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Patient-reported outcome measures for hip-related pain : A review of the available evidence and a consensus statement from the International Hip-related Pain Research Network, Zurich 2018

Impellizzeri, Franco M. ; Jones, Denise M. ; Griffin, Damian ; Harris-Hayes, Marcie ; Thorborg, Kristian ; Crossley, Kay M. ; Reiman, Michael P. ; Scholes, Mark James ; Ageberg, Eva LU and Agricola, Rintje , et al. (2020) In British journal of sports medicine 54(14). p.848-857
Abstract

Hip-related pain is a well-recognised complaint among active young and middle-aged active adults. People experiencing hip-related disorders commonly report pain and reduced functional capacity, including difficulties in executing activities of daily living. Patient-reported outcome measures (PROMs) are essential to accurately examine and compare the effects of different treatments on disability in those with hip pain. In November 2018, 38 researchers and clinicians working in the field of hip-related pain met in Zurich, Switzerland for the first International Hip-related Pain Research Network meeting. Prior to the meeting, evidence summaries were developed relating to four prioritised themes. This paper discusses the available evidence... (More)

Hip-related pain is a well-recognised complaint among active young and middle-aged active adults. People experiencing hip-related disorders commonly report pain and reduced functional capacity, including difficulties in executing activities of daily living. Patient-reported outcome measures (PROMs) are essential to accurately examine and compare the effects of different treatments on disability in those with hip pain. In November 2018, 38 researchers and clinicians working in the field of hip-related pain met in Zurich, Switzerland for the first International Hip-related Pain Research Network meeting. Prior to the meeting, evidence summaries were developed relating to four prioritised themes. This paper discusses the available evidence and consensus process from which recommendations were made regarding the appropriate use of PROMs to assess disability in young and middle-aged active adults with hip-related pain. Our process to gain consensus had five steps: (1) systematic review of systematic reviews; (2) preliminary discussion within the working group; (3) update of the more recent high-quality systematic review and examination of the psychometric properties of PROMs according to established guidelines; (4) formulation of the recommendations considering the limitations of the PROMs derived from the examination of their quality; and (5) voting and consensus. Out of 102 articles retrieved, 6 systematic reviews were selected and assessed for quality according to AMSTAR 2 (A MeaSurement Tool to Assess systematic Reviews). Two showed moderate quality. We then updated the most recent review. The updated literature search resulted in 10 additional studies that were included in the qualitative synthesis. The recommendations based on evidence summary and PROMs limitations were presented at the consensus meeting. The group makes the following recommendations: (1) the Hip and Groin Outcome Score (HAGOS) and the International Hip Outcome Tool (iHOT) instruments (long and reduced versions) are the most appropriate PROMs to use in young and middle-aged active adults with hip-related pain; (2) more research is needed into the utility of the HAGOS and the iHOT instruments in a non-surgical treatment context; and (3) generic quality of life measures such as the EuroQoL-5 Dimension Questionnaire and the Short Form Health Survey-36 may add value for researchers and clinicians in this field. We conclude that as none of the instruments shows acceptable quality across various psychometric properties, more methods studies are needed to further evaluate the validity of these PROMS-the HAGOS and iHOT-as well as the other (currently not recommended) PROMS.

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type
Contribution to journal
publication status
published
subject
keywords
consensus, groin, hip, quality of life, questionnaire
in
British journal of sports medicine
volume
54
issue
14
pages
10 pages
publisher
BMJ Publishing Group
external identifiers
  • pmid:32066573
  • scopus:85082814140
ISSN
0306-3674
DOI
10.1136/bjsports-2019-101456
language
English
LU publication?
yes
id
1444ac2a-8b62-4f97-a5b2-e1df72d0d5c0
date added to LUP
2020-04-28 15:33:31
date last changed
2021-05-05 02:43:21
@article{1444ac2a-8b62-4f97-a5b2-e1df72d0d5c0,
  abstract     = {<p>Hip-related pain is a well-recognised complaint among active young and middle-aged active adults. People experiencing hip-related disorders commonly report pain and reduced functional capacity, including difficulties in executing activities of daily living. Patient-reported outcome measures (PROMs) are essential to accurately examine and compare the effects of different treatments on disability in those with hip pain. In November 2018, 38 researchers and clinicians working in the field of hip-related pain met in Zurich, Switzerland for the first International Hip-related Pain Research Network meeting. Prior to the meeting, evidence summaries were developed relating to four prioritised themes. This paper discusses the available evidence and consensus process from which recommendations were made regarding the appropriate use of PROMs to assess disability in young and middle-aged active adults with hip-related pain. Our process to gain consensus had five steps: (1) systematic review of systematic reviews; (2) preliminary discussion within the working group; (3) update of the more recent high-quality systematic review and examination of the psychometric properties of PROMs according to established guidelines; (4) formulation of the recommendations considering the limitations of the PROMs derived from the examination of their quality; and (5) voting and consensus. Out of 102 articles retrieved, 6 systematic reviews were selected and assessed for quality according to AMSTAR 2 (A MeaSurement Tool to Assess systematic Reviews). Two showed moderate quality. We then updated the most recent review. The updated literature search resulted in 10 additional studies that were included in the qualitative synthesis. The recommendations based on evidence summary and PROMs limitations were presented at the consensus meeting. The group makes the following recommendations: (1) the Hip and Groin Outcome Score (HAGOS) and the International Hip Outcome Tool (iHOT) instruments (long and reduced versions) are the most appropriate PROMs to use in young and middle-aged active adults with hip-related pain; (2) more research is needed into the utility of the HAGOS and the iHOT instruments in a non-surgical treatment context; and (3) generic quality of life measures such as the EuroQoL-5 Dimension Questionnaire and the Short Form Health Survey-36 may add value for researchers and clinicians in this field. We conclude that as none of the instruments shows acceptable quality across various psychometric properties, more methods studies are needed to further evaluate the validity of these PROMS-the HAGOS and iHOT-as well as the other (currently not recommended) PROMS.</p>},
  author       = {Impellizzeri, Franco M. and Jones, Denise M. and Griffin, Damian and Harris-Hayes, Marcie and Thorborg, Kristian and Crossley, Kay M. and Reiman, Michael P. and Scholes, Mark James and Ageberg, Eva and Agricola, Rintje and Bizzini, Mario and Bloom, Nancy and Casartelli, Nicola C. and Diamond, Laura E. and Dijkstra, Hendrik Paulus and Di Stasi, Stephanie and Drew, Michael and Friedman, Daniel Jonah and Freke, Matthew and Gojanovic, Boris and Heerey, Joshua J. and Hölmich, Per and Hunt, Michael A. and Ishøi, Lasse and Kassarjian, Ara and King, Matthew and Lawrenson, Peter R. and Leunig, Michael and Lewis, Cara L. and Warholm, Kristian Marstrand and Mayes, Sue and Moksnes, Håvard and Mosler, Andrea Britt and Risberg, May Arna and Semciw, Adam and Serner, Andreas and Van Klij, Pim and Wörner, Tobias and Kemp, Joanne},
  issn         = {0306-3674},
  language     = {eng},
  number       = {14},
  pages        = {848--857},
  publisher    = {BMJ Publishing Group},
  series       = {British journal of sports medicine},
  title        = {Patient-reported outcome measures for hip-related pain : A review of the available evidence and a consensus statement from the International Hip-related Pain Research Network, Zurich 2018},
  url          = {http://dx.doi.org/10.1136/bjsports-2019-101456},
  doi          = {10.1136/bjsports-2019-101456},
  volume       = {54},
  year         = {2020},
}