scispace - formally typeset
Search or ask a question
Journal ArticleDOI

Développement et validité d'un questionnaire de qualité de vie spécifique de l'arthrose de hanche et de genou : l'AMIQUAL (Arthrose des Membres Inférieurs et Qualité de vie)

TL;DR: TheAMIQUAL instrument as discussed by the authors is a QV specifique de l'arthrose du genou et de la hanche, which is the state-of-the-art instrument for qualitative verification.
About: This article is published in Revue du Rhumatisme.The article was published on 2006-12-01. It has received 1 citations till now.
Citations
More filters
Journal ArticleDOI
TL;DR: A semantically equivalent translation has been developed with cultural adaptation of OAKHQoL and it is quite reliable and a valid measure of the effect of osteoarthritis on the quality of life on Moroccan patients.
Abstract: The aim of this study was to adapt the knee and hip osteoarthritis quality of life questionnaire (OAKHQoL) into Moroccan Arabic and to determine its psychometric properties. After translation, back-translation and pretesting, the translated version was submitted to an expert committee. The psychometric properties were tested on patients with hip or knee osteoarthritis. Internal consistency was tested using Cronbach’s alpha coefficient (α), and the test–retest reliability using intraclass correlation coefficients (ICC). Construct validity was assessed by examining item-convergent and divergent validity and by comparing the average scores between age groups and walk perimeter groups. The study was conducted on 131 patients (115 with osteoarthritis of the knee and 16 with osteoarthritis of the hip). The “physical activities” (α = 0.93), “mental health” (α = 0.84) and “pain” (α = 0.88) dimensions of the Arabic version were internally reliable. The ICC were adequate to good; 0.83 for “physical activities”, 0.65 for “mental health” and 0.70 for “pain” dimensions. The instrument demonstrated good construct validity; all items exceeded the 0.4 criterion for convergent validity, except items 13 and 41 and most of the correlations between items and their own scale were significantly higher than their correlations with other scales. A semantically equivalent translation has been developed with cultural adaptation of OAKHQoL. It is quite reliable and a valid measure of the effect of osteoarthritis on the quality of life on Moroccan patients.

16 citations

References
More filters
Journal ArticleDOI
TL;DR: The World Health Organization's project to develop a quality of life instrument (the WHOQOL) is described, the reasons that the project was undertaken, the thinking that underlies the project, the method that has been followed in its development and the current status of the project.

5,273 citations

Journal ArticleDOI
TL;DR: A new total knee rating system has been developed by The Knee Society to provide an up-to-date more stringent evaluation form and eliminates the problem of declining knee scores associated with patient infirmity.
Abstract: A new total knee rating system has been developed by The Knee Society to provide an up-to-date more stringent evaluation form. The system is subdivided into a knee score that rates only the knee joint itself and a functional score that rates the patient's ability to walk and climb stairs. The dual rating system eliminates the problem of declining knee scores associated with patient infirmity.

4,505 citations

Book
01 Jan 1994

4,423 citations


"Développement et validité d'un ques..." refers background in this paper

  • ...Afin d’étudier la validité de construction externe, plusieurs instruments ou indices cliniques ont été utilisés selon le recrutement ou l’articulation touchée : le SF36 [10], les indices de WOMAC [14] et de Lequesne [13], les scores de Harris [31] pour la hanche et du Knee Society Clinical Rating System (IKS) [32] pour le genou, le périmètre de marche et l’échelle visuelle analogique de la douleur (EVA)....

    [...]

  • ...Tableau 3 Validité de construction : cohérence interne et corrélations entre les dimensions de l’AMIQUAL, du SF-36 et d’autres indices cliniques Nombre Activités physiques Douleur Santé mentale Activités sociales Soutien social AMIQUAL Activités physiques 591 (0,96) 0,70 0,61 0,38 0,03 Douleur 587 (0,90) 0,62 0,29 0,07 Santé mentale 587 (0,93) 0,43 0,22 Activités sociales 571 (0,72) 0,28 Soutien social 585 (0,80) SF36 Activités physiques 586 0,66 0,47 0,42 0,35 0,14 Limitations dues à l'état physique 587 0,53 0,41 0,41 0,30 0,06 Douleurs physiques 588 0,66 0,63 0,52 0,36 0,15 Santé psychique 578 0,49 0,50 0,77 0,43 0,26 Limitations dues à l'état psychique 584 0,48 0,40 0,49 0,30 0,11 Vie et relation avec les autres 590 0,49 0,48 0,62 0,34 0,32 Douleur EVA 460 –0,47 –0,44 –0,29 –0,12 0,09 Périmètre de marche 459 0,56 0,34 0,27 0,21 –0,07 WOMAC score fonction 142 0,88 0,73 0,61 0,25 0,16 WOMAC score douleur 145 0,82 0,84 0,59 0,19 0,08 Lequesne 219 –0,66 –0,60 –0,37 –0,23 –0,08 Score de Harris 151 0,48 0,23 0,27 0,21 –0,05 Score IKS (fonction) 85 0,49 0,27 0,32 0,47 0,09 Les coefficients alpha de Cronbach sont entre parenthèses....

    [...]

  • ...Les scores des dimensions de l’AMIQUAL (2.3) ont été corrélés aux dimensions correspondantes du SF36, et avec les différents critères externes par le calcul des coefficients de corrélation de Spearman....

    [...]

  • ...Tableau 5 Reproductibilité et sensibilité au changement de l’AMIQUAL Hanches Genoux Hanches Genoux Nombre = 104 Nombre = 134 Nombre = 125 Nombre = 63 CCI 95 % IC CCI 95 % IC RMS 95 % IC p RMS 95 % IC p 6 mois Activités physiques 0,80 (0,71–0,86) 0,89 (0,85–0,92) 1,03 (0,82–1,25) 0,85 0,93 (0,63–1,22) 0,82 Douleurs 0,85 (0,78–0,89) 0,75 (0,67–0,82) 1,25 (1,02–1,48) 0,90 1,19 (0,86–1,51) 0,88 Santé mentale 0,90 (0,87–0,93) 0,83 (0,76–0,87) 0,74 (0,54–0,94) 0,77 0,73 (0,45–1,00) 0,77 Activités sociales 0,66 (0,54–0,76) 0,53 (0,39–0,65) 0,13 (–0,05–0,31) 0,55 0,21 (–0,05–0,46) 0,58 Soutien social 0,59 (0,45–0,70) 0,62 (0,51–0,72) 0,01 (–0,17–0,18) 0,50 0,28 (–0,03–0,53) 0,61 1 an Activités physiques 1,14 (0,90–1,39) 0,87 0,60 0,30–0,90 0,73 Douleurs 1,18 (0,93–1,43) 0,88 1,10 (0,75–1,46) 0,86 Santé mentale 0,71 (0,50–0,92) 0,76 0,58 (0,27–0,88) 0,72 Activités sociales 0,13 (–0,07–0,32) 0,55 0,04 (–0,25–0,33) 0,52 Soutien social 0,13 (–0,06–0,33) 0,55 0,23 (–0,05–0,50) 0,59 Les scores de l’AMIQUAL et du SF36 s’échelonnent de 0 (QV la plus basse) à 100 (meilleure QV) ; CCI : coefficient de corrélation intraclasse ; RMS : réponse moyenne standardisée ; IC : intervalle de confiance, p : probabilité de détecter un changement ou proportion de patients dont le score a varié entre les deux mesures ; p est compris entre 0,5 (incapacité à montrer un changement) et 1 (parfaite capacité à montrer un changement). dans le Tableau 5....

    [...]

  • ...Afin d’étudier la validité de construction externe, plusieurs instruments ou indices cliniques ont été utilisés selon le recrutement ou l’articulation touchée : le SF36 [10], les indices de WOMAC [14] et de Lequesne [13], les scores de Harris [31] pour la hanche et du Knee Society Clinical Rating System (IKS) [32] pour le genou, le périmètre de marche et l’échelle visuelle analogique de la douleur (EVA)....

    [...]

Journal ArticleDOI
TL;DR: Clinical criteria for the classification of symptomatic idiopathic (primary) osteoarthritis of the hands were developed from data collected in a multicenter study and required that at least 3 of these 4 criteria be present to classify a patient as having OA of the hand.
Abstract: Clinical criteria for the classification of patients with hip pain associated with osteoarthritis (OA) were developed through a multicenter study. Data from 201 patients who had experienced hip pain for most days of the prior month were analyzed. The comparison group of patients had other causes of hip pain, such as rheumatoid arthritis or spondylarthropathy. Variables from the medical history, physical examination, laboratory tests, and radiographs were used to develop different sets of criteria to serve different investigative purposes. Multivariate methods included the traditional "number of criteria present" format and "classification tree" techniques. Clinical criteria: A classification tree was developed, without radiographs, for clinical and laboratory criteria or for clinical criteria alone. A patient was classified as having hip OA if pain was present in combination with either 1) hip internal rotation greater than or equal to 15 degrees, pain present on internal rotation of the hip, morning stiffness of the hip for less than or equal to 60 minutes, and age greater than 50 years, or 2) hip internal rotation less than 15 degrees and an erythrocyte sedimentation rate (ESR) less than or equal to 45 mm/hour; if no ESR was obtained, hip flexion less than or equal to 115 degrees was substituted (sensitivity 86%; specificity 75%). Clinical plus radiographic criteria: The traditional format combined pain with at least 2 of the following 3 criteria: osteophytes (femoral or acetabular), joint space narrowing (superior, axial, and/or medial), and ESR less than 20 mm/hour (sensitivity 89%; specificity 91%). The radiographic presence of osteophytes best separated OA patients and controls by the classification tree method (sensitivity 89%; specificity 91%). The "number of criteria present" format yielded criteria and levels of sensitivity and specificity similar to those of the classification tree for the combined clinical and radiographic criteria set. For the clinical criteria set, the classification tree provided much greater specificity. The value of the radiographic presence of an osteophyte in separating patients with OA of the hip from those with hip pain of other causes is emphasized.

2,447 citations

Journal ArticleDOI
TL;DR: Overall, total hip and total knee arthroplasties were found to be quite effective in terms of improvement in health-related quality-of-life dimensions, with the occasional exception of the social dimension.
Abstract: Background: Total hip and total knee arthroplasties are well accepted as reliable and suitable surgical procedures to return patients to function. Health-related quality-of-life instruments have been used to document outcomes in order to optimize the allocation of resources. The objective of this study was to review the literature regarding the outcomes of total hip and knee arthroplasties as evaluated by health-related quality-of-life instruments. Methods: The Medline and EMBASE medical literature databases were searched, from January 1980 to June 2003, to identify relevant studies. Studies were eligible for review if they met the following criteria: (1) the language was English or French, (2) at least one well-validated and self-reported health-related quality of life instrument was used, and (3) a prospective cohort study design was used. Results: Of the seventy-four studies selected for the review, thirty-two investigated both total hip and total knee arthroplasties, twenty-six focused on total hip arthroplasty, and sixteen focused on total knee arthroplasty exclusively. The most common diagnosis was osteoarthritis. The duration of follow-up ranged from seven days to seven years, with the majority of studies describing results at six to twelve months. The Short Form-36 and the Western Ontario and McMaster University Osteoarthritis Index, the most frequently used instruments, were employed in forty and twenty-eight studies, respectively. Seventeen studies used a utility index. Overall, total hip and total knee arthroplasties were found to be quite effective in terms of improvement in health-related quality-of-life dimensions, with the occasional exception of the social dimension. Age was not found to be an obstacle to effective surgery, and men seemed to benefit more from the intervention than did women. When improvement was found to be modest, the role of comorbidities was highlighted. Total hip arthroplasty appears to return patients to function to a greater extent than do knee procedures, and primary surgery offers greater improvement than does revision. Patients who had poorer preoperative health-related quality of life were more likely to experience greater improvement. Conclusions: Health-related quality-of-life data are valuable, can provide relevant health-status information to health professionals, and should be used as a rationale for the implementation of the most adequate standard of care. Additional knowledge and scientific dissemination of surgery outcomes should help to ensure better management of patients undergoing total hip or total knee arthroplasty and to optimize the use of these procedures. Level of Evidence: Therapeutic study, Level III-3 (systematic review of Level-III studies). See Instructions to Authors for a complete description of levels of evidence.

1,629 citations


"Développement et validité d'un ques..." refers background in this paper

  • ...[11] Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster JY....

    [...]