Translation, cross-cultural adaptation and validation of the Danish version of the Oxford hip score

Abstract

ObjectivesThe Oxford hip score (OHS) is a 12-item questionnaire designed and developed to assess function and pain from the perspective of patients who are undergoing total hip replacement (THR). The OHS has been shown to be consistent, reliable, valid and sensitive to clinical change following THR. It has been translated into different languages, but no adequately translated, adapted and validated Danish language version exists.MethodsThe OHS was translated and cross-culturally adapted into Danish from the original English version, using methods based on best-practice guidelines. The translation was tested for psychometric quality in patients drawn from a cohort from the Danish Hip Arthroplasty Register (DHR).ResultsThe Danish OHS had a response rate of 87.4%, no floor effect and a 19.9% ceiling effect (as expected in post-operative patients). Only 1.2% of patients had too many items missing to calculate a sum score. Construct validity was adequate and 80% of our predefined hypotheses regarding the correlation between scores on the Danish OHS and the other questionnaires were confirmed. The intraclass correlation (ICC) of the different items ranged from 0.80 to 0.95 and the average limits of agreement (LOA) ranged from -0.05 to 0.06. The Danish OHS had a high internal consistency with a Cronbach’s alpha of 0.99 and an average inter-item correlation of 0.88.ConclusionsThis Danish version of the OHS is a valid and reliable patient-reported outcome measurement instrument (PROM) with similar qualities to the original English language version.

Cross-cultural adaptation and validation of the Spanish version of the Oxford Hip Score in patients with hip osteoarthritis

“…Reported values of ICC were slightly higher than those found in other studies (range from 0.89 to 0.97) [22–24, 27, 50], which may be due to the way in which the OHS score was obtained in the follow-up, namely by telephone interview.…”

Higher early proximal migration of hemispherical cups with electrochemically applied hydroxyapatite (BoneMaster) on a porous surface compared with porous surface alone: a randomized RSA study with 53 patients

“…Although preoperative score does not affect the Patient Acceptable Symptom State (PASS) postoperatively it may explain why PBM cups had superior improvement from baseline to 2-year follow-up in HOOS Symptoms sub-score (Paulsen et al 2014). Postoperatively, patients reached OHS exceeding 40 points, which is the threshold corresponding to PASS after THR, and also corresponding to the Danish background population-based value of OHS (Paulsen et al 2012, Keurentjes et al 2014.…”

“…Patient-reported outcomes were hip disability and osteoarthritis outcome score (HOOS) and Oxford hip score (OHS). HOOS were recorded in 5 subscales (pain, symptoms, ADL, sport, and quality of life) and have been validated for use in patients receiving total hip arthroplasty (Paulsen et al 2012). Outcome was evaluated in each subscale giving from 0 (worst) to 100 (best) points.…”

Preoperative Performance of Patient-Reported Outcomes Measurement Information System in Patients with Meniscal Root Tears

“…In orthopedic literature floor and ceiling effects are typically defined as present if !15% of participants scored at the lowest or highest score. 11,[13][14][15] This was utilized for PROMIS PF-CT, SF-36 PF, KOOS-sports and KOOS-ADL. 16 SAS version 9.4 (SAS Institute Inc., Cary, NC) was utilized for all statistical analyses, with statistical significance defined as p < 0.05.…”