PROMs

Harris Hip Score Clinical Workflow

Harris Hip Score flow

Introduction

The Harris Hip Scale (HHS) was developed for the assessment of the results of hip surgery, and is intended to evaluate various hip disabilities and methods of treatment in an adult population. The original version was published 1969[1]. The HHS is an outcome measure administered by a qualified health care professional, such as a physician or a physical therapist.

The Harris Hip Score flow contains the Harris Hip Score questionnaire and associated calculation. After form submission, the Harris Hip Score calculation is executed automatically. It's easy to extend this flow with conditional logic based on the interpretation of the Harris Hip Score calculation.

Harris Hip Score questionnaire

Questions and Scoring

There are ten items covering four domains. The domains are pain, function, absence of deformity, and range of motion[2].

The pain domain measures pain severity and its effect on activities and need for pain medication. The function domain is divided into daily activities and gait. The deformity domains observes hip flexion, adduction, internal rotation, and extremity length discrepancy while the range of motion domain asses hip ROM.

Link to English version of the Harris Hip Score.
Link to Dutch version of the Harris Hip Score.

Interpretation

The HHS is a measure of dysfunction so the higher the score, the better the outcome for the individual. The maximum score possible is 100, the lowest possible score is 0.

References

[1] Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969 Jun;51(4):737-55.
[2] Nilsdotter A, Bremander A. Measures of hip function and symptoms: Harris Hip Score (HHS), Hip Disability and Osteoarthritis Outcome Score (HOOS), Oxford Hip Score (OHS), Lequesne Index of Severity for Osteoarthritis of the Hip (LISOH), and American Academy of Orthopedic Surgeons (AAOS) Hip and Knee Questionnaire. Arthritis Care Res. 2011. 63; S11 Supplement: Special Outcomes: S200-S207. Accessed 21 June 2019.

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