Neuprez Audrey, Delcour Jean-Pierre, Fatemi Firouzeh, Gillet Philippe, Mawet Marie, François Garance, Bruyère Olivier, Crielaard Jean-Michel, Gosset Christiane, Reginster Jean-Yves
Department of Public Health, Epidemiology and Health Economics, University of Liege, Belgium ; Physical Medicine and Sport Traumatology Service, Motility Sciences Department, CHU, Liege, Belgium.
Department of Orthopaedic Surgery, CHBAH, Seraing, Belgium.
J Orthop. 2014 Jun 21;12(1):46-57. doi: 10.1016/j.jor.2014.06.002. eCollection 2015 Mar.
The Hospital for Special Surgery (HSS) Hip Replacement Expectations Survey and Knee Replacement Expectations Survey are validated tools developed to measure patients' preoperative expectations for hip and knee arthroplasty. These instruments have possible uses in both daily practice and research. Our objective was to assess the test-retest reliability and the construct validity of the French version of the surveys.
Patients scheduled for total hip (n = 82) or knee replacement (n = 61) aged 38-90 years were included. All completed the HSS Hip or Knee Replacement Expectations Survey and the Expectation WOMAC to determine concurrent validity. The test-retest reliability was assessed using the intraclass coefficient correlation (ICC), the Bland and Altman Method and the coefficient of variation; the internal consistency was assessed by the Cronbach α coefficient. The construct validity was investigated using the Pearson correlation coefficient and floor and ceiling effects by percentage frequency of lowest or highest possible score achieved by respondents.
143 patients scheduled for hip or knee arthroplasty were included. The reliability was excellent between the test and the rested total score, with an ICC of 0.902 (0.853-0.936) and CV of 4.06% for the French Hip Replacement Expectations Survey and 0.865 (0.786-0.917) and CV of 7.7% for the French Knee Replacement Expectations Survey, without bias. The Cronbach α coefficient was 0.72 for hip Survey and 0.82 for knee Survey showing a good internal consistency. Pearson correlation coefficients of 0.45 and 0.48 between Expectations WOMAC and HSS, respectively for hip Survey and knee Survey, were observed but with systematic bias. The lowest possible score was not reported by any patient and only three patients (3.66%) scheduled for hip arthroplasty reported the highest possible score.
The French version of the HSS Hip or Knee Replacement Expectations Survey is a reliable and valid questionnaire and compares favourably with the original English version. Therefore, this new version may help French-speaking clinicians to evaluate expectations before lower limb arthroplasty.
特种外科医院（HSS）髋关节置换期望调查和膝关节置换期望调查是用于测量患者对髋膝关节置换术前期望的有效工具。这些工具在日常实践和研究中都有潜在用途。我们的目的是评估该调查问卷法语版本的重测信度和结构效度。
纳入年龄在38 - 90岁、计划进行全髋关节置换（n = 82）或膝关节置换（n = 61）的患者。所有患者均完成HSS髋关节或膝关节置换期望调查以及期望WOMAC问卷，以确定同时效度。使用组内相关系数（ICC）、布兰德 - 奥特曼方法和变异系数评估重测信度；通过克朗巴赫α系数评估内部一致性。使用皮尔逊相关系数以及通过受访者获得的最低或最高分的百分比频率调查地板效应和天花板效应来研究结构效度。
纳入143例计划进行髋或膝关节置换的患者。法语版髋关节置换期望调查的测试与重测总分之间的信度极佳，ICC为0.902（0.853 - 0.936），变异系数为4.06%；法语版膝关节置换期望调查的ICC为0.865（0.786 - 0.917），变异系数为7.7%，且无偏差。髋关节调查的克朗巴赫α系数为0.72，膝关节调查的为0.82，显示出良好的内部一致性。在髋关节调查和膝关节调查中，期望WOMAC与HSS之间的皮尔逊相关系数分别为0.45和0.48，但存在系统偏差。没有患者报告最低可能得分，只有3例（3.66%）计划进行髋关节置换的患者报告了最高可能得分。
法语版HSS髋关节或膝关节置换期望调查是一份可靠且有效的问卷，与原始英文版相比具有优势。因此，这个新版本可能有助于说法语的临床医生在下肢关节置换术前评估患者的期望。
