PMID- 38336302
OWN - NLM
STAT- Publisher
LR  - 20240302
IS  - 1532-8406 (Electronic)
IS  - 0883-5403 (Linking)
DP  - 2024 Feb 7
TI  - The Subjective Hip Value is a Valid, Reliable, and Responsive Instrument for 
      Assessing Hip Function in Primary Total Hip Arthroplasty.
LID - S0883-5403(24)00085-8 [pii]
LID - 10.1016/j.arth.2024.01.061 [doi]
AB  - BACKGROUND: Patient-reported outcome measures are essential tools in clinical 
      decision-making and research. Multi-item scores like the modified Harris Hip 
      Score (mHHS) are time-consuming to collect and evaluate. The subjective hip value 
      (SHV), as a single-item value, assesses hip function with one question: "What is 
      the overall percent value of your hip if a completely normal hip represents 
      100%?". The aims of our study were to assess the psychometric properties, and 
      thus validity, reliability, and responsiveness; and to define the minimal 
      clinically important difference (MCID) of the SHV in patients undergoing total 
      hip arthroplasty. METHODS: A total of 137 consecutive patients who underwent 
      primary total hip arthroplasty between June 2020 and August 2021 were 
      prospectively enrolled. A SHV and mHHS were collected preoperatively and at 
      follow-ups (6 weeks, 3 months, 6 months, and 1 year). Validity, reliability, 
      responsiveness, MCID, and floor/ceiling effects were evaluated. RESULTS: There 
      was a significant correlation between SHV and mHHS (P = .001) preoperatively 
      (rs = 0.532), 6 weeks (rs = 0.649), 3 months (rs = 0.765), 6 months (rs = 0.854), 
      and after 1 year (rs = 0.879). Test-retest reliability (rs = 0.74; P = .001) and 
      responsiveness (rs = 0.24; P = .007) showed significant correlations. The MCID 
      for SHV was 10.06%. Floor- and ceiling-effects were comparable to the mHHS. 
      CONCLUSIONS: The SHV is a valid, reliable, and responsive single-item score for 
      the assessment of hip joint function in arthroplasty patients. It can detect 
      clinically relevant changes in joint function and is easy to collect and 
      interpret, which justifies its implementation in clinical practice.
CI  - Copyright (c) 2024 The Author(s). Published by Elsevier Inc. All rights reserved.
FAU - Leopold, Vincent J
AU  - Leopold VJ
AD  - Department of Orthopaedic Surgery and Traumatology, Charite Berlin, University 
      Hospital, Berlin, Germany.
FAU - Homm, Paul Milan
AU  - Homm PM
AD  - Department of Orthopaedic Surgery and Traumatology, Charite Berlin, University 
      Hospital, Berlin, Germany.
FAU - Kruger, David
AU  - Kruger D
AD  - Orthopaedic Clinic, Herzogin Elisabeth Hospital, Braunschweig, Germany.
FAU - Hipfl, Christian
AU  - Hipfl C
AD  - Department of Orthopaedic Surgery and Traumatology, Charite Berlin, University 
      Hospital, Berlin, Germany.
FAU - Perka, Carsten
AU  - Perka C
AD  - Department of Orthopaedic Surgery and Traumatology, Charite Berlin, University 
      Hospital, Berlin, Germany.
FAU - Hardt, Sebastian
AU  - Hardt S
AD  - Department of Orthopaedic Surgery and Traumatology, Charite Berlin, University 
      Hospital, Berlin, Germany.
LA  - eng
PT  - Journal Article
DEP - 20240207
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
OTO - NOTNLM
OT  - hip osteoarthritis
OT  - patient outcomes
OT  - patient reported outcome measures
OT  - subjective hip value
OT  - total hip arthroplasty
EDAT- 2024/02/10 13:18
MHDA- 2024/02/10 13:18
CRDT- 2024/02/09 19:19
PHST- 2023/07/04 00:00 [received]
PHST- 2024/01/30 00:00 [revised]
PHST- 2024/01/31 00:00 [accepted]
PHST- 2024/02/10 13:18 [pubmed]
PHST- 2024/02/10 13:18 [medline]
PHST- 2024/02/09 19:19 [entrez]
AID - S0883-5403(24)00085-8 [pii]
AID - 10.1016/j.arth.2024.01.061 [doi]
PST - aheadofprint
SO  - J Arthroplasty. 2024 Feb 7:S0883-5403(24)00085-8. doi: 
      10.1016/j.arth.2024.01.061.