Hip complaints differ across age and sex: a population-based reference data for the Hip disability and Osteoarthritis Outcome Score (HOOS)

Sundén, Anne; Lidengren, K; Roos, Ewa M.; Lohmander, L. Stefan; Hansson, Eva Ekvall

doi:10.1186/s12955-018-1022-8

Cited by 10 publications

(17 citation statements)

References 20 publications

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“…Patients older than 70 years reported more hip-related complaints compared to the younger and there were significant differences in all subscales. This age related difference was in accordance with a study by Sundén et al which was a population based cohort study from Sweden of 840 individuals randomly retrieved, aged 18-84 years [22] . In contrast to our findings, Sundén et al showed that men scored better than women in all subscales regardless of age [22] .…”

Section: Discussionsupporting

confidence: 92%

“…The hip function in our study was somewhat higher compared to the results in a study of patients with osteoarthritis who underwent a hip arthroplasty and with an average age of 71 [15] . Our results were also equivalent to age and sex matched general population data of Sweden except the domain sport activities that was lower in our study [22] .…”

Section: Discussionsupporting

confidence: 88%

“…Initial raw data from each of the domains were converted to a scale ranging from zero to 100, where a high score represents a good outcome. The results of HOOS were compared between gender, age-groups and fracture type in our study as well as sex and age matched general population data of Sweden [22] .…”

Section: Hip Disability and Osteoarthritis Outcome Scorementioning

confidence: 99%

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Health related quality of life and mortality 10 years after a femoral neck fracture in patients younger than 70 years

Campenfeldt

Ekström

Al-Ani

et al. 2020

Injury

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Hip fractures in younger patientsFemoral neck fractures Health related quality of life Younger than 70 years of age Hip disability outcome score a b s t r a c t Background and purpose: A femoral neck fracture (FNF) may have long term effects on the patient's health related quality of life (HRQoL) and mortality, especially in patients younger than 70 years. These long-term effects are unknown since most studies have a short follow-up. The aim of this study was to investigate self-assessed hip function, HRQoL and factors associated with 10-years mortality after a FNF. Patients and methods:A prospective multicenter study with a 10-year follow-up of patients aged 20-69 years with a displaced and non-displaced FNF treated with closed reduction and internal fixation. The self-administered questionnaires EuroQol 5 Dimension (EQ-5D) and Hip Disability Outcome Score (HOOS) were used. Results of EQ-5D and HOOS was compared to sex and age matched general population data of Sweden. All patients that were deceased had their death date recorded. Factors associated with mortality were assessed by regression analysis of the baseline data including age, gender, harmful alcohol consumption according to AUDIT, co-morbidity measured by ASA-grade, body mass index, osteoporosis measured by dual energy x-ray absorptiometry (DXA) and smoking. Prevalence of co-morbidities and smoking was compared to general population data.Results: From initial 182 included patients, 55 were deceased at 10-year follow-up, 4 were deregistered from public record and 35 declined participations. A total of 88 patients participated through selfadministrated questionnaires. There were no significant differences in HOOS between gender and fracture type and the results were equivalent to general population data.The EQ-5D continued to improve compared to a 24-month follow-up ( p = 0.006) but did not recover to pre-fracture level ( p < 0.001) though it was equivalent to general population data. Higher age, comorbidity, osteoporosis and smoking were associated with increased mortality within 10 years after the fracture and the prevalence of co-morbidity and smoking was higher than the general population.Interpretation: Those patients who had survived 10 years after a FNF treated with CRIF had a HRQoL and hip function equivalent to age and sex matched general population of Sweden.However, a third of these relatively young patients had deceased 10 years after the hip fracture and they were more compromised than the general population.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

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Health related quality of life and mortality 10 years after a femoral neck fracture in patients younger than 70 years

Campenfeldt

Ekström

Al-Ani

et al. 2020

Injury

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“…But in that study, men scored higher than women in every subscale of HOOS regardless of age which were in contrast to our findings [91]. The results in our study implies that a FNF affects men to a higher degree according to HOOS but the differences were not statistically significant.…”

Section: Study IIIcontrasting

confidence: 99%

“…Younger patients reported less hip-related complains compared to patients above 70 years in every subscale and the differences were statistically significant. Similar findings were demonstrated in a cohort study of normal population in Sweden that included 840 individuals that were randomly included and had an age-span between 18-84 years [91].…”

Section: Study IIIsupporting

confidence: 83%

Good responsiveness with EuroQol 5-Dimension questionnaire and Short Form (36) Health Survey in 20–69 years old patients with a femoral neck fracture: A 2-year prospective follow-up study in 182 patients

Honkavaara

Al-Ani

Campenfeldt

et al. 2016

Injury

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National population-based reference data for the Hip Disability and Osteoarthritis Outcome Score (HOOS)

Larsen

Rathleff

Roos

et al. 2023

Arch Orthop Trauma Surg

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Introduction Interpretation of patient-reported outcome scores such as the Hip Disability and Osteoarthritis Outcome Score (HOOS) can be improved with use of reference values. The aim of the study was to establish population-based reference values for the HOOS’ five subscales and its short-form HOOS-12. Materials and methods A representative sample of 9997 Danish citizens 18 years and older were identified. The population record-based sample was based on seven predefined age groups and an equal sex distribution within each age group. A national secure electronic system was used to send the HOOS questionnaire and one supplementary question regarding previous hip complaints to all participants. Results 2277 participants completed the HOOS, 947 women (42%) and 1330 men (58%). The mean HOOS subscale scores were: pain 86.9 (95% CI 86.1–87.7), symptoms 83.7 (95% CI 82.9–84.5), ADL 88.2 (95% CI 87.5–89.0), sport and recreation function 83.1 (95% CI 82.0–84.1), QOL 82.7 (95% CI 81.8–83.6). The youngest age group reported better mean scores in four subscales compared to the oldest age group (pain 91.7 vs. 84.5, mean difference 7.2 95% CI 0.4–14.0), (ADL 94.6 points vs. 83.2, mean difference 11.4 95% CI 4.9–17.8), (sport and recreation function 91.5 points vs. 73.8 points, mean difference 17.7 95% CI 9.0–26.4), (QOL 88.9 points vs. 78.8, mean difference 10.1 points 95% CI 2.0–18.2). Participants with a self-reported hip complaint had worse HOOS scores across all subscales (mean difference range 22.1–34.6). Super obese patients (BMI > 40) had > 12.5 points worse scores across the five HOOS subscales. Results were similar for the HOOS-12. Conclusion This study provides reference values for the HOOS and its short form HOOS-12. Results show that older patients and patients with a BMI over 40 have worse HOOS and HOOS-12 scores that may be of clinical importance in the interpretation of scores both when evaluating potential for improvement and post-treatment results.

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Hip complaints differ across age and sex: a population-based reference data for the Hip disability and Osteoarthritis Outcome Score (HOOS)

Cited by 10 publications

References 20 publications

Health related quality of life and mortality 10 years after a femoral neck fracture in patients younger than 70 years

Health related quality of life and mortality 10 years after a femoral neck fracture in patients younger than 70 years

Good responsiveness with EuroQol 5-Dimension questionnaire and Short Form (36) Health Survey in 20–69 years old patients with a femoral neck fracture: A 2-year prospective follow-up study in 182 patients

National population-based reference data for the Hip Disability and Osteoarthritis Outcome Score (HOOS)

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