The German version of the High-Activity Arthroplasty Score is valid and reliable for patients after total knee arthroplasty

Vogel, Nicole; Kaelin, Raphael; Rychen, Thomas; Arnold, Markus

doi:10.1007/s00167-021-06531-w

Cited by 10 publications

(9 citation statements)

References 27 publications

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“…The questionnaire is reliable and valid in individuals with KOA patients for at least 12 months after TKA. The internal consistency of the HAAS-C, as measured by Cronbach's α, was found to be 0.75, higher than the values reported for the French (0.58) 21 and German (0.749) 18 versions but lower than the values reported for the original, 16 Dutch (0.838) 20 and Italian (0.91) 22 versions. Nevertheless, a value greater than 0.7 indicates adequate internal consistency for HAAS-C. Additionally, the test-retest reliability of HAAS-C was excellent, with an ICC of 0.98.…”

Section: Discussioncontrasting

confidence: 66%

“…The SEM of HAAS-C was lower than the value of the German version (0.54). 18 The Bland-Altman plots for the 2 measurements showed no systematic error. The…”

Section: Discussionmentioning

confidence: 84%

“…16 The High Activity Arthroplasty Score (HAAS), developed by a New Zealand research group in 2010 for high-activity patients after hip or knee arthroplasty, offers improved discriminative ability in functional assessment with fewer floor or ceiling effects. 17,18 In contrast to prevailing health-related quality of life (HRQoL) instruments, which primarily address pain and low-demand daily activities after hip and knee arthroplasty, HAAS comprehensively evaluates patients' functional capabilities, encompassing a broader spectrum of physical and sports activities alongside traditional pain symptoms, with each dimension designed to assess the patient's maximum capacity. 19 Previous studies have demonstrated the cultural adaptability, reliability, and effectiveness of the HAAS in English, French, Italian, Dutch, and German-speaking countries.…”

Section: Introductionmentioning

confidence: 99%

“…19 Previous studies have demonstrated the cultural adaptability, reliability, and effectiveness of the HAAS in English, French, Italian, Dutch, and German-speaking countries. 16,18,[20][21][22] However, a reliable and valid Chinese version of HAAS (HAAS-C) is currently unavailable. Given the increasing prevalence of KOA among a younger population in China and the growing number of TKA procedures, there is a need to adopt the HAAS questionnaire.…”

Section: Introductionmentioning

confidence: 99%

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Translation, Cross-Cultural Adaptation and Validation of the Chinese Version of the High Activity Arthroplasty Score

Wan,

Cao,

et al. 2024

PROM

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Background:The High Activity Arthroplasty Score (HAAS) is a validated score that assesses functional outcomes after lower limb arthroplasty, with fewer ceiling effects than other scores. The aim is to translate and cross-culturally adapt the HAAS into a Chinese version (HAAS-C) and to evaluate the psychometric properties of HAAS-C in patients after primary total knee arthroplasty (TKA). Methods: A total of 104 patients diagnosed with knee osteoarthritis who had undergone TKA at least 12 months prior were recruited. A forward and backward translation procedure was performed for developing a culturally acceptable HAAS-C. Internal consistency was assessed using Cronbach's α, and test-retest reliability was measured using the intraclass correlation coefficient (ICC) within a 10-day interval. Construct validity was assessed by examining the correlations between HAAS-C and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EuroQoL Group's five-dimension questionnaire (EQ-5D-5L), and Oxford knee score (OKS). Results: HAAS-C demonstrated adequate Internal consistency reliability, as indicated by Cronbach's α coefficient of 0.75. Test-retest reliability yielded excellent results, with an ICC value of 0.98. Content validity indices were high, with a scale-level validity index of 0.9 and item-level validity indices greater than or equal to 0.8. HAAS-C showed a strong correlation with WOMAC (r = 0.69), a moderate correlation with EQ-5D-5L (r = 0.43), and OKS (r = 0.53) while exhibiting no floor or ceiling effects. Conclusion:The validated HAAS-C questionnaire is a valid instrument for assessing patients undergoing TKA in mainland China.

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Section: Discussioncontrasting

confidence: 66%

“…The SEM of HAAS-C was lower than the value of the German version (0.54). 18 The Bland-Altman plots for the 2 measurements showed no systematic error. The…”

Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Translation, Cross-Cultural Adaptation and Validation of the Chinese Version of the High Activity Arthroplasty Score

Wan,

Cao,

et al. 2024

PROM

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“…Standard error of measurement (SEM) is an indicator of absolute reliability, reflecting the systematic and random error of the instrument [ 23 ]. SEM was measured using the formula , where SD is the pooled SD of BPI scores, and r is the test–retest reliability.…”

Section: Methodsmentioning

confidence: 99%

Validation of the Chinese version of the Brief Pain Inventory in patients with knee osteoarthritis

Wang,

Yao,

Shang

et al. 2023

J Orthop Surg Res

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Background Knee osteoarthritis (KOA) primarily presents with symptoms of pain and compromised functionality. Pain is a subjective manifestation that necessitates the employment of reliable evaluation tools for practical assessment, thereby enabling the formulation of appropriate interventional strategies. The Brief Pain Inventory (BPI) is a widely utilized questionnaire for evaluating the status of chronic pain. The purpose of the present study is to translate the short form of BPI into Chinese version (BPI-CV) and conduct cross-cultural adaptation to evaluate the psychometric characteristics of BPI-CV in KOA patients. Methods BPI-CV was translated and cross-culturally adapted according to internationally recognized guidelines. A cohort comprising 150 patients diagnosed with KOA successfully completed the demographic questionnaire, BPI-CV, Western Ontario and McMaster University Osteoarthritis Index (WOMAC), and the EuroQoL Group's five-dimension questionnaire (EQ-5D). Internal consistency and test–retest analysis were used to evaluate the reliability. The internal consistency of the scale items was evaluated by calculating the Cronbach's α value (> 0.7). We chose to employ two scales commonly used in the evaluation of KOA patients: the disease-specific WOMAC scale and the universal EQ-5D scale. Construct validity was determined through Pearson correlation analysis, comparing BPI scores with those obtained from the WOMAC and EQ-5D scales. Exploratory factor analysis was used to structural validity. Results The BPI-CV was well accepted with no ceiling or floor effect. Cronbach's α for assessing internal consistency was 0.894. Test–retest reliability was excellent with an ICC of 0.852 (95%CI 0.785–0.905). The BPI-CV showed moderate to strong correlations with the pain dimension (r = 0.496–0.860) and the functional interference dimension (r = 0.517–0.712) of the WOMAC and the EQ-5D (r = 0.527–0.743). Three factors resulted using exploratory factor analysis: pain severity, activity interference, and emotional interference, accounting for 79.0% of the total variance. Standard error of measurement was 0.539. Conclusion BPI-CV has good feasibility, reliability, and validity. It can be recommended for KOA patients in mainland China.

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Custom total knee arthroplasty with personalised alignment showed better 2‐year functional outcome compared to off‐the‐shelf arthroplasty

Vogel,

Kaelin,

Arnold

2024

Knee surg. sports traumatol. arthrosc.

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PurposeCustomised individually made (CIM) total knee arthroplasty (TKA) with personalised alignment is relatively new and evidence is limited. The aim of this study was to compare patient‐reported outcome measures between CIM and off‐the‐shelf (OTS) TKA patients in a matched‐pair analysis with a 2‐year follow‐up.MethodsIn this single‐centre, prospective cohort study, propensity score matching was performed on 51 CIM and 51 OTS TKA. Data were measured at baseline, at 4 months, 1 and 2 years and included the Forgotten Joint Score (FJS‐12), the High Activity Arthroplasty Score (HAAS), the Knee injury and Osteoarthritis Outcome Score (KOOS), the EQ‐5D‐3L, the EQ‐Visual Analogue Scale, satisfaction, overall knee improvement, willingness to undergo the surgery again and the Knee Society Score.ResultsAt 2 years follow‐up, the FJS‐12 (77 vs. 67, p = .058), HAAS (13 vs. 11, p < .001), KOOS daily living (92 vs. 86, p = .029), KOOS sport (76 vs. 65, p = .019), KOOS quality of life (81 vs. 71, p = .028) and the EQ‐5D (.95 vs. .90, p = .030) were higher for CIM TKA compared to OTS TKA. Satisfaction rate was 92% for CIM TKA and 84% for OTS TKA (p = .357). Most patients reported an improvement in the overall knee state (94% CIM and 90% OTS, p = .487) and almost all patients would undergo the surgery again (96% CIM and 98% OTS, p = .999).ConclusionThe current study found that CIM TKA patients had better functional outcomes at 2 years. Patient satisfaction was high and not statistically significantly different from OTS TKA patients.Level of EvidenceLevel II prospective cohort study.

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The German version of the High-Activity Arthroplasty Score is valid and reliable for patients after total knee arthroplasty

Cited by 10 publications

References 27 publications

Translation, Cross-Cultural Adaptation and Validation of the Chinese Version of the High Activity Arthroplasty Score

Translation, Cross-Cultural Adaptation and Validation of the Chinese Version of the High Activity Arthroplasty Score

Validation of the Chinese version of the Brief Pain Inventory in patients with knee osteoarthritis

Custom total knee arthroplasty with personalised alignment showed better 2‐year functional outcome compared to off‐the‐shelf arthroplasty

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