Krueger David R, Leopold Vincent J, Schroeder Joerg H, Perka Carsten, Hardt Sebastian
Department of Orthopaedics, Herzogin Elisabeth Hospital, 38124 Braunschweig, Germany.
Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.
J Clin Med. 2020 Jul 10;9(7):2179. doi: 10.3390/jcm9072179.
The subjective hip value (SHV) was developed as a patient-reported outcome measurement (PROM) that is easily and quickly performed and interpreted. The SHV is defined as a patient's subjective hip measurement tool expressed as a percentage of an entirely normal hip joint, which would score 100%. The hypothesis is that results of the subjective hip value correlate with the results of the modified Harris hip score and the International Hip Outcome Tool in patients with hip-related diseases.
302 patients completed the modified Harris hip score (mHHS), the International Hip Outcome Tool (iHot-33) as well as the SHV. The SHV consist of only one question: "What is the overall percent value of your hip if a completely normal hip represents 100%?". The patients were divided into five different groups depending on the diagnosis. Pearson correlation was used to evaluate the correlation between the different PROMs and linear regression analysis was used to calculate R.
302 complete datasets were available for evaluation. There was a high correlation between the SHV and the iHOT-33 ( = 0.847; = 0.692, < 0.001) and the mHHS ( = 0.832; = 0.717, < 0.001). The SHV showed a medium ( = 0.653) to high ( = 0.758) correlation with the mHHS and the iHOT-33 in all diagnosis groups.
The SHV offers a useful adjunct to established hip outcome measurements, as it is easily and quickly performed and interpreted. The SHV reflects the view of the patient and is independent of the diagnosis. Further research with prospective studies is needed to test the psychometric properties of the score.
主观髋关节值（SHV）是作为一种患者报告结局测量指标（PROM）而开发的，其执行和解释简便快捷。SHV被定义为患者的主观髋关节测量工具，以完全正常的髋关节（得分为100%）的百分比来表示。假设是主观髋关节值的结果与髋关节相关疾病患者的改良Harris髋关节评分和国际髋关节结局工具的结果相关。
302名患者完成了改良Harris髋关节评分（mHHS）、国际髋关节结局工具（iHot-33）以及SHV评估。SHV仅包含一个问题：“如果完全正常的髋关节为100%，您的髋关节整体百分比值是多少？”。根据诊断将患者分为五个不同组。使用Pearson相关性评估不同PROM之间的相关性，并使用线性回归分析计算R值。
有302个完整数据集可供评估。SHV与iHOT-33（r = 0.847；R² = 0.692，P < 0.001）和mHHS（r = 0.832；R² = 0.717，P < 0.001）之间存在高度相关性。在所有诊断组中，SHV与mHHS和iHOT-33显示出中等（r = 0.653）至高（r = 0.758）的相关性。
SHV为既定的髋关节结局测量提供了有用的辅助手段，因为它执行和解释简便快捷。SHV反映了患者的观点，且与诊断无关。需要进行前瞻性研究的进一步研究来测试该评分的心理测量特性。
