Validation of the Dutch version of the Hip disability and Osteoarthritis Outcome Score

Osteoarthritis Cartilage. 2007 Jan;15(1):104-9. doi: 10.1016/j.joca.2006.06.014. Epub 2006 Aug 4.


Introduction: The Hip disability and Osteoarthritis Outcome Score (HOOS) was constructed in Sweden; this questionnaire has proved to be valid for persons with hip disability with or without hip osteoarthritis (OA) and with high demands of physical function.

Objective: The objective of this study was to evaluate the internal consistency, reliability, construct validity, and floor and ceiling effects of the Dutch version of the HOOS questionnaire.

Patients and methods: After translation with a forward/backward protocol, 74 hip arthroplasty patients and 88 hip OA patients filled in the Dutch HOOS, as well as a Short Form-36 (SF-36), an Oxford Hip Score (OHS) and a VAS-pain questionnaire.

Results: The Dutch version of the HOOS questionnaire achieved excellent scores in all of the clinimetric properties.

Conclusion: The Dutch HOOS questionnaire has a good internal consistency and reliability. Moreover, the construct validity is good and no floor and ceiling effects were found. The HOOS is a good instrument for patients with different stadia of hip OA.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Aged, 80 and over
  • Disability Evaluation*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis, Hip / diagnosis*
  • Pain Measurement / methods
  • Quality of Life*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Severity of Illness Index
  • Surveys and Questionnaires / standards*