Skip to main content

Advertisement

Log in

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

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. 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):1323–1330

    Article  PubMed  Google Scholar 

  2. 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

    Article  PubMed  Google Scholar 

  3. 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):185–190

    Article  CAS  PubMed  Google Scholar 

  4. 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):1010–1014

    Article  CAS  PubMed  Google Scholar 

  5. 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 8:94–104

    Article  PubMed  Google Scholar 

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

  7. 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–S207

    Article  Google Scholar 

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

    Article  PubMed  Google Scholar 

  9. 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):737–755

    Article  CAS  PubMed  Google Scholar 

  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 37

    Article  PubMed  Google Scholar 

  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 95:89–99

    Article  CAS  PubMed  Google Scholar 

  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):923–929

    Article  PubMed  Google Scholar 

  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):225–233

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  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):1545–1551

    Article  PubMed  Google Scholar 

  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):879–889

    Article  PubMed  Google Scholar 

  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):205

    Article  PubMed  PubMed Central  Google Scholar 

  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):69–75

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  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):1717–1727

    Article  CAS  PubMed  Google Scholar 

  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):2693–2710

    Article  PubMed  Google Scholar 

  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

    Article  PubMed  PubMed Central  Google Scholar 

  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

    Google Scholar 

  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

    Google Scholar 

  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

    Article  PubMed  Google Scholar 

  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

    Article  PubMed  Google Scholar 

  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

    Article  PubMed  Google Scholar 

  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

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

Prof. Dr. Horia Vermesan, Dr. Musab Al-Qatawneh.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dan V. Poenaru.

Ethics declarations

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Financial disclosure

This research was funded from the UMF “Victor Babes” Timisoara Grant “Posibilitati de Rating in Ortopedie pentru Monitorizarea Indicatorilor de Succes Initiata prin Uniformizarea Normativelor de Evaluare - PROMISIUNE,” Project manager: Dr. Haragus Horia, Contract P II – C4 – TC – 2016, Nr 16,441–06.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Haragus, H., Prejbeanu, R., Poenaru, D.V. et al. Cross-cultural adaptation and validation of a patient-reported hip outcome score. International Orthopaedics (SICOT) 42, 1001–1006 (2018). https://doi.org/10.1007/s00264-017-3742-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-017-3742-5

Keywords

Navigation