Comparative, validity and responsiveness of the HOOS-PS and KOOS-PS to the WOMAC physical function subscale in total joint replacement for Osteoarthritis

被引：139

作者：

Davis, A. M. ^{[1
,2
,3
,4
,5
,6
]}

Perruccio, A. V. ^{[1
,2
,7
]}

Canizares, M. ^{[1
,2
]}

Hawker, G. A. ^{[5
,8
,9
]}

Roos, E. M. ^{[10
,11
]}

Maillefert, J. -F. ^{[12
,13
]}

Lohmander, L. S. ^{[11
]}

机构：

[1] Toronto Western Res Inst, Div Hlth Care & Outcomes Res, Toronto, ON M5T 2S8, Canada

[2] Toronto Western Res Inst, Arthrit Community Res & Evaluat Unit, Toronto, ON M5T 2S8, Canada

[3] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada

[4] Univ Toronto, Dept Rehabil Sci, Toronto, ON, Canada

[5] Univ Toronto, Dept Hlth Policy Management & Evaluat, Toronto, ON, Canada

[6] Univ Toronto, Inst Med Sci, Toronto, ON M5S 1A1, Canada

[7] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[8] Womens Coll Hosp, Div Rheumatol, Dept Med, Toronto, ON M5S 1B2, Canada

[9] Univ Toronto, Dept Med, Toronto, ON, Canada

[10] Univ So Denmark, Inst Sports Sci & Clin Biomech, Odense, Denmark

[11] Lund Univ, Dept Orthopaed, S-22100 Lund, Sweden

[12] Univ Burgundy, Dijon Univ Hosp, F-21079 Dijon, France

[13] Univ Burgundy, INSERM, U887, F-21079 Dijon, France

来源：

OSTEOARTHRITIS AND CARTILAGE | 2009年 / 17卷 / 07期

基金：

芬兰科学院; 加拿大健康研究院;

关键词：

HOOS-PS; KOOS-PS; Validity; Responsiveness; Total joint replacement; WOMAC; MCMASTER UNIVERSITIES OSTEOARTHRITIS; WESTERN-ONTARIO; PAIN SEVERITY; SELF-REPORT; KNEE; INDEX; HIP; RELIABILITY; HEALTH; POPULATION;

D O I：

10.1016/j.joca.2009.01.005

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Objective: To evaluate the internal consistency of the Hip disability and Osteoarthritis Outcome Score-Physical Function Short-form (HOOS-PS) and the Knee injury and Ostecarthritis Outcome Score-Physical Function Short-form (KOOS-PS) in total hip replacement (THR) and total knee (TKR) replacement. Construct validity and responsiveness were compared to the Western Ontario McMaster Universities' Osteoarthritis Index (WOMAC) Likert 3.0 physical function (PF) subscale and the PF excluding the items in the short measures (PF-exclusions). Methods: Participants completed the full HOOS or KOOS, measures of fatigue, anxiety. depression and the Chronic Pain Grade (CPG) pre-surgery and the HOOS or KOOS 6 months post-surgery. Internal consistency for the HOOS-PS and KOOS-PS was calculated using Cronbach's alpha. For construct validity, it was hypothesized that correlations between the HOOS-PS or KOOS-PS and PF and PF-exclusions with fatigue, CPG, anxiety and depression and HOOS/KOOS pain scales would differ by magnitudes of <0.1. Standardized response means (SRMs) were calculated for the HOOS-PS, KOOS-PS, PF and PF-exclusions and hypothesized to be >1. Results: The THR group (n = 201) had a mean age of 62.3 years; 53.2% were female. The TKR group (n = 248) had a mean age of 64.5 years; 63.7% were female. Cronbach's alpha was 0.79 and 0.89 for the HOOS-PS and KOOS-PS, respectively, confirming that the measures represented a homogeneous construct. The correlation of the HOOS-PS to the PF and PF-exclusions was 0.90 and 0.86, respectively; r = 0.90 (PF) and r = 0.85 (PF-exclusions) for the KOOS-PS. The results supported the construct validity hypotheses. For THR, the SRM was 1.5, 1.7 and 1.7 for the HOOS-PS, PF and PF-exclusions; for TKR, the SRM was 1.4, 1.5 and 1.7, respectively. Conclusions: The short HOOS-PS and KOOS-PS represent homogenous short measures of PF with similar construct validity and responsiveness to the 17-item PF. The HOOS-PS and KOOS-PS are parsimonious, valid and responsive for evaluating PF in THR and TKR. (C) 2009 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

引用

页码：843 / 847

页数：5

共 37 条

[1]

[Anonymous], WOMAC OSTEOARTHRITIS

[2]

BADLEY EM, 1994, J RHEUMATOL, V21, P505

[3]

Badley EM, 1998, J RHEUMATOL, V25, P138

[4]

Bellamy N., 1988, J Orthop Rheumatol, V1, P95

[5]

The accuracy of assessing total hip arthroplasty outcomes - A prospective correlation study of walking ability and 2 validated measurement devices [J].

Boardman, DL ;

Dorey, F ;

Thomas, BJ ;

Lieberman, JR .

JOURNAL OF ARTHROPLASTY, 2000, 15 (02) :200-204

[6]

*CAN I HLTH RES, 2007, CAN TOT JOINT REPL R

[7]

Cohen J., 1988, Statistical power analysis for the behavioural sciences, V2nd

[8]

Cronbach LJ, 1951, PSYCHOMETRIKA, V16, P297

[9]

The development of a short measure of physical function for hip OA HOOS-Physical Function Shortform (HOOS-PS): an OARSI/OMERACT initiative [J].

Davis, A. M. ;

Perruccio, A. V. ;

Canizares, M. ;

Tennant, A. ;

Hawker, G. A. ;

Conaghan, P. G. ;

Roos, E. M. ;

Jordan, J. M. ;

Maillefert, J. -F. ;

Dougados, M. ;

Lohmander, L. S. .

OSTEOARTHRITIS AND CARTILAGE, 2008, 16 (05) :551-559

[10]

Rasch analysis of the Western Ontario McMaster (WOMAC) Osteoarthritis Index: results from community and arthroplasty samples [J].

Davis, AM ;

Badley, EM ;

Beaton, DE ;

Kopec, J ;

Wright, JG ;

Young, NL ;

Williams, JI .

JOURNAL OF CLINICAL EPIDEMIOLOGY, 2003, 56 (11) :1076-1083

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