Oxford Hip Score: Difference between revisions
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== Introduction == | == Introduction == | ||
[[File:Oxford Hip Score.jpg|thumb|355x355px]] | [[File:Oxford Hip Score.jpg|thumb|355x355px]] | ||
The Oxford Hip Score (OHS) is a joint specific outcome measure tool designed to assess disability in patients undergoing [[Total Hip Replacement|total hip replacement]] (THR)<ref>Wylde V, Learmonth ID, Cavendish VJ. The Oxford hip score: the patient’s perspective. Health and quality of life outcomes. 2005 Dec;3(1):66. </ref>. It was developed in 1996, | The Oxford Hip Score (OHS) is a joint-specific, patient-reported outcome measure tool designed to assess disability in patients undergoing [[Total Hip Replacement|total hip replacement]] (THR)<ref>Wylde V, Learmonth ID, Cavendish VJ. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1283979/ The Oxford hip score: the patient’s perspective. Health and quality of life outcomes]. 2005 Dec;3(1):66. Accessed 24 June 2019. </ref>. It was developed in 1996<ref name=":0">Dawson J, Fitzpatrick R, Carr A, Murray D. [https://www.researchgate.net/profile/Andrew_Carr4/publication/14533904_Questionnaire_on_the_perceptions_of_patients_about_total_hip_replacement/links/56f5760708ae38d710a0d971.pdf Questionnaire on the perceptions of patients about total hip replacement]. J Bone Joint Surg Br 1996; 78: 185–90. Accessed 24 June 2019.</ref>, with new scoring introduced in 2007<ref name=":2">Murray DW, Fitzpatrick R, Rogers K,Pandit H, Beard DJ, Carr AJ, et al. T[https://www.researchgate.net/profile/Hemant_Pandit2/publication/6054260_The_use_of_the_Oxford_Hip_and_Knee_Scores/links/00b4952b1f1e7842ea000000.pdf he use of the Oxford Hip and Knee Scores]. J Bone Joint Surg Br 2007; 89: 1010–4. Accessed 24 June 2019.</ref>. | ||
== Objective == | == Objective == | ||
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== Method of Use == | == Method of Use == | ||
The OHS is a short 12-item survey. | The OHS is a short 12-item survey and can be found [http://www.orthopaedicscore.com/scorepages/oxford_hip_score.html online]. Patients are asked to reflect on their pain and functional ability over the previous four weeks. There are two domains (pain and function) with six items or questions in each. Each item has five possible responses. In the original scoring<ref name=":0" /> responses were from 1 = least difficult to 5= most difficult. Item scores are summed to give a total score from anywhere between 12 and 60. The lower the score, the better the outcome. | ||
In a 2007 update, due to confusion and variability in the clinical setting, the original authors recommended using the following scoring: Responses range from 0 to 4 where 0 represents the worst outcome and 4 represents the best, In this use, 48 is the maximum (and best) score achievable<ref name=":2" />. | |||
Regardless of which scoring system is used, it should be clearly documented which one is used<ref name=":2" />. | |||
== Score Grading == | == Score Grading == | ||
'''Score 0 to 19''' | '''Score 0 to 19''' May indicate severe hip arthritis. It is highly likely that you may well require some form of surgical intervention, contact your family physician for a consult with an orthopedic surgeon<ref name=":1">MEDICI. Available from: <nowiki>http://www.medicipractice.co.uk/navigator/oxford-hip-score/</nowiki></ref> | ||
'''Score 20 to 29''' May indicate moderate to severe hip arthritis. See your family physician for an assessment and x-ray. Consider a consult with an orthopedic surgeon<ref name=":1" /> | |||
'''Score | '''Score 30 to 39''' May indicate mild to moderate hip arthritis. Consider seeing your family physician for an assessment and possible x-ray. You may benefit from non-surgical treatment, such as exercise, weight loss, and/ or anti-inflammatory medication. | ||
'''Score | '''Score 40 to 48''' May indicate satisfactory joint function. May not require any formal treatment.<ref name=":1" /> | ||
== Validity and Reliability == | |||
A review of The validity of this score has shown a strong correlation, practicable, reliable, and valid for self assessment of pain and function in German-speaking patients with hip [[osteoarthritis]]<ref>Florian D, Marc S, Franco M, Fabian VK, Anne F, Micheal L. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2650060/ Reliability and Validity of the cross-culturally Adapted German Oxford Hip Score]. Clin Orthop Relat Res. 2009;467(4):952-957. Accessed 24 June 2019.</ref>. | |||
== References == | == References == | ||
Revision as of 05:21, 25 June 2019
Introduction[edit | edit source]
The Oxford Hip Score (OHS) is a joint-specific, patient-reported outcome measure tool designed to assess disability in patients undergoing total hip replacement (THR)[1]. It was developed in 1996[2], with new scoring introduced in 2007[3].
Objective[edit | edit source]
Its primary goal during development was to assess pain and function in patients undergoing Joint replacement surgery. Apart from it's utility in evaluating THR patients, the OHS is also used to assess patients after alternative non-surgical interventions. This includes physical therapy, joint supplements, and anti-inflammatory medications.
Method of Use[edit | edit source]
The OHS is a short 12-item survey and can be found online. Patients are asked to reflect on their pain and functional ability over the previous four weeks. There are two domains (pain and function) with six items or questions in each. Each item has five possible responses. In the original scoring[2] responses were from 1 = least difficult to 5= most difficult. Item scores are summed to give a total score from anywhere between 12 and 60. The lower the score, the better the outcome.
In a 2007 update, due to confusion and variability in the clinical setting, the original authors recommended using the following scoring: Responses range from 0 to 4 where 0 represents the worst outcome and 4 represents the best, In this use, 48 is the maximum (and best) score achievable[3].
Regardless of which scoring system is used, it should be clearly documented which one is used[3].
Score Grading[edit | edit source]
Score 0 to 19 May indicate severe hip arthritis. It is highly likely that you may well require some form of surgical intervention, contact your family physician for a consult with an orthopedic surgeon[4]
Score 20 to 29 May indicate moderate to severe hip arthritis. See your family physician for an assessment and x-ray. Consider a consult with an orthopedic surgeon[4]
Score 30 to 39 May indicate mild to moderate hip arthritis. Consider seeing your family physician for an assessment and possible x-ray. You may benefit from non-surgical treatment, such as exercise, weight loss, and/ or anti-inflammatory medication.
Score 40 to 48 May indicate satisfactory joint function. May not require any formal treatment.[4]
Validity and Reliability[edit | edit source]
A review of The validity of this score has shown a strong correlation, practicable, reliable, and valid for self assessment of pain and function in German-speaking patients with hip osteoarthritis[5].
References[edit | edit source]
- ↑ Wylde V, Learmonth ID, Cavendish VJ. The Oxford hip score: the patient’s perspective. Health and quality of life outcomes. 2005 Dec;3(1):66. Accessed 24 June 2019.
- ↑ 2.0 2.1 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: 185–90. Accessed 24 June 2019.
- ↑ 3.0 3.1 3.2 Murray DW, Fitzpatrick R, Rogers K,Pandit H, Beard DJ, Carr AJ, et al. The use of the Oxford Hip and Knee Scores. J Bone Joint Surg Br 2007; 89: 1010–4. Accessed 24 June 2019.
- ↑ 4.0 4.1 4.2 MEDICI. Available from: http://www.medicipractice.co.uk/navigator/oxford-hip-score/
- ↑ Florian D, Marc S, Franco M, Fabian VK, Anne F, Micheal L. Reliability and Validity of the cross-culturally Adapted German Oxford Hip Score. Clin Orthop Relat Res. 2009;467(4):952-957. Accessed 24 June 2019.
