrossRefPubMed
13.
go back to reference Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25:3186–91.CrossRef Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25:3186–91.CrossRef
14.
go back to reference Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28:88–96.CrossRefPubMed Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28:88–96.CrossRefPubMed
15.
go back to reference Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, Usherwood T, Westlake L. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992;305:160–4.CrossRefPubMedPubMedCentral Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, Usherwood T, Westlake L. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992;305:160–4.CrossRefPubMedPubMedCentral
16.
go back to reference Li L, Wang HM, Shen Y. Chinese SF-36 health survey: translation, cultural adaptation, validation, and normalisation. J Epidemiol Community Health. 2003;57:259–63.CrossRefPubMedPubMedCentral Li L, Wang HM, Shen Y. Chinese SF-36 health survey: translation, cultural adaptation, validation, and normalisation. J Epidemiol Community Health. 2003;57:259–63.CrossRefPubMedPubMedCentral
17.
go back to reference Xie F, Li SC, Roos EM, Fong KY, Lo NN, Yeo SJ, Yang KY, Yeo W, Chong HC, Thumboo J. Cross-cultural adaptation and validation of Singapore English and Chinese versions of the Knee injury and Osteoarthritis Outcome Score (KOOS) in Asians with knee osteoarthritis in Singapore. Osteoarthritis Cartilage. 2006;14:1098–103.CrossRefPubMed Xie F, Li SC, Roos EM, Fong KY, Lo NN, Yeo SJ, Yang KY, Yeo W, Chong HC, Thumboo J. Cross-cultural adaptation and validation of Singapore English and Chinese versions of the Knee injury and Osteoarthritis Outcome Score (KOOS) in Asians with knee osteoarthritis in Singapore. Osteoarthritis Cartilage. 2006;14:1098–103.CrossRefPubMed
18.
go back to reference Dawson J, Rogers K, Fitzpatrick R, Carr A. The Oxford shoulder score revisited. Arch Orthop Trauma Surg. 2009;129:119–23.CrossRefPubMed Dawson J, Rogers K, Fitzpatrick R, Carr A. The Oxford shoulder score revisited. Arch Orthop Trauma Surg. 2009;129:119–23.CrossRefPubMed
19.
go back to reference Coste J, Fermanian J, Venot A. Methodological and statistical problems in the construction of composite measurement scales: a survey of six medical and epidemiological journals. Stat Med. 1995;14:331–45.CrossRefPubMed Coste J, Fermanian J, Venot A. Methodological and statistical problems in the construction of composite measurement scales: a survey of six medical and epidemiological journals. Stat Med. 1995;14:331–45.CrossRefPubMed
20.
go back to reference Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–74.CrossRefPubMed Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–74.CrossRefPubMed
21.
go back to reference Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res. 1999;8:135–60.CrossRefPubMed Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res. 1999;8:135–60.CrossRefPubMed
22.
go back to reference Wei X, Wang Z, Yang C, Wu B, Liu X, Yi H, Chen Z, Wang F, Bai Y, Li J, et al. Development of a simplified Chinese version of the Hip Disability and Osteoarthritis Outcome Score (HOOS): cross-cultural adaptation and psychometric evaluation. Osteoarthritis Cartilage. 2012;20:1563–7.CrossRefPubMed Wei X, Wang Z, Yang C, Wu B, Liu X, Yi H, Chen Z, Wang F, Bai Y, Li J, et al. Development of a simplified Chinese version of the Hip Disability and Osteoarthritis Outcome Score (HOOS): cross-cultural adaptation and psychometric evaluation. Osteoarthritis Cartilage. 2012;20:1563–7.CrossRefPubMed
23.
go back to reference Liu D, He X, Zheng W, Zhang Y, Li D, Wang W, Li J, Xu W. Translation and validation of the simplified Chinese new Knee Society Scoring System. BMC Musculoskelet Disord. 2015;16:391.CrossRefPubMedPubMedCentral Liu D, He X, Zheng W, Zhang Y, Li D, Wang W, Li J, Xu W. Translation and validation of the simplified Chinese new Knee Society Scoring System. BMC Musculoskelet Disord. 2015;16:391.CrossRefPubMedPubMedCentral
24.
go back to reference Symonds T, Hughes B, Liao S, Ang Q, Bellamy N. Validation of the Chinese Western Ontario and McMaster Universities Osteoarthritis Index in patients from Mainland China with osteoarthritis of the knee. Arthritis Care Res (Hoboken). 2015;67:1553–60.CrossRef Symonds T, Hughes B, Liao S, Ang Q, Bellamy N. Validation of the Chinese Western Ontario and McMaster Universities Osteoarthritis Index in patients from Mainland China with osteoarthritis of the knee. Arthritis Care Res (Hoboken). 2015;67:1553–60.CrossRef
25.
go back to reference Giesinger JM, Kuster MS, Holzner B, Giesinger K. Development of a computer-adaptive version of the forgotten joint score. J Arthroplasty. 2013;28:418–22.CrossRefPubMedPubMedCentral Giesinger JM, Kuster MS, Holzner B, Giesinger K. Development of a computer-adaptive version of the forgotten joint score. J Arthroplasty. 2013;28:418–22.CrossRefPubMedPubMedCentral
26.
go back to reference Thompson SM, Salmon LJ, Webb JM, Pinczewski LA, Roe JP. Construct validity and test re-test reliability of the forgotten joint score. J Arthroplasty. 2015;30:1902–5.CrossRefPubMed Thompson SM, Salmon LJ, Webb JM, Pinczewski LA, Roe JP. Construct validity and test re-test reliability of the forgotten joint score. J Arthroplasty. 2015;30:1902–5.CrossRefPubMed
27.
go back to reference Shoji H, Solomonow M, Yoshino S, D'Ambrosia R, Dabezies E. Factors affecting postoperative flexion in total knee arthroplasty. Orthopedics. 1990;13:643–9.PubMed Shoji H, Solomonow M, Yoshino S, D'Ambrosia R, Dabezies E. Factors affecting postoperative flexion in total knee arthroplasty. Orthopedics. 1990;13:643–9.PubMed
28.
go back to reference Kim YH, Choi Y, Kim JS. Range of motion of standard and high-flexion posterior cruciate-retaining total knee prostheses a prospective randomized study. J Bone Joint Surg Am. 2009;91:1874–81.CrossRefPubMed Kim YH, Choi Y, Kim JS. Range of motion of standard and high-flexion posterior cruciate-retaining total knee prostheses a prospective randomized study. J Bone Joint Surg Am. 2009;91:1874–81.CrossRefPubMed
29.
go back to reference Patrick DL, Deyo RA. Generic and disease-specific measures in assessing health status and quality of life. Med Care. 1989;27:S217–32.CrossRefPubMed Patrick DL, Deyo RA. Generic and disease-specific measures in assessing health status and quality of life. Med Care. 1989;27:S217–32.CrossRefPubMed
Metadata
Title
Simplified Chinese version of the Forgotten Joint Score (FJS) for patients who underwent joint arthroplasty: cross-cultural adaptation and validation
Authors
Shiqi Cao
Ning Liu
Wuxiang Han
Yunpeng Zi
Fan Peng
Lexiang Li
Qiwei Fu
Yi Chen
Weijie Zheng
Qirong Qian
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2017
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-016-0508-5

Other articles of this Issue 1/2017

Journal of Orthopaedic Surgery and Research 1/2017 Go to the issue