Abstract
Introduction
The purpose of this study was to translate the Oxford hip score (OHS) into Turkish and to evaluate the psychometric properties by testing the internal consistency, reproducibility, construct validity, and responsiveness in patients with hip osteoarthritis (OA).
Patients and methods
Oxford hip score was translated and culturally adapted according to the guidelines in the literature. Seventy patients (mean age 61.45 ± 9.29 years) with hip osteoarthritis participated in the study. Patients completed the Turkish Oxford hip score (OHS-TR), the Short-Form 36 (SF-36), and Western Ontario and McMaster Universities Index (WOMAC). Internal consistency was tested using Cronbach’s α coefficient. Patients completed OHS-TR questionnaire twice in 7 days for determining the reproducibility. Correlation between the total results of both tests was determined by the Pearson correlation coefficient and intraclass correlation coefficient (ICC). Validity was assessed by calculating the Pearson correlation coefficient between the OHS-TR and WOMAC and SF-36 scores. Floor and ceiling effects were analyzed.
Results
The internal consistency was high (Cronbach’s α 0.93). The construct validity showed a significant correlation between the OHS-TR and WOMAC and related SF-36 domains (p < 0.001). The ICC’s ranged between 0.80 and 0.99. There was no floor or ceiling effect in total OHS-TR score.
Conclusions
The OHS-TR questionnaire is valid, reliable, and responsive for the Turkish-speaking patients with hip OA.
Similar content being viewed by others
References
Michael JW, Schluter-Brust KU, Eysel P (2010) The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee. Dtsch Arztebl Int 107(9):152–162. doi:10.3238/arztebl.2010.0152
Oliveria SA, Felson DT, Reed JI, Cirillo PA, Walker AM (1995) Incidence of symptomatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization. Arthritis Rheum 38(8):1134–1141
Felson DT, Zhang Y (1998) An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis Rheum 41(8):1343–1355. doi:10.1002/1529-0131(199808)41:8<1343:AID-ART3>3.0.CO;2-9
Dunlop DD, Manheim LM, Song J, Chang RW (2001) Arthritis prevalence and activity limitations in older adults. Arthritis Rheum 44(1):212–221. doi:10.1002/1529-0131(200101)44:1<212:AID-ANR28>3.0.CO;2-Q
Woolf AD, Pfleger B (2003) Burden of major musculoskeletal conditions. Bull World Health Organ 81(9):646–656
Dawson J, Fitzpatrick R, Carr A, Murray D (1996) Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg Br 78B(2):185–190
Murray DW, Fitzpatrick R, Rogers K, Pandit H, Beard DJ, Carr AJ, Dawson J (2007) The use of the Oxford hip and knee scores. J Bone Joint Surg Br 89B(8):1010–1014. doi:10.1302/0301-620x.89b8
Bijlsma JW, Berenbaum F, Lafeber FP (2011) Osteoarthritis: an update with relevance for clinical practice. Lancet 377(9783):2115–2126. doi:10.1016/S0140-6736(11)60243-2
Dawson J, Linsell L, Zondervan K, Rose P, Randall T, Carr A, Fitzpatrick R (2004) Epidemiology of hip and knee pain and its impact on overall health status in older adults. Rheumatology 43(4):497–504. doi:10.1093/rheumatology/keh086
Juhakoski R (2013) Hip osteoarthritis; risk factors and effects of exercise therapy, vol 166. University of Eastern Finland, Finland
Juhakoski R, Heliovaara M, Impivaara O, Kroger H, Knekt P, Lauren H, Arokoski JP (2009) Risk factors for the development of hip osteoarthritis: a population-based prospective study. Rheumatology (Oxford, England) 48(1):83–87. doi:10.1093/rheumatology/ken427
Dagenais S, Garbedian S, Wai EK (2009) Systematic review of the prevalence of radiographic primary hip osteoarthritis. Clin Orthop Relat Res 467(3):623–637. doi:10.1007/s11999-008-0625-5
Krauss I, Steinhilber B, Haupt G, Miller R, Grau S, Janssen P (2011) Efficacy of conservative treatment regimes for hip osteoarthritis—evaluation of the therapeutic exercise regime “Hip School”: a protocol for a randomised, controlled trial. BMC Musculoskelet Disord 12:270. doi:10.1186/1471-2474-12-270
Pereira D, Peleteiro B, Araujo J, Branco J, Santos RA, Ramos E (2011) The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review. Osteoarthr Cartil OARS Osteoarthr Res Soc 19(11):1270–1285. doi:10.1016/j.joca.2011.08.009
Bieler T, Magnusson SP, Kjaer M, Beyer N (2014) Intra-rater reliability and agreement of muscle strength, power and functional performance measures in patients with hip osteoarthritis. J Rehabil Med 46(10):997–1005. doi:10.2340/16501977-1864
Fitzpatrick R, Morris R, Hajat S, Reeves B, Murray DW, Hannen D, Rigge M, Williams O, Gregg P (2000) The value of short and simple measures to assess outcomes for patients of total hip replacement surgery. Qual Health Care 9(3):146–150
Thorborg K, Roos EM, Bartels EM, Petersen J, Hölmich P (2010) Validity, reliability and responsiveness of patient-reported outcome questionnaires when assessing hip and groin disability: a systematic review. Br J Sports Med 44:1186–1196. doi:10.1136/bjsm.2009.060889
Dawson J, Fitzpatrick R, Frost S, Gundle R, McLardy-Smith P, Murray D (2001) Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement. J Bone Joint Surg Br 83(8):1125–1129
Dawson J, Fitzpatrick R, Murray D, Carr A (1996) Comparison of measures to assess outcomes in total hip replacement surgery. Qual Health Care QHC 5(2):81–88
Delaunay C, Epinette JA, Dawson J, Murray D, Jolles BM (2009) Cross-cultural adaptations of the Oxford-12 HIP score to the French speaking population. Orthop Traumatol Surg Res OTSR 95(2):89–99. doi:10.1016/j.otsr.2009.01.003
Gosens T, Hoefnagels NH, de Vet RC, Dhert WJ, van Langelaan EJ, Bulstra SK, Geesink RG (2005) The “Oxford Heup Score” The translation and validation of a questionnaire into Dutch to evaluate the results of total hip arthroplasty. Acta Orthop 76(2):204–211
Lee YK, Chung CY, Park MS, Lee KM, Lee DJ, Lee SC, Koo KH (2012) Transcultural adaptation and testing of psychometric properties of the Korean version of the Oxford hip score. J Orthop Sci Off J Jpn Orthop Assoc 17(4):377–381. doi:10.1007/s00776-012-0230-z
Martinelli N, Longo UG, Marinozzi A, Franceschetti E, Costa V, Denaro V (2011) Cross-cultural adaptation and validation with reliability, validity, and responsiveness of the Italian version of the Oxford hip score in patients with hip osteoarthritis. Qual Life Res Int J Qual Life Asp Treat Care Rehabil 20(6):923–929. doi:10.1007/s11136-010-9811-5
Naal FD, Sieverding M, Impellizzeri FM, von Knoch F, Mannion AF, Leunig M (2009) Reliability and validity of the cross-culturally adapted German Oxford hip score. Clin Orthop Relat Res 467(4):952–957. doi:10.1007/s11999-008-0457-3
Ostendorf M, van Stel HF, Buskens E, Schrijvers AJ, Marting LN, Verbout AJ, Dhert WJ (2004) Patient-reported outcome in total hip replacement. A comparison of five instruments of health status. J Bone Joint Surg Br 86(6):801–808
Uesugi Y, Makimoto K, Fujita K, Nishii T, Sakai T, Sugano N (2009) Validity and responsiveness of the Oxford hip score in a prospective study with Japanese total hip arthroplasty patients. J Orthop Sci Off J Jpn Orthop Assoc 14(1):35–39. doi:10.1007/s00776-008-1292-9
Zheng W, Li J, Zhao J, Liu D, Xu W (2014) Development of a valid simplified Chinese version of the Oxford hip score in patients with hip osteoarthritis. Clin Orthop Relat Res 472(5):1545–1551. doi:10.1007/s11999-013-3403-y
Tuzun EH, Eker L, Aytar A, Daskapan A, Bayramoglu M (2005) Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthr Cartil OARS Osteoarthr Res Soc 13(1):28–33. doi:10.1016/j.joca.2004.10.010
Koçyiğit H, Aydemir Ö, Ölmez N, Memiş A (1999) Kısa Form 36 (KF–36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi 12(2):102–106
Tuğay U, Tuğay N, Gelecek N, Özkan M (2011) Oxford Shoulder Score: cross-cultural adaptation and validation of the Turkish version. Arch Orthop Trauma Surg 131(5):687–694
Ware Jr JE, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 30(6):473–483
Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15(12):1833–1840
Garratt AM, Brealey S, Gillespie WJ, Team DT (2004) Patient-assessed health instruments for the knee: a structured review. Rheumatology 43(11):1414–1423. doi:10.1093/rheumatology/keh362
Roddey TS, Olson SL, Cook KF, Gartsman GM, Hanten W (2000) Comparison of the University of California-Los Angeles Shoulder Scale and the Simple Shoulder Test with the shoulder pain and disability index: single-administration reliability and validity. Phys Ther 80(8):759–768
Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P, Translation ITFf, Cultural A (2005) Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health J Int Soc Pharmacoecon Outcomes Res 8(2):94–104. doi:10.1111/j.1524-4733.2005.04054.x
Acquadro C, Conway K, Hareendran A, Aaronson N, European Regulatory I, Quality of Life Assessment G (2008) Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. Value Health J Int Soc Pharmacoecon Outcomes Res 11(3):509–521. doi:10.1111/j.1524-4733.2007.00292.x
Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46(12):1417–1432
Sidani S, Guruge S, Miranda J, Ford-Gilboe M, Varcoe C (2010) Cultural adaptation and translation of measures: an integrated method. Res Nurs Health 33(2):133–143. doi:10.1002/nur.20364
Altman DG (1997) Practical statistics for medical research. CRC Press, London
Polgar S, Thomas SA (2013) Introduction to research in the health sciences. Elsevier Health Sciences, China
Hicks C (1988) Practical research methods for physiotherapists. Churchill Livingstone, Singapore
Bland JM, Altman DG (1995) Comparing methods of measurement—why plotting difference against standard method is misleading. Lancet 346(8982):1085–1087. doi:10.1016/S0140-6736(95)91748-9
Bland JM, Altman DG (1996) Statistics notes: measurement error. BMJ 312(7047):1654
Bland JM, Altman DG (1999) Measuring agreement in method comparison studies. Stat Methods Med Res 8(2):135–160
Harvill LM (1991) Standard error of measurement. Educ Meas Issues Pract 10(2):33–41
Middel B, Van Sonderen E (2002) Statistical significant change versus relevant or important change in (quasi) experimental design: some conceptual and methodological problems in estimating magnitude of intervention-related change in health services research. Int J Integr Care 2:e15
Terwee CB, Bot SDM, de Boer MR, van der Windt DAWM, Knol DL, Dekker J, Bouter LA, de Vet HCW (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60(1):34–42. doi:10.1016/j.jclinepi.2006.03.012
Martin Bland J, Altman D (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 327(8476):307–310. doi:10.1016/s0140-6736(86)90837-8
García de Yébenes Prous MJ, Salvanés FR, Ortells LC (2008) Responsiveness of outcome Measures. Reumatología Clínica (English Edition) 4(6):240–247. doi:10.1016/S2173-5743(08)70197-7
Dunbar MJ, Robertsson O, Ryd L, Lidgren I (2000) Translation and validation of the Oxford-12 item knee score for use in Sweden. Acta Orthop Scand 71(3):268–274. doi:10.1080/000164700317411861
Paulsen A, Odgaard A, Overgaard S (2012) Translation, cross-cultural adaptation and validation of the Danish version of the Oxford hip score: assessed against generic and disease-specific questionnaires. Bone Joint Res 1(9):225–233. doi:10.1302/2046-3758.19.2000076
(2015) Wikipedia Turks in Europe. http://en.wikipedia.org/wiki/Turks_in_Europe. Accessed 20 Feb 2015
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60(1):34–42. doi:10.1016/j.jclinepi.2006.03.012
Nourbakhsh M, Zarezadeh A, Shemshaki H, Etemadifar MR, Moezi M, Mazoochian F (2013) Translation and Cultural Adaptation of the Oxford Hip Score for Iranian Population. Int J Prev Med 4(2):141
Author information
Authors and Affiliations
Corresponding author
Appendix
Appendix
Rights and permissions
About this article
Cite this article
Tuğay, B.U., Tuğay, N., Güney, H. et al. Cross-cultural adaptation and validation of the Turkish version of Oxford hip score. Arch Orthop Trauma Surg 135, 879–889 (2015). https://doi.org/10.1007/s00402-015-2215-9
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-015-2215-9