全髋关节置换术的哥本哈根髋部与腹股沟结果评分（HAGOS）简体中文版的跨文化调适与验证

Cross-cultural adaptation and validation of the Simplified Chinese version of Copenhagen Hip and Groin Outcome Score (HAGOS) for total hip arthroplasty.

作者信息

Cao Shiqi, Cao Jia, Li Sirui, Wang Wei, Qian Qirong, Ding Yu

机构信息

Department of Rehabilitation, Minimally Invasive Spine Center, Navy General Hospital, No. 6, Fucheng Road, Haidian District, Beijing, 100048, People's Republic of China.

Joint Surgery and Sports Medicine Department, Changzheng Hospital, Navy Medical University, No. 415, Fengyang Road, Huangpu District, Shanghai, 200003, People's Republic of China.

出版信息

J Orthop Surg Res. 2018 Nov 6;13(1):278. doi: 10.1186/s13018-018-0971-2.

DOI:10.1186/s13018-018-0971-2

PMID:30400966

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6219004/

Abstract

BACKGROUND

To translate and cross-culturally adapt the Copenhagen Hip and Groin Outcome Score (HAGOS) into a Simplified Chinese version (HAGOS-C) and evaluate the reliability, validity, and responsiveness of the HAGOS-C in total hip arthroplasty (THA) patients.

METHODS

The cross-cultural adaptation was performed according to the internationally recognized guidelines of the American Academy of Orthopaedic Surgeons Outcome Committee. A total of 192 participants were recruited in this study. The intra-class correlation coefficient (ICC) was used to determine reliability. Construct validity was analyzed by evaluating the correlations between HAGOS-C and EuroQoL 5-dimension (EQ-5D), as well as the short form (36) health survey (SF-36). Responsiveness of HAGOS-C was evaluated according to standard response means (SRM) and standard effect size (ES) between the first test and the third test (6 months after primary THA).

RESULTS

The original version of the HAGOS was well cross-culturally adapted and translated into Simplified Chinese. HAGOS-C was indicated to have excellent reliability (ICC = 0.748-0.936, Cronbach's alpha = 0.787-0.886). Moderate to substantial correlations between subscales of HAGOS-C and EQ-5D (r = 0.544-0.751, p < 0.001), as well as physical function (r = 0.567-0.640, p < 0.001), role physical (r = 0.570-0.613, p < 0.001), bodily pain (r = 0.467-0.604, p < 0.001), and general health (r = 0.387-0.432, p < 0.001) subscales of SF-36, were observed. The ES of 0.805-1.100 and SRM of 1.408-2.067 revealed high responsiveness of HAGOS-C.

CONCLUSIONS

HAGOS-C was demonstrated to have excellent acceptability, reliability, validity, and responsiveness in THA, which could be recommended for patients in mainland China.

摘要

背景

将哥本哈根髋关节与腹股沟功能评分（HAGOS）进行翻译并跨文化改编为简体中文版（HAGOS-C），并评估HAGOS-C在全髋关节置换术（THA）患者中的信度、效度和反应度。

方法

根据美国矫形外科医师学会结果委员会国际认可的指南进行跨文化改编。本研究共招募了192名参与者。采用组内相关系数（ICC）确定信度。通过评估HAGOS-C与欧洲五维健康量表（EQ-5D）以及简短健康调查问卷（SF-36）之间的相关性来分析结构效度。根据初次THA后第一次测试和第三次测试（6个月后）之间的标准反应均值（SRM）和标准效应量（ES）评估HAGOS-C的反应度。

结果

HAGOS原始版本成功进行了跨文化改编并翻译成简体中文。结果表明HAGOS-C具有出色的信度（ICC = 0.748 - 0.936，Cronbach's α = 0.787 - 0.886）。观察到HAGOS-C各子量表与EQ-5D（r = 0.544 - 0.751，p < 0.001）以及SF-36的身体功能（r = 0.567 - 0.640，p < 0.001）、角色功能（r = 0.570 - 0.613，p < 0.001）、躯体疼痛（r = 0.467 - 0.604，p < 0.001）和总体健康（r = 0.387 - 0.432，p < 0.001）子量表之间存在中度至高度相关性。0.805 - 1.100的ES和1.408 - 2.067的SRM表明HAGOS-C具有较高的反应度。