Development of a Valid Simplified Chinese Version of the Oxford Hip Score in Patients With Hip Osteoarthritis
Development of a Valid Simplified Chinese Version of the Oxford Hip Score in Patients With Hip Osteoarthritis
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DOI：
10.1007/s11999-013-3403-y
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发表时间：
2014-05-01
影响因子：
4.2
通讯作者：
Xu, Weidong
中科院分区：
文献类型：
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作者：
Zheng, Wei;Li, Jia;Xu, Weidong
尽管牛津髋关节评分已被翻译成多种语言并得到验证，但目前尚无中文版的结局测量。本研究旨在对牛津髋关节评分进行跨文化的改编和验证，并对中文版的牛津髋关节评分进行信度、效度和反应度的测试。首先将牛津髋关节评分翻译成简体中文，然后再翻译成英文，最后召开共识会议，以获得最终的简体中文版本。然后，我们评估了中文版牛津髋关节评分在全髋关节置换术（THA）患者中的心理测量学特性。2012年7月至12月期间接受THA的所有患者均被邀请参加本研究;共有108例患者（136例受邀患者中的79%）参加了研究。为了评估重测效度，所有受试者间隔2周再次完成中文版牛津髋关节评分。采用Pearson相关系数评价中文版Oxford髋关节评分与视觉模拟评分（VAS）、Harris髋关节评分及SF-36 8个领域的结构效度。通过比较手术前后Oxford髋关节评分中文版的评分来证明其反应性，重测信度的组内相关系数（0.937）和内部一致性的Cronbach’s α（0.91）都很好。中文版Oxford髋关节评分与SF-36的Harris髋关节评分（0.89，p < 0.01）、VAS（-0.79，p < 0.01）、躯体功能（0.79，p < 0.01）和躯体疼痛（0.70，p < 0.01）领域相关，提示结构效度。结果表明，中文版Oxford髋关节评分在评价标准汉语髋关节骨性关节炎患者THA时具有良好的信度、效度和反应度，有效值和标准化反应均值分别为3.52和3.31。它可以被临床外科医生用作传统结局指标的补充。
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.We tested the (1) reliability; (2) validity; and (3) responsiveness of the Chinese version of the Oxford Hip Score.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.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.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.