International Hip Outcome Tool (12-items) as health-related quality-of-life measure in osteoarthritis: validation of Greek version

Stasi, Sophia; Stamou, Magdalini; Papathanasiou, George; Frantzeskaki, Paraskevi; Kanavas, Emmanouil; Evaggelou-Sossidis, George; Gouskos, Adamantios; Palantzas, Andreas; Poursanidis, Kyriakos; Macheras, George A.

doi:10.1186/s41687-020-00207-8

Cited by 11 publications

(13 citation statements)

References 52 publications

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“…Both tools are validated for their use in the Greek population. 17,18 The American Society of Anesthesiologists (ASA) score was reported preoperatively in all patients as a measure of comorbidity index. 19,20 Radiological measurements regarding leg length discrepancy (LLD), acetabular component abduction angle, and cup anteversion were evaluated by two independent radiologists (specializing in musculoskeletal radiology), to assess if obesity had affected the optimal position of the implants.…”

Section: Methodsmentioning

confidence: 99%

Total hip arthroplasty through the direct anterior approach in morbidly obese patients

Argyrou

Tzefronis

Kateros³

et al. 2022

Bone & Joint Open

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Aims There is evidence that morbidly obese patients have more intra- and postoperative complications and poorer outcomes when undergoing total hip arthroplasty (THA) with the direct anterior approach (DAA). The aim of this study was to determine the efficacy of DAA for THA, and compare the complications and outcomes of morbidly obese patients with nonobese patients. Methods Morbidly obese patients (n = 86), with BMI ≥ 40 kg/m2 who underwent DAA THA at our institution between September 2010 and December 2017, were matched to 172 patients with BMI < 30 kg/m2. Data regarding demographics, set-up and operating time, blood loss, radiological assessment, Harris Hip Score (HHS), International Hip Outcome Tool (12-items), reoperation rate, and complications at two years postoperatively were retrospectively analyzed. Results No significant differences in blood loss, intra- and postoperative complications, or implant position were observed between the two groups. Superficial wound infection rate was higher in the obese group (8.1%) compared to the nonobese group (1.2%) (p = 0.007) and relative risk of reoperation was 2.59 (95% confidence interval 0.68 to 9.91). One periprosthetic joint infection was reported in the obese group. Set-up time in the operating table and mean operating time were higher in morbidly obese patients. Functional outcomes and patient-related outcome measurements were superior in the obese group (mean increase of HHS was 52.19 (SD 5.95) vs 45.1 (SD 4.42); p < 0.001), and mean increase of International Hip Outcome Tool (12-items) was 56.8 (SD 8.88) versus 55.2 (SD 5.85); p = 0.041). Conclusion Our results suggest that THA in morbidly obese patients can be safely and effectively performed via the DAA by experienced surgeons. Cite this article: Bone Jt Open 2022;3(1):4–11.

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Section: Methodsmentioning

confidence: 99%

Total hip arthroplasty through the direct anterior approach in morbidly obese patients

Argyrou

Tzefronis

Kateros³

et al. 2022

Bone & Joint Open

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“…However, previously reported THA techniques 12,13 and PROMs were used. [14][15][16] Additionally, questionnaires are subjective, and there may be inter-subject variation in how the questions were interpreted. However, we did use a valid instrument that has been published previously to help minimize this.…”

Section: Discussionmentioning

confidence: 99%

“…Clinical and radiological outcomes. Location of maximum pain severity, number of pain locations, maximum severity of pain, modified Harris Hip Score (mHHS), 14 Hip Outcome Score (HOS), 15 and international Hip Outcome Tool (iHOT-12) 16 were assessed by patient self-reported hip questionnaires completed at preoperative and postoperative visits. 11 Postoperative outcome measures were recorded at the most recent follow-up appointment.…”

Section: Methodsmentioning

confidence: 99%

The relationship between patient-reported outcomes and preoperative pain characteristics in patients who underwent total hip arthroplasty

et al. 2022

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Aims This study aims to answer the following questions in patients with hip osteoarthritis (OA) who underwent total hip arthroplasty (THA): are patient-reported outcome measures (PROMs) affected by the location of the maximum severity of pain?; are PROMs affected by the presence of non-groin pain?; are PROMs affected by the severity of pain?; and are PROMs affected by the number of pain locations? Methods We reviewed 336 hips (305 patients) treated with THA for hip OA from December 2016 to November 2019 using pain location/severity questionnaires, modified Harris Hip Score (mHHS), Hip Outcome Score (HOS), international Hip Outcome Tool (iHOT-12) score, and radiological analysis. Descriptive statistics, analysis of covariance (ANCOVA), and Spearman partial correlation coefficients were used. Results There was a significant difference in iHOT-12 scores between groups experiencing the most severe pain in the groin and the trochanter (p = 0.039). Additionally, more favourable mHHS scores were related to the presence of preoperative pain in trochanter (p = 0.049), lower back (p = 0.056), lateral thigh (p = 0.034), and posterior thigh (p = 0.005). Finally, the maximum severity of preoperative pain and number of pain locations had no significant relationship with PROMs (maximum severity: HHS: p = 0.928, HOS: p = 0.163, iHOT-12 p = 0.233; number of pain locations: HHS: p = 0.211; HOS: p = 0.801; iHOT-12: p = 0.112). Conclusion Although there was a significant difference in iHOT-12 scores between patients with the most severe pain in the groin or trochanter, and the presence of pain in the trochanter, lower back, lateral thigh, or posterior thigh was related to higher mHHS scores, the majority of preoperative pain characteristics did not have a significant impact on outcomes. Therefore, a broad array of patients with hip OA might expect similar, favourable outcomes from THA notwithstanding preoperative pain characteristics. Cite this article: Bone Jt Open 2022;3(4):332–339.

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“…Functional ability was evaluated with the objective physical performance measure Timed Up & Go (TUG) test[ 24 ], and with the reliable and validated Greek version of the Modified Harris Hip Score (MHHS-Gr)[ 25 ]. Quality-of-life was measured with the reliable and validated Greek version of the International Hip Outcome Tool -12 items (iHOT12-Gr)[ 26 ]. One examiner carried out the measurements of all outcomes, and he did not involve in any other part of the study.…”

Section: Methodsmentioning

confidence: 99%

“…iHOT12 : The iHOT12 questionnaire includes 12 questions on the patient's symptoms, functional and sports limitations as well as social, emotional, and occupational limitations[ 26 ]. The patient is asked to consider the problems arising from their hip disorders and quantify their quality-of-life level on a 100 mm horizontal line (visual analogue scale) by marking it with a slash.…”

Section: Methodsmentioning

confidence: 99%

Direct anterior approach vs Hardinge in obese and nonobese osteoarthritic patients: A randomized controlled trial

Macheras¹,

Stasi²,

Triantafyllou³

et al. 2021

WJO

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BACKGROUND The increased prevalence of obesity has resulted in orthopedic surgeons being likely to face many patients with a high body mass index (BMI) who warrant total hip arthroplasties (THAs) over the coming years. Studies' findings considered the postoperative clinical, and functional outcomes in these patients are controversial, and selecting the most appropriate surgical approach remains debatable. AIM To compare pain-levels, functionality, and quality-of-life in obese and nonobese osteoarthritic patients who have undergone primary total hip arthroplasty through either direct-anterior-approach (DAA) or Hardinge-approach. METHODS One hundred and twenty participants (> 50 years) were divided into four groups according to the surgical approach (DAA or Hardinge) and patients' BMI (nonobese < 30 kg/m 2 vs obese ≥ 30 kg/m 2 ). Outcomes were measured preoperatively and postoperatively (6 th and 12 th week). Pain was measured with Face Pain Scale-Revised (FPS-R). Functionality was measured with Timed Up & Go (TUG) test and Modified Harris Hip Score-Greek version (MHHS-Gr). Quality-of-life was evaluated with the 12-item-International Hip Outcome Tool-Greek version (iHOT12-Gr) (Clinical Trial Identifier: ISRCTN15066737). RESULTS DAA vs Hardinge: (week 6) DAA-patients showed 12.2% less pain, more functionality (14.8% shorter TUG-performance time, 21.5% higher MHHS-Gr), and 38.16% better quality-of-life (iHOT12-Gr) compared to Hardinge-patients (all P values < 0.001). These differences were further increased on week 12 (all P values ≤ 0.05)]. DAA-obese vs Hardinge–obese: (week 6) DAA-obese patients had less pain, shorter TUG-performance time, better MHHS-Gr and iHOT12-Gr scores than Hardinge-obese (all P values < 0.01). (Week 12) Only the TUG-performance time of DAA-obese was significantly shortened (22.57%, P < 0.001). DAA-nonobese vs DAA-obese: no statistically significant differences were observed comparing the 6 th and 12 th weeks' outcomes. CONCLUSION DAA-groups reported less pain, more functionality and better quality-of-life, compared to the Hardinge-groups. The DAA benefited obese and nonobese patients, similarly yet faster, suggesting that it should be the more preferred choice for obese patients, instead of Hardinge. However, more comparative studies with more extended follow-up periods are needed to confirm our results and better evaluate all patients' long-term outcomes.

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International Hip Outcome Tool (12-items) as health-related quality-of-life measure in osteoarthritis: validation of Greek version

Cited by 11 publications

References 52 publications

Total hip arthroplasty through the direct anterior approach in morbidly obese patients

Total hip arthroplasty through the direct anterior approach in morbidly obese patients

The relationship between patient-reported outcomes and preoperative pain characteristics in patients who underwent total hip arthroplasty

Direct anterior approach vs Hardinge in obese and nonobese osteoarthritic patients: A randomized controlled trial

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