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Minerva Ortopedica e Traumatologica 2020 September;71(3):98-103

DOI: 10.23736/S0394-3410.20.03973-9

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Cross-cultural adaptation and validation of the Italian version of the Copenhagen Hip and Groin Outcome Score

Alexandra E. NEGRAU 1, Luca ROCCIA 2, Emilio ROMANINI 3, Massimiliano MAGALETTI 3, Anna BERARDI 1, Annamaria SERVADIO 2, 4, Roberta MOLLICA 5, Marco TOFANI 6, Donatella VALENTE 7, Giovanni GALEOTO 8

1 Sapienza University, Rome, Italy; 2 Department of Health Professions, Tor Vergata Hospital, Rome, Italy; 3 Artrogruppo, Casa di Cura San Feliciano, Rome, Italy; 4 UniCamillus, Saint Camillus International University of Health and Medical Sciences, Rome, Italy; 5 Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, Rome, Italy; 6 Unit of Neurorehabilitation, Department of Neurosciences and Neurorehabilitation Bambino Gesù Children’s Hospital, Rome, Italy; 7 Department of Pediatrics and Child Neuropsychiatry, Sapienza University, Rome, Italy; 8 Department of Public Health, Sapienza University, Rome, Italy



BACKGROUND: The aim of the study was to translate and cross-culturally adapt the Copenhagen Hip and Groin Outcome Score (HAGOS) into an Italian version (HAGOS-IT) and evaluate the reliability and validity of the HAGOS-IT in individuals who underwent hip arthroplasty surgery.
METHODS: A total of 73 participants were recruited for this study. Internal consistency was evaluated using the Cronbach’s alpha to assess the homogeneity between the items. The HAGOS-IT was filled out again by 30 participants to explore test-retest reliability which was evaluated through Intraclass Correlation Coefficient (ICC). Construct validity was analysed by evaluating the correlations between HAGOS-IT and Hip disability and osteoarthritis outcome score (HOOS), as well as Visual Analogue Scale (VAS) using Pearson’s correlation coefficient (r).
RESULTS: The original version of the HAGOS was cross-culturally adapted and translated into Italian. HAGOS-IT resulted to have excellent reliability (ICC=0.965-0.998, Cronbach’s alpha =0.81-0.93). Moderate to substantial correlations were proved between HAGOS-IT subscales and HOOS subscales especially in symptoms (r=0.910), and Quality of Life (r=0.947). There was no correlation between HAGOS-IT and VAS Scale.
CONCLUSIONS: HAGOS-IT demonstrated to have a quite good reliability and validity, which could be recommended for Italian patients with hip replacement.


KEY WORDS: Arthroplasty, replacement, hip; Quality of life; Visual Analogue Scale

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