Lara-Taranchenko Y, Pujol O, González-Morgado D, Hernández A, Barro V, Soza D
Unidad de Cirugía de Cadera, Universidad Autónoma de Barcelona. Departamento de Cirugía, Hospital Universitari Vall d'Hebron, Barcelona, España.
Unidad de Cirugía de Cadera, Universidad Autónoma de Barcelona. Departamento de Cirugía, Hospital Universitari Vall d'Hebron, Barcelona, España.
Rev Esp Cir Ortop Traumatol. 2024 Mar-Apr;68(2):121-127. doi: 10.1016/j.recot.2023.03.013. Epub 2023 Apr 5.
Modified Harris Hip Score (HHS) is one of the most used scales in the assessment of patients with hip pathology. Although a Spanish cross-cultural adaptation has been recently published, there are many studies supporting its validity yet. Therefore, the aim of this study is to validate the newly adapted Spanish version of the HHS (ES-EHM), comparing it with the WOMAC scale.
The ES-EHM scale was applied to 100 patients who underwent a total hip replacement, in three different situations: (1) prior to surgery (pre-surgical ES-EHM), (2) after surgery, with at least 2 years of follow up (after surgery ES-EHM), and (3) 6 months after the postsurgical registration (final ES-EHM). WOMAC questionnaire was also applied once. We analyzed data of scale main score, pain score, function-related score as well as the mean of pre-surgical, postsurgical and final postsurgical ES-EHM scale, in both the ES-EHM and the WOMAC scales. Parameters of reliability, validity and sensitivity to change were obtained.
Clinically relevant improvement was observed (46.55 points) when comparing pre-surgical and post-surgical ES-EHM scores. However, no differences between postsurgical and final ES-EHM were detected. Even so, strong correlation was obtained between the following: (1) postsurgical ES-EHM and final ES-EHM scores, (2) ES-EHM and WOMAC scores, and (3) pain and function-related parameters of ES-EHM and WOMAC scores. Standardized response mean (SRM) was 2.99, test-retest reliability expressed by the intraclass correlation coefficient was 0.90 and Cronbach index 0.95.
The Spanish cross-cultural adaptation of the EHM scale shows to be reliable, valid and sensitive to change. Thus, the Spanish medical staff will be able to apply the ES-EHM scale with good scientific support.
改良Harris髋关节评分（HHS）是评估髋关节疾病患者时最常用的量表之一。尽管最近已发表了西班牙语的跨文化适应性版本，但仍有许多研究支持其有效性。因此，本研究的目的是验证新改编的西班牙语版HHS（ES-EHM），并将其与WOMAC量表进行比较。
ES-EHM量表应用于100例行全髋关节置换术的患者，分三种不同情况：（1）手术前（术前ES-EHM），（2）手术后，至少随访2年（术后ES-EHM），以及（3）术后登记6个月后（最终ES-EHM）。WOMAC问卷也仅应用一次。我们分析了ES-EHM量表和WOMAC量表中量表总分、疼痛评分、功能相关评分以及术前、术后和术后最终ES-EHM量表的均值数据。获得了可靠性、有效性和变化敏感性参数。
比较术前和术后ES-EHM评分时观察到临床相关改善（46.55分）。然而，未检测到术后与最终ES-EHM之间的差异。即便如此，在以下方面获得了强相关性：（１）术后ES-EHM与最终ES-EHM评分，（２）ES-EHM与WOMAC评分，以及（３）ES-EHM和WOMAC评分的疼痛与功能相关参数。标准化反应均值（SRM）为2.99，组内相关系数表示的重测信度为0.90，Cronbach指数为0.95。
EHM量表的西班牙语跨文化适应性版本显示出可靠、有效且对变化敏感。因此，西班牙医务人员将能够在良好的科学支持下应用ES-EHM量表。
