Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ): a patient-based evaluation tool for hip-joint disease. The Subcommittee on Hip Disease Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association

Abstract

BackgroundThe Japanese Orthopaedic Association Hip Score is widely used in Japan, but this tool is designed to reflect the viewpoint of health-care providers rather than that of patients. In gauging the effect of medical therapies in addition to clinical results, it is necessary to assess quality of life (QOL) from the viewpoint of patients. However, there is no tool evaluating QOL for Japanese patients with hip-joint disease.MethodsWith the aim of more accurately classifying QOL for Japanese patients with hip-joint disease, we prepared a questionnaire with 58 items for the survey derived from 464 opinions obtained from approximately 100 Japanese patients with hip-joint disease and previously devised evaluation criteria. In the survey, we collected information on 501 cases, and 402 were subjected to factor analysis. From this, we formulated three categories—movement, mental, and pain—each comprising 7 items, for a total of 21 items to be used as evaluation criteria for hip-joint function.ResultsThe Cronbach’s α coefficients for the three categories were 0.93, 0.93, and 0.95, respectively, indicating the high reliability of the evaluation criteria. The 21 items included some related to the Asian lifestyle, such as use of a Japanese-style toilet and rising from the floor, which are not included in other evaluation tools.ConclusionsThis self-administered questionnaire may become a useful tool in the evaluation of not only Japanese patients, but also of members of other ethnic groups who engage in deep flexion of the hip joint during daily activities.

Validation study of the Forgotten Joint Score-12 as a universal patient-reported outcome measure

“…The JHEQ is a PRO tool first reported in 2012 by Matsumoto et al [5] for evaluation of the hip joint. This self-administered questionnaire uses a five-point Likert scale and comprises 24 questions in three scales (pain on a visual analog scale, movement, and mental; 8 questions in each subscale).…”

“…Among postoperative evaluation methods for THA, clinician-reported outcomes (CROs) such as the Harris Hip Score are affected by biases including intraobserver and interobserver variability and differences in patients' understanding of the questions asked [5]. Therefore, patient-reported outcomes (PROs) have attracted attention for more accurate evaluation of patients' quality of life.…”

“…The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [6], which is the most commonly used among various PRO tools, is based on the lifestyle of people in Western countries. Various studies have reported the usefulness of the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ), which takes the Japanese lifestyle into consideration [5,7]. However, because the JHEQ is specific to the Japanese culture and lifestyle, international comparison of its clinical results is impossible.…”

Clinical assessment after total hip arthroplasty using the Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire

“…Matsumoto et al 13 reported Cronbach a coefficients of 0.95, 0.93, and 0.93 for the pain, movement, and mental subscales, respectively. Similarly, Seki et al 14 reported Cronbach a coefficients of 0.92, 0.91, and 0.94 for each subscale.…”

“…11,12 The recently developed Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire (JHEQ) includes questions related to common Asian-lifestyle movements, such as using a squatting pan toilet or getting up from the floor. Matsumoto et al 13 suggested…”