全髋关节置换术后骨关节炎患者髋关节残疾和骨关节炎结局评分（HOOS）的波兰适应性和验证。
Polish adaptation and validation of the hip disability and osteoarthritis outcome score (HOOS) in osteoarthritis patients undergoing total hip replacement.
机构信息
Department of Orthopaedics and Traumatology, Ministry of Interior and Administration Hospital, Warmia and Mazury Oncology Centre, Olsztyn, Poland.
Division of Orthopaedics, Department of Surgical and Perioperative Sciences, Sunderby Research Unit, Umeå University, Umeå, Sweden.
出版信息
Health Qual Life Outcomes. 2020 May 12;18(1):135. doi: 10.1186/s12955-020-01390-4.
BACKGROUND
The Hip disability and Osteoarthritis Outcome Score (HOOS) is a frequently used patient-reported outcome measure (PROM) for assessment of hip disorders and treatment effects following hip surgery. The objective of the study was to translate and adapt the Hip disability and Osteoarthritis Outcome Score (HOOS) into Polish and to investigate the psychometric properties of the HOOS in patients with osteoarthritis undergoing total hip replacement (THR).
MATERIALS AND METHODS
The Polish version of the HOOS was developed according to current guidelines. Patients completed the HOOS, Short Form 36 Health Survey (SF-36), the visual analogue scale (VAS) for pain and the global perceived effect (GPE) scale. Psychometric properties including interpretability (floor/ceiling effects), internal consistency (Cronbach's alpha), test-retest reliability (intra-class correlation coefficient, ICC), convergent construct validity (a priori hypothesized Spearman's correlations between the HOOS subscales, the generic SF-36 measure and the VAS for pain) and responsiveness (effect size, association between the HOOS and GPE scores) were analyzed.
RESULTS
The study included 157 patients (mean age 66.8 years, 54% women). Floor effects were found prior to THR for the HOOS subscales Sports and Recreation and Quality of Life. The Cronbach's alpha was over 0.7 for all subscales indicating satisfactory internal consistency. The test-retest reliability was good for the HOOS subscale Pain (0.82) and excellent for all other subscales with ICCs ranging from 0.91 to 0.96. The minimal detectable change ranged from 12.0 to 26.2 on an individual level and from 1.4 to 3.0 on a group level. Seven out of eight a priori hypotheses were confirmed indicating good construct validity. Responsiveness was high since the expected pattern of effect sizes in all subscales was found.
CONCLUSIONS
The Polish version of the HOOS demonstrated good reliability, validity and responsiveness for use in patient groups having THR.
背景
髋关节障碍和骨关节炎结局评分（HOOS）是一种常用于评估髋关节疾病和髋关节手术后治疗效果的患者报告结局测量（PROM）。本研究的目的是将髋关节障碍和骨关节炎结局评分（HOOS）翻译并改编为波兰语，并研究其在接受全髋关节置换术（THR）的骨关节炎患者中的心理测量特性。
材料与方法
根据当前指南开发了 HOOS 的波兰语版本。患者完成 HOOS、36 项简短健康调查（SF-36）、疼痛视觉模拟量表（VAS）和总体感知效应（GPE）量表。心理测量特性包括可解释性（地板/天花板效应）、内部一致性（Cronbach's alpha）、测试-重测信度（组内相关系数，ICC）、收敛结构效度（HOOS 子量表与通用 SF-36 量表和疼痛 VAS 之间的预先假设 Spearman 相关性）和反应度（效应量，HOOS 与 GPE 评分之间的关联）。
结果
该研究纳入了 157 名患者（平均年龄 66.8 岁，54%为女性）。在 THR 之前，HOOS 子量表运动和娱乐以及生活质量存在地板效应。所有子量表的 Cronbach's alpha 均超过 0.7，表明内部一致性良好。HOOS 子量表疼痛的测试-重测信度良好（0.82），所有其他子量表的 ICC 均为 0.91 至 0.96，信度极好。个体水平的最小可检测变化范围为 12.0 至 26.2，组水平的最小可检测变化范围为 1.4 至 3.0。八项预先假设中有七项得到证实，表明结构效度良好。反应度高，因为在所有子量表中都发现了预期的效应量模式。
结论
HOOS 的波兰语版本在接受 THR 的患者群体中具有良好的可靠性、有效性和反应性。
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