Skip to main content
SpringerLink
Log in

Validity and responsiveness of the Oxford hip score in a prospective study with Japanese total hip arthroplasty patients

  • Original Article
  • Published:
Journal of Orthopaedic Science

Abstract

Background

With the increasing need for disease-specific health outcome measurements, the Oxford hip score was developed to measure health-related quality of life of total hip arthroplasty (THA) patients in the United Kingdom. The Oxford hip score comprises 12 items pertaining to pain and physical function, which are increasingly used to measure health outcomes of patients who have undergone THA. The purpose of this study was to establish the validity and responsiveness of the Oxford hip score in a prospective study of Japanese patients.

Methods

The study was conducted at two hospitals. The eligibility criterion for the study was consenting adult patients who underwent primary unilateral THA between April 2005 and October 2007. Three scales were self-administered at the preoperative stage and 6 months after THA. These scales were the Oxford hip score, the Short Form-36 (SF-36) version 2, and three activities requiring deep flexion of the hip (i.e., clipping one’s toenails; use of a Japanese squat toilet; “seiza” — sitting on one’s legs on the floor, a common posture while eating in Japan.

Results

A total of 224 consenting adult patients were recruited. Among them, 125 (61.9%) participated in pre- and postoperative surveys. Altogether, 108 (22 men, 86 women; mean age, 58.4 ± 12.5 years) of the 125 patients answered all the items. A significant improvement in the mean scores was observed in all scales. Correlation coefficients between the Oxford hip score and the SF-36 version 2 (physical functioning, role physical, bodily pain) ranged from 0.60 to 0.76 preoperatively and postoperatively. Effect size was 1.7 for pain and 1.3 for physical function. The effect size for seiza was small (0.3).

Conclusions

This study demonstrated the validity and responsiveness of the Oxford hip score in a prospective study. However, it does not measure activities requiring deep flexion of the hip joint, and the use of additional items is suggested.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet 2007;370:1508–1519.

    Article  Google Scholar 

  2. Stucki G, Liang MH, Phillips C, Katz JN. The short form-36 is preferable to the SIP as a generic health status measure in patients undergoing elective total hip arthroplasty. Arthritis Care Res 1995;8:174–181.

    Article  CAS  Google Scholar 

  3. Laupacis A, Bourne R, Rorabeck C, Feeny D, Wong C, Tugwell P, et al. The effect of elective total hip replacement on healthrelated quality of life. J Bone Joint Surg Am 1993;75:1619–1626.

    Article  CAS  Google Scholar 

  4. Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg Br 1996;78:185–190.

    Article  CAS  Google Scholar 

  5. Dawson J, Fitzpatrick R, Murray D, Carr A. Comparison of measures to assess outcomes in total hip replacement surgery. Qual Health Care 1996;5:81–88.

    Article  CAS  Google Scholar 

  6. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). 1. Conceptual framework and item selection. Med Care 1992;30:473–481.

    Article  Google Scholar 

  7. Towheed TE, Hochberg MC. Health-related quality of life after total hip replacement. Semin Arthritis Rheum 1996;26:483–491.

    Article  CAS  Google Scholar 

  8. Quintana JM, Escobar A, Arostegui I, Bilbao A, Azkarate J, Goenaga I, et al. Health-related quality of life and appropriateness or knee or hip joint replacement. Arch Intern Med 2006;166:220–226.

    Article  Google Scholar 

  9. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988;15:1833–1840.

    CAS  PubMed  Google Scholar 

  10. Rorabeck CH, Bourne RB, Laupacis A, Feeny D, Wong C, Tugwell P, et al. A double-blind study of 250 cases comparing cemented with cementless total hip arthroplasty: cost-effectiveness and its impact on health-related quality of life. Clin Orthop 1994;298:156–164.

    Google Scholar 

  11. McGrory BJ, Freiberg AA, Shinar AA, Harris WH. Correlation of measured range of hip motion following total hip arthroplasty and responses to a questionnaire. J Arthroplasty 1996;11:565–571.

    Article  CAS  Google Scholar 

  12. Fitzpatrick R, Morris R, Hajat S, Reeves B, Murray DW, Hannen D, et al. The value of short and simple measures to assess outcomes for patients of total hip replacement surgery. Qual Health Care 2000;9:146–150.

    Article  CAS  Google Scholar 

  13. Dawson J, Fitzpatrick R, Frost S, Gundle R, McLardy-Smith P, Murray D. Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement. J Bone Joint Surg Br 2001;83:1125–1129.

    Article  CAS  Google Scholar 

  14. Ostendorf M, van Stel HF, Buskens E, Schrijvers AJ, Marting LN, Verbout AJ, et al. Patient-reported outcome in total hip replacement. J Bone Joint Surg Br 2004;86:801–808.

    Article  CAS  Google Scholar 

  15. Uesugi Y, Fujita K, Okumiya A. Quality of life (QOL) of total hip arthroplasty patients, and reliability and validity of the Oxford hip score (OHS) Japanese version. J Jpn Soc Nurs Res 2006;29:81–7 (in Japanese).

    Google Scholar 

  16. Patil S, Garbuz DS, Greidanus NV, Masri BA, Duncan CP. Quality of life outcomes in revision vs primary total hip arthroplasty. J Arthroplasty 2008;23:550–553.

    Article  Google Scholar 

  17. Wiklund I, Romanus B. A comparison of quality of life before and after arthroplasty in patients who had arthrosis of the hip joint. J Bone Joint Surg Am 1991;73:765–769.

    Article  CAS  Google Scholar 

  18. Izumi K, Hiramatsu T, Tsuchiya T, Kanai K, Kanagawa K. The study on recovery process of daily living in patients and quality of life with total hip arthroplasty. J Jpn Soc Nurs Res 1994;17(2):9–19 (in Japanese).

    Google Scholar 

  19. Kanzaki H, Irie S, Ibuki S, Kato N, Nankaku M, Nakamura T, et al. Physical therapy for the patient with cemented total hip arthroplasty. Hip Joint 2003;29:29–34 (in Japanese).

    Google Scholar 

  20. Satoh M, Kawaguchi T, Shimada T, Tani K, Nakayama M. Study on environmental transition of patients who underwent total hip arthroplasty. J Jpn Soc Nurs Res 2005;28:41–50 (in Japanese).

    Google Scholar 

  21. Fukuhara S, Suzukamo Y. Manual of the SF-36v2 Japanese version. Kyoto: Institute for Health Outcomes & Process Evaluation Research; 2004 (in Japanese).

    Google Scholar 

  22. Fujita K, Makimoto K, Hotokebuchi T. Qualitative study of osteoarthritis patients’ experience before and after total hip arthroplasty in Japan. Nurs Health Sci 2006;8:81–87.

    Article  Google Scholar 

  23. Mulholland SJ, Wyss UP. Activities of daily living in non-Western cultures: range of motion requirements for hip and knee joint implants. Int J Rehabil Res 2001;24:191–198.

    Article  CAS  Google Scholar 

  24. Norquist JM, Fitzpatrick R, Dawson J, Jenkinson C. Comparing alternative Rasch-based methods vs raw scores in measuring changes in health. Med Care 2004;42:25–36.

    Article  Google Scholar 

  25. Fitzpatrick R, Norquist JM, Jenkinson C, Reeves BC, Morris RW, Murray DW, et al. A comparison of Rasch with Likert scoring to discriminate between patients’ evaluations of total hip replacement surgery. Qual Life Res 2004;13:331–338.

    Article  CAS  Google Scholar 

  26. Bae SC, Lee HS, Yun HR, Kim TH, Yoo DH, Kim SY. Crosscultural adaptation and validation of Korean Western Ontario and McMaster universities (WOMAC) and Lequesne osteoarthritis indices for clinical research. Osteoarthritis Cartilage 2001;9:746–750.

    Article  CAS  Google Scholar 

  27. Thumboo J, Chew LH, Soh CH. Validation of the Western Ontario and McMaster University osteoarthritis index in Asians with osteoarthritis in Singapore. Osteoarthritis Cartilage 2001;9:440–446.

    Article  CAS  Google Scholar 

  28. Fukuhara S. Why do we need QOL now: QOL as a patientoriented health outcome. In: Ikegami N, Fukuhara S, Simozuma K, Ikeda S, editors. QOL evaluation handbook for clinicians. Tokyo: Igakusyoin; 2001. pp. 2–7 (in Japanese).

    Google Scholar 

  29. Garbuz DS, Xu M, Sayre EC. Patient’ outcome after total hip arthroplasty: a comparison between the Western Ontario and McMaster universities index and the Oxford 12-item hip score. J Arthroplasty 2006;21:998–1004.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Nursing, Kobe University Graduate School of Health Sciences, 7-10-2 Tomogaoka, Suma-ku, Kobe, Hyogo, 654-0142, Japan

    Yuko Uesugi

  2. Division of Health Sciences, Osaka University Graduate School of Medicine, Osaka, Japan

    Kiyoko Makimoto

  3. Department of Nursing, Faculty of Medicine, Saga University, Saga, Japan

    Kimie Fujita

  4. Department of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, Osaka, Japan

    Takashi Nishii & Nobuhiko Sugano

  5. Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan

    Takashi Sakai

Authors
  1. Yuko Uesugi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kiyoko Makimoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kimie Fujita
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Takashi Nishii
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Takashi Sakai
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Nobuhiko Sugano
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Uesugi, Y., Makimoto, K., Fujita, K. et al. Validity and responsiveness of the Oxford hip score in a prospective study with Japanese total hip arthroplasty patients. J Orthop Sci 14, 35–39 (2009). https://doi.org/10.1007/s00776-008-1292-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00776-008-1292-9

Keywords

Search

Navigation