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Development of a valid simplified Chinese version of the Oxford Hip Score in patients with hip osteoarthritis.
Clin Orthop Relat Res. 2014 May; 472(5):1545-51.CO

Abstract

BACKGROUND

Although the Oxford Hip Score has been translated and validated in several languages, there is currently no Chinese version of the outcomes measurement. Our study aims to crossculturally adapt and validate the Oxford Hip Score into a simplified Chinese version.

QUESTIONS/PURPOSES

We tested the (1) reliability; (2) validity; and (3) responsiveness of the Chinese version of the Oxford Hip Score.

METHODS

First we translated the Oxford Hip Score into simplified Chinese, then back into English, then held a consensus meeting to achieve the final simplified Chinese version. Then we evaluated the psychometric properties of Chinese version of the Oxford Hip Score in patients undergoing total hip arthroplasty (THA). All patients undergoing THA between July and December 2012 were invited to participate in this study; a total of 108 (79% of 136 invited) did so. To assess the test-retest validity, all participants completed the Chinese version of the Oxford Hip Score again with a 2-week interval. Pearson correlation coefficient was used to evaluate the construct validity between the Chinese version of the Oxford Hip Score and visual analog scale (VAS), Harris hip score, and eight individual domains of the SF-36. Responsiveness was demonstrated by comparing the pre- and postoperative scores of the Chinese version of the Oxford Hip Score.

RESULTS

The test-retest reliability with intraclass correlation coefficient (0.937) and internal consistency with Cronbach's alpha (0.91) were excellent. The Chinese version of the Oxford Hip Score correlated with the Harris hip score (0.89, p < 0.01), VAS (-0.79, p < 0.01), and Physical Functioning (0.79, p < 0.01) and Bodily Pain (0.70, p < 0.01) domains of SF-36, which suggested construct validity. No floor or ceiling effects were found. The effect size and standardized response mean values were 3.52 and 3.31, respectively, indicating good responsiveness.

CONCLUSIONS

The Chinese version of the Oxford Hip Score showed good reliability, validity, and responsiveness in evaluating standard Chinese-speaking patients with hip osteoarthritis undergoing THA. It can be used by clinical surgeons as a complement to the traditional outcome measures.

Authors+Show Affiliations

Department of Orthopedics, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200433, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Validation Study

Language

eng

PubMed ID

24310602

Citation

Zheng, Wei, et al. "Development of a Valid Simplified Chinese Version of the Oxford Hip Score in Patients With Hip Osteoarthritis." Clinical Orthopaedics and Related Research, vol. 472, no. 5, 2014, pp. 1545-51.
Zheng W, Li J, Zhao J, et al. Development of a valid simplified Chinese version of the Oxford Hip Score in patients with hip osteoarthritis. Clin Orthop Relat Res. 2014;472(5):1545-51.
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. Clinical Orthopaedics and Related Research, 472(5), 1545-51. https://doi.org/10.1007/s11999-013-3403-y
Zheng W, et al. Development of a Valid Simplified Chinese Version of the Oxford Hip Score in Patients With Hip Osteoarthritis. Clin Orthop Relat Res. 2014;472(5):1545-51. PubMed PMID: 24310602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Development of a valid simplified Chinese version of the Oxford Hip Score in patients with hip osteoarthritis. AU - Zheng,Wei, AU - Li,Jia, AU - Zhao,Jinzhu, AU - Liu,Denghui, AU - Xu,Weidong, Y1 - 2013/12/06/ PY - 2013/08/14/received PY - 2013/11/19/accepted PY - 2013/12/7/entrez PY - 2013/12/7/pubmed PY - 2014/6/3/medline SP - 1545 EP - 51 JF - Clinical orthopaedics and related research JO - Clin. Orthop. Relat. Res. VL - 472 IS - 5 N2 - BACKGROUND: Although the Oxford Hip Score has been translated and validated in several languages, there is currently no Chinese version of the outcomes measurement. Our study aims to crossculturally adapt and validate the Oxford Hip Score into a simplified Chinese version. QUESTIONS/PURPOSES: We tested the (1) reliability; (2) validity; and (3) responsiveness of the Chinese version of the Oxford Hip Score. METHODS: First we translated the Oxford Hip Score into simplified Chinese, then back into English, then held a consensus meeting to achieve the final simplified Chinese version. Then we evaluated the psychometric properties of Chinese version of the Oxford Hip Score in patients undergoing total hip arthroplasty (THA). All patients undergoing THA between July and December 2012 were invited to participate in this study; a total of 108 (79% of 136 invited) did so. To assess the test-retest validity, all participants completed the Chinese version of the Oxford Hip Score again with a 2-week interval. Pearson correlation coefficient was used to evaluate the construct validity between the Chinese version of the Oxford Hip Score and visual analog scale (VAS), Harris hip score, and eight individual domains of the SF-36. Responsiveness was demonstrated by comparing the pre- and postoperative scores of the Chinese version of the Oxford Hip Score. RESULTS: The test-retest reliability with intraclass correlation coefficient (0.937) and internal consistency with Cronbach's alpha (0.91) were excellent. The Chinese version of the Oxford Hip Score correlated with the Harris hip score (0.89, p < 0.01), VAS (-0.79, p < 0.01), and Physical Functioning (0.79, p < 0.01) and Bodily Pain (0.70, p < 0.01) domains of SF-36, which suggested construct validity. No floor or ceiling effects were found. The effect size and standardized response mean values were 3.52 and 3.31, respectively, indicating good responsiveness. CONCLUSIONS: The Chinese version of the Oxford Hip Score showed good reliability, validity, and responsiveness in evaluating standard Chinese-speaking patients with hip osteoarthritis undergoing THA. It can be used by clinical surgeons as a complement to the traditional outcome measures. SN - 1528-1132 UR - https://www.unboundmedicine.com/medline/citation/24310602/Development_of_a_valid_simplified_Chinese_version_of_the_Oxford_Hip_Score_in_patients_with_hip_osteoarthritis_ L2 - https://link.springer.com/article/10.1007/s11999-013-3403-y DB - PRIME DP - Unbound Medicine ER -