Journal ArticleDOI
The Development and validation of a self-administered quality-of-life outcome measure for young, active patients with symptomatic hip disease: the International Hip Outcome Tool (iHOT-33).
Nicholas G. H. Mohtadi,Damian R. Griffin,M. Elizabeth Pedersen,Denise Chan,Marc R. Safran,Nicholas R. Parsons,Jon K. Sekiya,Bryan T. Kelly,Jason Werle,Michael Leunig,Joseph C. McCarthy,Hal David Martin,J. W. Thomas Byrd,Marc J. Philippon,RobRoy L. Martin,Carlos A. Guanche,John C. Clohisy,Thomas G. Sampson,Mininder S. Kocher,Christopher M. Larson +19 more
TLDR
The iHOT-33 has been shown to be reliable; shows face, content, and construct validity; and is highly responsive to clinical change; and can be used as a primary outcome measure for prospective patient evaluation and randomized clinical trials.Abstract:
Purpose: The purpose of this study was to develop a self-administered evaluative tool to measure health-related quality of life in young, active patients with hip disorders. Methods: This outcome measure was developed for active patients (aged 18 to 60 years, Tegner activity level 4) presenting with a variety of symptomatic hip conditions. This multicenter study recruited patients from international hip arthroscopy and arthroplasty surgeon practices. The outcome was created using a process of item generation (51 patients), item reduction (150 patients), and pretesting (31 patients). The questionnaire was tested for test-retest reliability (123 patients); face, content, and construct validity (51 patients); and responsiveness over a 6-month period in post-arthroscopy patients (27 patients). Results: Initially, 146 items were identified. This number was reduced to 60 through item reduction, and the items were categorized into 4 domains: (1) symptoms and functional limitations; (2) sports and recreational physical activities; (3) job-related concerns; and (4) social, emotional, and lifestyle concerns. The items were then formatted using a visual analog scale. Test-retest reliability showed Pearson correlations greater than 0.80 for 33 of the 60 questions. The intraclass correlation statistic was 0.78, and the Cronbach was .99. Face validity and content validity were ensured during development, and construct validity was shown with a correlation of 0.81 to the Non-Arthritic Hip Score. Responsiveness was shown with a paired t test (P .01), effect size of 2.0, standardized response mean of 1.7, responsiveness ratio of 6.7, and minimal clinically important difference of 6 points. Conclusions: We have developed a new quality-of-life patient-reported outcome measure, the 33-item International Hip Outcome Tool (iHOT-33). This questionnaire uses a visual analog scale response format designed for computer self-administration by young, active patients with hip pathology. Its development has followed the most rigorous methodology involving a very large number of patients. The iHOT-33 has been shown to be reliable; shows face, content, and construct validity; and is highly responsive to clinical change. In our opinion the iHOT-33 can be used as a primary outcome measure for prospective patient evaluation and randomized clinical trials.read more
Citations
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The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement
Damian R. Griffin,Edward J. Dickenson,Edward J. Dickenson,Jude O'donnell,Rintje Agricola,Tariq M Awan,M. Beck,John C. Clohisy,H P Dijkstra,Eanna Falvey,Mo Gimpel,Rana S Hinman,Per Hölmich,Ara Kassarjian,Hal David Martin,RobRoy L. Martin,Richard C. Mather,Marc J. Philippon,Michael P. Reiman,Amir Takla,Kristian Thorborg,Steven Walker,Adam Weir,Kim L Bennell +23 more
TL;DR: The 2016 Warwick Agreement on femoroacetabular impingement syndrome was convened to build an international, multidisciplinary consensus on the diagnosis and management of patients with FAI syndrome.
Journal ArticleDOI
Research Pearls: The Significance of Statistics and Perils of Pooling. Part 1: Clinical Versus Statistical Significance.
TL;DR: This review highlights the most common PROs in clinical research and discusses the salient pearls and pitfalls, and stresses the difference between statistical and clinical relevance and the concepts of minimal clinically important difference and patient acceptable symptom state.
Journal ArticleDOI
Psychometric Properties of Patient-Reported Outcome Measures for Hip Arthroscopic Surgery
TL;DR: The PROs of the HOOS and iHOT-33 demonstrate psychometric properties that may enable researchers and clinicians to use them with confidence in a population undergoing hip arthroscopic surgery.
Journal ArticleDOI
Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial
Damian R. Griffin,Damian R. Griffin,Edward J. Dickenson,Edward J. Dickenson,Peter Wall,Peter Wall,Felix A. Achana,Jenny L Donovan,Jim E. Griffin,Rachel Hobson,Charles E. Hutchinson,Charles E. Hutchinson,Marcus Jepson,Nicholas R. Parsons,Stavros Petrou,Alba Realpe,Alba Realpe,Joanna Smith,Nadine E. Foster,Siobhan Stevens,Elke Gemperle-Mannion,Jaclyn Brown,Marc J. Philippon,Martin Beck,John O'Donnell,David A. Robinson,Ivor Hughes,David J. Hunter,Kim L Bennell,Christopher Edward Bache,C. W. McBryde,Angelos Politis,Marcus J K Bankes,Marc George,Gavin Bartlett,Mark Norton,Tim N. Board,Aslam Mohammed,Asim Rajpura,Michael Cronin,Wael Dandachli,J. D. Witt,Stephen Eastaugh-Waring,Max Fehily,Darren Fern,Richard E. Field,Giles H. Stafford,Aresh Hashemi-Nejad,Tahir Mehmood Khan,Venu Kavathapu,Nigel Kiely,John Paul Whitaker,Paul Latimer,Sanjeev Madan,Ajay Malviya,Sanjeev Patil,Manoj Ramachandran,Seb Sturridge,Phillip Thomas,Craig White,Matthew Wilson,Mark A. Williams,Emma L. Jones,Simon Baker,Joanna Stanton,Charlotte Nicholls,Alison Smeatham,Lucie Gosling,Katte MacFarlane,Fraser Pressdee,Gareth Dickinson,Karen Boulton,Jill Goss,Rina Venter,Jamila Kassam,Rachel Simmons,Kathryn Poll,Thomas Bergmann,Margaret Pilkington,Jo Armstrong,Daniel B. Wright,Philippa Dolphin,Kelly Bainbridge,Miles Callum,Anthony Lewis,Evonne Smith,Veronica Cornes,Joanna Benfield,Katie Monnington,Emma Stewart,Steven Borrill,Megan Pinches,Sam Dawson,Noel Harding,Matthew Willis,Dani Moore,Andrew MacCauley,David Cooke,Rebecca Fleck,Julliet Ball,Peter Morrison,Michael Kennedy,Sylvia Turner,Charlotte Bryant,Kirsten Harris,Rebecca McKeown,Louise Clarkson,Alison Lewis,Rebecca Rowland-Axe,Anna Grice,Gayle Githens-Mazer,Helen Aughwan,Faye Moore,Eleanor Keeling,Justine Amero,Stephanie Atkinson,Lynne Graves,Anna Fouracres,Fiona Hammonds,Jas Curtis,Lisa Brackenridge,Tracey Taylor,Christine Dobb,Joanna Whitworth,Thelma Commey,Vasanti Limbani,Heather Maclintock,Alanna Milne,Claire Cleary,Helen Murray,Maria Dubia,Abdulkerim Gokturk,Rachel Bray +132 more
TL;DR: Hip arthroscopy and personalised hip therapy both improved hip-related quality of life for patients with femoroacetabular impingement syndrome, and both led to a greater improvement than did personalising hip therapy.
Journal ArticleDOI
Doha agreement meeting on terminology and definitions in groin pain in athletes
Adam Weir,Peter Brukner,Eamonn Delahunt,Jan Ekstrand,Damian R. Griffin,Karim M. Khan,Greg Lovell,William C. Meyers,Ulrike Muschaweck,John Orchard,Hannu Paajanen,Marc J. Philippon,Gilles Reboul,Philip Robinson,Anthony G. Schache,Ernest Schilders,Andreas Serner,Holly J. Silvers,Kristian Thorborg,Timothy F. Tyler,Geoffrey M. Verrall,Robert-Jan de Vos,Zarko Vuckovic,Per Hölmich +23 more
TL;DR: The Doha agreement meeting on terminology and definitions in groin pain in athletes reached a consensus on a clinically based taxonomy using three major categories based on history and physical examination to categorise athletes, making it simple and suitable for both clinical practice and research.
References
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Related Papers (5)
The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement
Damian R. Griffin,Edward J. Dickenson,Edward J. Dickenson,Jude O'donnell,Rintje Agricola,Tariq M Awan,M. Beck,John C. Clohisy,H P Dijkstra,Eanna Falvey,Mo Gimpel,Rana S Hinman,Per Hölmich,Ara Kassarjian,Hal David Martin,RobRoy L. Martin,Richard C. Mather,Marc J. Philippon,Michael P. Reiman,Amir Takla,Kristian Thorborg,Steven Walker,Adam Weir,Kim L Bennell +23 more