国际髋关节结局工具 12 问卷（iHOT-12）：意大利语跨文化调适与验证。
The international Hip Outcome Tool 12 questionnaire (iHOT-12): an Italian language cross-cultural adaptation and validation.
机构信息
Reparto di Chirurgia dell'Anca Displasica (CAD), ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, University of Milan, Milan, Italy.
Clinica Ortopedica e Traumatologica Policlinico G. Rodolico - San Marco-Università degli Studi di Catania, Catania, Italy.
出版信息
J Orthop Traumatol. 2024 Nov 27;25(1):59. doi: 10.1186/s10195-024-00796-w.
BACKGROUND
Patient-reported outcome (PRO) measures are essential for evaluating disease-related quality of life. The International Hip Outcome Tool 12 (iHOT12) assesses various aspects of hip-related symptoms, function, sports participation, and social limitations. This study aimed to adapt and validate an Italian version of the iHOT12 according to COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines.
MATERIALS AND METHODS
A multicenter observational cohort study was conducted to translate and validate the iHOT-12 into Italian (iHOT-12-ita) and assess its psychometric properties. Following international guidelines, we translated and culturally adapted the iHOT-12-ita. Patients with hip pain included in the study completed the iHOT-12-ita and mHHS-ita questionnaires at three timepoints: initial consultation (T0), 10-20 days later (T1), and at least 2 months after treatment (T2): hip injection, hip arthroscopy or total hip replacement. The evaluation of the iHOT-12-ita psychometric properties was conducted following the COSMIN checklist, assessing its reliability, responsiveness, interpretability, and acceptability.
RESULTS
Between May 2019 to September 2022, 104 patients were included, from two tertiary hip surgery referral center clinics, they completed both questionnaires and were available for data analysis. The psychometric evaluations revealed robust test-retest reliability on 27 patients at T1, with a Lin coefficient of 0.709 [95% confidence interval (CI) 0.553-0.888] and a high Pearson correlation coefficient of 0.745. At T2 after treatment, there was significant responsiveness (p < 0.001, n = 72), with excellent correlation observed between the iHOT-12-Ita and mHHS-Ita questionnaires (pwcorr = 0.7971). All predefined hypotheses were confirmed.
CONCLUSIONS
The Italian iHOT-12-ita proved reliable, valid, and responsive in assessing hip disease-related quality of life. Its implementation in routine clinical practice and research can enhance patient care and research quality in hip preservation surgery for the Italian orthopedic community.
LEVEL OF EVIDENCE
II.
背景
患者报告的结局（PRO）测量对于评估与疾病相关的生活质量至关重要。国际髋关节结局工具 12（iHOT12）评估了与髋关节相关的症状、功能、运动参与和社会限制的各个方面。本研究旨在根据共识基础的健康测量仪器选择标准（COSMIN）指南，将意大利语版本的 iHOT12 进行改编和验证。
材料和方法
进行了一项多中心观察性队列研究，以将 iHOT-12 翻译成意大利语（iHOT-12-ita）并评估其心理测量特性。根据国际指南，我们对 iHOT-12-ita 进行了翻译和文化适应性改编。纳入研究的髋部疼痛患者在三个时间点完成了 iHOT-12-ita 和 mHHS-ita 问卷：初始咨询（T0）、10-20 天后（T1）和治疗后至少 2 个月（T2）：髋关节注射、髋关节镜检查或全髋关节置换。根据 COSMIN 清单评估了 iHOT-12-ita 的心理测量特性，评估其可靠性、反应性、可解释性和可接受性。
结果
2019 年 5 月至 2022 年 9 月期间，来自两家三级髋关节手术转诊中心诊所的 104 名患者完成了这两份问卷，可用于数据分析。心理测量评估显示，在 T1 时对 27 名患者进行了可靠的重测，Lin 系数为 0.709 [95%置信区间（CI）0.553-0.888]，Pearson 相关系数为 0.745。在治疗后的 T2 时，具有显著的反应性（p<0.001，n=72），iHOT-12-Ita 和 mHHS-Ita 问卷之间观察到极好的相关性（pwcorr=0.7971）。所有预先设定的假设均得到证实。
结论
意大利语 iHOT-12-ita 在评估与髋关节疾病相关的生活质量方面具有可靠性、有效性和反应性。在意大利骨科界，其在常规临床实践和研究中的应用可以提高髋关节保存手术的患者护理和研究质量。
证据水平
II。
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