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Which is the most useful patient-reported outcome in femoroacetabular impingement? Test–retest reliability of six questionnaires
  1. Rana S Hinman1,
  2. Fiona Dobson1,
  3. Amir Takla2,
  4. John O'Donnell3,
  5. Kim L Bennell1
  1. 1Department of Physiotherapy, Centre for Health, Exercise and Sports Medicine, School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia
  2. 2Ivanhoe Sports & Physiotherapy Clinic, Ivanhoe, Victoria, Australia
  3. 3Hip Arthroscopy Australia, Richmond, Victoria, Australia
  1. Correspondence to Dr Rana S Hinman Department of Physiotherapy, Centre for Health, Exercise and Sports Medicine, Melbourne School of Health Sciences, The University of Melbourne, Alan Gilbert Building, 161 Barry St Carlton, Melbourne, VIC 3053, Australia; ranash{at}unimelb.edu.au

Abstract

Background/aims The most reliable patient-reported outcomes (PROs) for people with femoroacetabular impingement (FAI) is unknown because there have been no direct comparisons of questionnaires. Thus, the aim was to evaluate the test–retest reliability of six existing PROs in a single cohort of young active people with hip/groin pain consistent with a clinical diagnosis of FAI.

Methods Young adults with clinical FAI completed six PRO questionnaires on two occasions, 1–2 weeks apart. The PROs were modified Harris Hip Score, Hip dysfunction and Osteoarthritis Score, Hip Outcome Score, Non-Arthritic Hip Score, International Hip Outcome Tool, Copenhagen Hip and Groin Outcome Score.

Results 30 young adults (mean age 24 years, SD 4 years, range 18–30 years; 15 men) with stable symptoms participated. Intraclass correlation coefficient(3,1) values ranged from 0.73 to 0.93 (95% CI 0.38 to 0.98) indicating that most questionnaires reached minimal reliability benchmarks. Measurement error at the individual level was quite large for most questionnaires (minimal detectable change (MDC95) 12.4–35.6, 95% CI 8.7 to 54.0). In contrast, measurement error at the group level was quite small for most questionnaires (MDC95 2.2–7.3, 95% CI 1.6 to 11).

Conclusions The majority of the questionnaires were reliable and precise enough for use at the group level. Samples of only 23–30 individuals were required to achieve acceptable measurement variation at the group level. Further direct comparisons of these questionnaires are required to assess other measurement properties such as validity, responsiveness and meaningful change in young people with FAI.

  • Hip disorder
  • Groin injuries
  • Measurement
  • Sporting injuries

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