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Transcultural adaptation of the Korean version of the Hip Outcome Score

  • Hip
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The Hip Outcome Score (HOS) is a questionnaire commonly used to assess the clinical outcome of patients after hip arthroscopy. However, a Korean version of the HOS is not available. The aim of this study was to translate and adapt the HOS questionnaire into the Korean language and then assess the psychometric properties of this instrument.

Methods

Translation and transcultural adaptation of the HOS into Korean (HOS-K) was performed in accordance with the international recommendations. Sixty patients (mean age 38.4 years) planning hip arthroscopy participated in evaluating the psychometric properties of the HOS-K. Psychometric analyses consisted of assessing for the following: (1) floor/ceiling effects, (2) internal consistency using Cronbach’s alpha, (3) test–retest reliability over 2–3 weeks with intraclass correlation coefficient (ICC), (4) convergent validity by correlation with the SF-36 and Hip disability and Osteoarthritis Outcome Score (HOOS), (5) construct validity by assessing for a difference in HOS-K scores based on a rating of hip function, and (6) responsiveness with a change in score over a 6-month period.

Results

The English version of the HOS was translated and adapted to Korean without notable discrepancies. The HOS-K scores were reliable with ICC of 0.946 for the activities of daily living (ADL) subscale and 0.929 for the sports subscale. Internal consistency was confirmed by Cronbach’s alpha >0.90 for both subscales. Both subscales had a strong correlation to the five subscales of SF-36, except the general health subscale. The ADL subscale showed strong correlations with all the subscales of the HOOS, and sports subscale showed strong correlations with all subscales of the HOOS, except the symptom subscales of HOOS. The HOS-K also demonstrated evidence for responsiveness without floor and ceiling effects.

Conclusion

The HOS-K can be recommended as an outcome instrument in hip arthroscopy for Korean-speaking individuals. Surgeons can use the HOS-K to evaluate the outcome of hip arthroscopy in Korea.

Level of evidence

Therapeutic case series with no comparison group, Level IV.

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References

  1. Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 25(24):3186–3191

    Article  CAS  Google Scholar 

  2. 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

    CAS  PubMed  Google Scholar 

  3. Byrd JW, Jones KS (2009) Hip arthroscopy for labral pathology: prospective analysis with 10-year follow-up. Arthroscopy 25(4):365–368

    Article  PubMed  Google Scholar 

  4. Colvin AC, Harrast J, Harner C (2012) Trends in hip arthroscopy. J Bone Joint Surg Am 94(4):e231–e235

    Article  Google Scholar 

  5. Cronbach L, Warrington W (1951) Time-limit tests: estimating their reliability and degree of speeding. Psychometrika 16(2):167–188

    Article  CAS  PubMed  Google Scholar 

  6. Han CW, Lee EJ, Iwaya T, Kataoka H, Kohzuki M (2004) Development of the Korean version of Short-Form 36-Item Health Survey: health related QOL of healthy elderly people and elderly patients in Korea. Tohoku J Exp Med 203(3):189–194

    Article  PubMed  Google Scholar 

  7. Klassbo M, Larsson E, Mannevik E (2003) Hip disability and osteoarthritis outcome score. An extension of the Western Ontario and McMaster Universities Osteoarthritis Index. Scand J Rheumatol 32(1):46–51

    Article  PubMed  Google Scholar 

  8. Lee YK, Chung CY, Koo KH, Lee KM, Lee DJ, Lee SC, Park MS (2011) Transcultural adaptation and testing of psychometric properties of the Korean version of the Hip Disability and Osteoarthritis Outcome Score (HOOS). Osteoarthr Cartil 19(7):853–857

    Article  CAS  PubMed  Google Scholar 

  9. 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 17(4):377–381

    Article  PubMed  Google Scholar 

  10. Lodhia P, Slobogean GP, Noonan VK, Gilbart MK (2011) Patient-reported outcome instruments for femoroacetabular impingement and hip labral pathology: a systematic review of the clinimetric evidence. Arthroscopy 27(2):279–286

    Article  PubMed  Google Scholar 

  11. Martin RL, Kelly BT, Philippon MJ (2006) Evidence of validity for the hip outcome score. Arthroscopy 22(12):1304–1311

    Article  PubMed  Google Scholar 

  12. Martin RL, Philippon MJ (2007) Evidence of validity for the hip outcome score in hip arthroscopy. Arthroscopy 23(8):822–826

    Article  PubMed  Google Scholar 

  13. Martin RL, Philippon MJ (2008) Evidence of reliability and responsiveness for the hip outcome score. Arthroscopy 24(6):676–682

    Article  PubMed  Google Scholar 

  14. McHorney CA, Tarlov AR (1995) Individual-patient monitoring in clinical practice: are available health status surveys adequate? Qual Life Res 4(4):293–307

    Article  CAS  PubMed  Google Scholar 

  15. McKelvie SJ (1992) Does memory contaminate test-retest reliability? J Gen Psychol 119(1):59–72

    Article  CAS  PubMed  Google Scholar 

  16. Naal FD, Impellizzeri FM, Miozzari HH, Mannion AF, Leunig M (2011) The German Hip Outcome Score: validation in patients undergoing surgical treatment for femoroacetabular impingement. Arthroscopy 27(3):339–345

    Article  PubMed  Google Scholar 

  17. Nilsdotter AK, Lohmander LS, Klassbo M, Roos EM (2003) Hip disability and osteoarthritis outcome score (HOOS)–validity and responsiveness in total hip replacement. BMC Musculoskelet Disord 4:10

    Article  PubMed Central  PubMed  Google Scholar 

  18. Philippon MJ, Schroder ESBG, Briggs KK (2012) Hip arthroscopy for femoroacetabular impingement in patients aged 50 years or older. Arthroscopy 28(1):59–65

    Article  PubMed  Google Scholar 

  19. Thorborg K, Roos EM, Bartels EM, Petersen J, Holmich 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(16):1186–1196

    Article  CAS  PubMed  Google Scholar 

  20. Tijssen M, van Cingel R, van Melick N, de Visser E (2011) Patient-reported outcome questionnaires for hip arthroscopy: a systematic review of the psychometric evidence. BMC Musculoskelet Disord 12:117

    Article  PubMed Central  PubMed  Google Scholar 

  21. Ware JE Jr, 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

    Article  PubMed  Google Scholar 

  22. Xie F, Thumboo J, Lo NN, Yeo SJ, Yang KY, Yeo W, Chong HC, Fong KY, Li SC (2007) Cross-cultural adaptation and validation of Singapore English and Chinese versions of the Lequesne Algofunctional Index of knee in Asians with knee osteoarthritis in Singapore. Osteoarthr Cartil 15(1):19–26

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82, Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, South Korea

    Young-Kyun Lee & Kyung-Hoi Koo

  2. Department of Orthopaedic Surgery, College of Medicine, Chung-Ang University, 224-1 Heukseok-dong, Dongjak-gu, Seoul, 156-755, South Korea

    Yong-Chan Ha

  3. Department of Physical Therapy, Duquesne University, UPMC Center for Sports Medicine, Pittsburgh, PA, USA

    RobRoy L. Martin

  4. Department of Orthopedic Surgery, School of Medicine, Chungnam National University, 33 Munhwa-ro, Jung-gu, Taejon, 301-721, South Korea

    Deuk-Soo Hwang

Authors
  1. Young-Kyun Lee
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  2. Yong-Chan Ha
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  3. RobRoy L. Martin
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  4. Deuk-Soo Hwang
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  5. Kyung-Hoi Koo
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Corresponding author

Correspondence to Yong-Chan Ha.

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Lee, YK., Ha, YC., Martin, R.L. et al. Transcultural adaptation of the Korean version of the Hip Outcome Score. Knee Surg Sports Traumatol Arthrosc 23, 3426–3431 (2015). https://doi.org/10.1007/s00167-014-2946-0

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  • DOI: https://doi.org/10.1007/s00167-014-2946-0

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