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. 2012 Sep 1;1(9):225-33.
doi: 10.1302/2046-3758.19.2000076. Print 2012 Sep.

Translation, cross-cultural adaptation and validation of the Danish version of the Oxford hip score: Assessed against generic and disease-specific questionnaires

A Paulsen  1 , A Odgaard, S Overgaard
Affiliations

Translation, cross-cultural adaptation and validation of the Danish version of the Oxford hip score: Assessed against generic and disease-specific questionnaires

A Paulsen et al. Bone Joint Res. .

Abstract

Objectives: The Oxford hip score (OHS) is a 12-item questionnaire designed and developed to assess function and pain from the perspective of patients who are undergoing total hip replacement (THR). The OHS has been shown to be consistent, reliable, valid and sensitive to clinical change following THR. It has been translated into different languages, but no adequately translated, adapted and validated Danish language version exists.

Methods: The OHS was translated and cross-culturally adapted into Danish from the original English version, using methods based on best-practice guidelines. The translation was tested for psychometric quality in patients drawn from a cohort from the Danish Hip Arthroplasty Register (DHR).

Results: The Danish OHS had a response rate of 87.4%, no floor effect and a 19.9% ceiling effect (as expected in post-operative patients). Only 1.2% of patients had too many items missing to calculate a sum score. Construct validity was adequate and 80% of our predefined hypotheses regarding the correlation between scores on the Danish OHS and the other questionnaires were confirmed. The intraclass correlation (ICC) of the different items ranged from 0.80 to 0.95 and the average limits of agreement (LOA) ranged from -0.05 to 0.06. The Danish OHS had a high internal consistency with a Cronbach's alpha of 0.99 and an average inter-item correlation of 0.88.

Conclusions: This Danish version of the OHS is a valid and reliable patient-reported outcome measurement instrument (PROM) with similar qualities to the original English language version.

Keywords: Danish Hip Arthroplasty Registry (DHR); OHS; Oxford hip score; PRO; PROMs; Patient-reported outcome measurement instrument; THR; Total hip replacement; Validation.

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Conflict of interest statement

ICMJE Conflict of Interest:None declared

Figures

Fig. 1
Fig. 1
Flow chart showing participation (OHS, Oxford hip score; HOOS, Hip dysfunction and Osteoarthritis Outcome Score; SF-12, Short-Form 12; EQ-5D, EuroQol 5D-3L).
Fig. 2
Fig. 2
Bar chart showing the skew of distribution of the Oxford hip score (OHS).
See this image and copyright information in PMC

References

    1. Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet 2007;370:1508–1519 - PubMed
    1. No authors listed. National Joint Registry for England and Wales: 6th Annual Report, 2009. http://www.njrcentre.org.uk/njrcentre/ (date last accessed 13 July 2012).
    1. Garellick G, Kärrholm J, Rogmark C, Herberts P. Swedish Hip Arthroplasty Register: Annual Report, 2008. http://www.shpr.se/en/Publications/DocumentsReports.aspx (date last accessed 13 July 2012).
    1. No authors listed. Danish Hip Arthroplasty Register: Annual Report, 2009 (in Danish). http://www.dhr.dk/ (date last accessed 13 July 2012).
    1. No authors listed. Norwegian Arthroplasty Register: Annual Report, 2010. http://nrlweb.ihelse.net/eng/Report_2010.pdf (date last accessed 13 July 2012).