Abstract
Background and Objectives: This study aimed to translate the Hip disability and Osteoarthritis Outcome Score (HOOS) into the Polish language, to determine its validity and reliability, and to assess its main psychometric properties. Materials and Methods: A total of 332 hip osteoarthritis (OA) subjects were recruited to the study group and 90 healthy subjects to the control group. The study consisted of the HOOS translation and the assessment of the discriminative power, internal consistency, and the potential floor and ceiling effects followed by the determination of the construct validity and test-retest reliability. The analysis was performed using Western Ontario and McMaster Universities osteoarthritis index (WOMAC) and SF-36 questionnaires. Results: The translation process consisted of forward translation, reconciliation, backward translation, review, harmonization, and proofreading. The hip OA patients reported a reduced HOOS score when compared to the control subjects. The discriminant validity of the questionnaire was confirmed. A Cronbach’s alpha of 0.97 was found, indicating a high internal consistency. The HOOS showed a significant correlation with the SF-36 and WOMAC, which ranged from r = −0.93, p-value < 0.05 for WOMAC total score to r = 0.92, and p-value < 0.05 for WOMAC daily living. No floor or ceiling effects were found. A very high intraclass correlation coefficient (ICC) was found (0.93–0.97) for the total score and the individual domains of the HOOS. Conclusions: The Polish HOOS is valid and reliable for evaluating the outcomes of hip OA patients in Poland. This questionnaire may be used with confidence for clinical and research purposes.
Highlights
Osteoarthritis (OA) degenerates the cartilage and surrounding tissues, which leads to joint pain, stiffness, limited range of motion, and a deterioration of the quality of life
Hip OA is regarded as a progressive decrease of the hip joint function and pain and its function with aging [2,4,5,6] has a significant impact on the health-related quality of life (HRQoL) [7,8,9,10,11,12]
A total of 332 subjects were recruited into the study group and 90 subjects were recruited into the control group in outpatient clinics in Poland (Warsaw), which comprised a large group of patients suffering Hip OA and healthy volunteers
Summary
Osteoarthritis (OA) degenerates the cartilage and surrounding tissues, which leads to joint pain, stiffness, limited range of motion, and a deterioration of the quality of life. These are the main clinical symptoms of OA. The study consisted of the HOOS translation and the assessment of the discriminative power, internal consistency, and the potential floor and ceiling effects followed by the determination of the construct validity and test-retest reliability. Conclusions: The Polish HOOS is valid and reliable for evaluating the outcomes of hip OA patients in Poland. This questionnaire may be used with confidence for clinical and research purposes
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