2009/08/06 by K Thorborg, Kristian Thorborg, Ewa M. Roos +6
Medicine · #Hip disorders and treatments #Orthopaedic implants and arthroplasty #Total Knee Arthroplasty Outcomes
paper · doi:10.1136/bjsm.2009.060889
openalex publication_date 2009/08/06 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/31
BACKGROUND: Novel treatment interventions are advancing rapidly in the management of hip and groin disability in the physically active young to middle-aged population. OBJECTIVE: To recommend the most suitable patient-reported outcome (PRO) questionnaires for the assessment of hip and groin disability based on a systematic review of evidence of validity, reliability and responsiveness of these instruments. METHODS: MEDLINE, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, PsycINFO, SportsDiscus and Web of Science were all searched up to January 2009. Two reviewers independently rated measurement properties of the PRO questionnaires in the included studies, according to a standardised criteria list. RESULTS: The computerised search identified 2737 publications. Forty-one publications investigating measurement properties of PRO questionnaires assessing hip or groin disability were included in the study. Twelve different questionnaires designed for patients with hip disability and one questionnaire for patients with groin disability were identified. Hip dysfunction and Osteoarthritis Outcome Score (HOOS) contains adequate measurement qualities to evaluate patients with hip osteoarthritis (OA) or total hip replacement (THR). Hip Outcome Score (HOS) is the best available questionnaire for evaluating hip arthroscopy, but the Inguinal Pain Questionnaire, the only identified questionnaire evaluating groin disability, does not contain adequate measurement qualities. CONCLUSIONS: HOOS is recommended for evaluating patients with hip OA undergoing non-surgical treatment and surgical interventions such as THR. HOS is recommended for evaluating patients undergoing hip arthroscopy. Current and new PRO questionnaires should also be evaluated in younger patients (age <50) with hip and/or groin disability, including surgical and non-surgical patients.