Does change in language change the properties of a shortened score previously validated in its complete version? Validation of the French versions of the HOOS-12 and KOOS-12 scores in primary knee and hip arthroplasties - 27/04/21
, Henri Migaud a, b, Gilles Pasquier a, b, Julien Girard a, b, Cristian Preda e, f, Alain Duhamel c, d
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
Background |
The HOOS and KOOS scoring questionnaires comprise respectively 40 and 42 items; a shorter 12-item version was recently developed, but remains to be validated in a French-speaking population. We therefore conducted a prospective study: 1) to determine whether the new 12-item versions in French are equivalent to the longer HOOS and KOOS versions, and 2) to validate the French-language HOOS-12 and KOOS-12 patient-reported outcome measures in a population of primary total hip and knee arthroplasty: validity, reliability, and responsiveness.
Hypothesis |
The change in language in a score already validated in its long version does not alter its properties in the short version.
Material and methods |
One hundred patients (59 males, 41 females) undergoing primary total hip arthroplasty and 100 patients (43 males, 57 females) undergoing primary total knee arthroplasty were prospectively included. They filled out the original HOOS or KOOS questionnaires, their simplified versions (PS: Physical function Short form; JR: Joint Replacement) and the short HOOS-12 and KOOS-12 versions, and also the Oxford-12 score assessing the affected joint, preoperatively, then at 6–12 months.
Results |
The 100% response rate confirmed ease of use. There were no redundant items. There were strong correlations between the 12-item and longer versions (>0.9). The HOOS-12 and KOOS-12 scores were reliable and valid: 1) there were no ceiling or floor effects for pre- or postoperative KOOS-12 scores, although a ceiling effect was found for HOOS-12 postoperatively (20% of patients having maximum scores of 100); 2) internal consistency was confirmed, with Cronbach alpha>0.8; 3) external consistency between Oxford-12 and HOOS-12/KOOS-12 was excellent, with Pearson correlation coefficient>0.8. Sensitivity to pre-/postoperative change was confirmed, with effect size>0.8.
Discussion |
The present study confirmed the usefulness of this new 12-item form for HOOS and KOOS. Properties were identical between the French- and English-language versions, authorising everyday use of these simpler versions.
Level of evidence |
IV; prospective study without control group.
Le texte complet de cet article est disponible en PDF.Keywords : PROM, Hip, Knee, KOOS, HOOS, Total hip arthroplasty, Total knee arthroplasty
Plan
Vol 107 - N° 3
Article 102824- mai 2021 Retour au numéro
Article précédent
- Can the minimal clinically important difference be determined in a French-speaking population with primary hip replacement using one PROM item and the Anchor strategy?
- Sophie Putman, Julien Dartus, Henri Migaud, Gilles Pasquier, Julien Girard, Cristian Preda, Alain Duhamel
- Validation of the French version of the self-administered international hip outcome tool-33 questionnaire
- Marc-Olivier Dion, Philippe-Alexandre Faure, Olivier May, Nicolas Bonin, Paul Beaulé, Sasha Carsen, Marie-Lyne Nault, Stephane Pelet, David Simonyan, Etienne L. Belzile
Bienvenue sur EM-consulte, la référence des professionnels de santé.