COSMIN database

Validity, reliability and responsiveness of patient-reported outcome questionnaires when assessing hip and groin disability: a systematic review

Thorborg, K., Roos, E. M., Bartels, E. M., Petersen, J., and Holmich, P.
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 patientreported 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 identifi ed 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 identifi ed. 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 identifi ed 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.
<Go to ISI>://WOS:000285294800015
British Journal of Sports Medicine
Publication year:
Symptom status:
Physical state
Functional status:
Physical functioning
Adults (18-65)
Children (0-18)
Seniors (65+)
Diseases of and symptoms related to the musculoskeletal system and connective tissue
PRO / non-PRO:
Non-patient Reported Outcome
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
6 - Clinical rating scales
7 - Observations
AAOS-HS - American Academy of Orthopaedic Surgeons-Hip Score
HOOS - Hip disability and Osteoarthritis Outcome Score   
HOS - Hip Outcome Score
HRQ - Hip Rating Questionnaire
IPQ - Inguinal Pain Questionnaire (versions: sf-IPQ - short form-IPQ)
LAI-hip - Lequesne Algofunctional Index for the severity of osteoarthritis of the hip [alias: LISH][alias: LISOH]   
mHHS - modified Harris Hip Score
NHS - Nonarthritic Hip Score
OHS - Oxford Hip Score   
PASI - Patient Specific Index
R-WOMAC-FS - Reduced Western Ontario and McMaster Universities Osteoarthritis index Function Score
THAOQ - Total Hip Arthroplasty Outcome Questionnaire
WOMAC - Western Ontario and McMaster Universities Osteoarthritis Index (Also I-WOMAC - Individualized WOMAC)