PROMs

Oxford Hip Score (OHS) Flow

Oxford Hip Score flow

Introduction

The OHS is a joint specific patient-centred outcome measure that was devised in 1996 by Murray et al. [1] The OHS is designed to assess pain and functional ability from the patient’s perspective. It consists of 12 questions which were originally reated from 1 to 5, with 1 representing best outcome and 5 the worst. This original OHS scoring has since be revised and each question is now scored from 0 to 4, with 4 indicating the best outcome.[2] The OHS has been shown to have particularly high responsiveness, is easy to use and can be completed by patients independent of clinicians. The OHS has been demonstrated to be highly sensitive to change in patients undergoing primary
THR [1] and revision THR.[3] It is internally consistent, reproducible and valid.[4]

Awell only supports the 0 to 4 scoring system.

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

Oxford Hip Score (OHS) questionnaire

Questions

The OHS questions used to calculate the score are as follows:

Please answer the following 12 multiple choice questions. During the past 4 weeks.

Questions

  1. How would you describe the pain you usually have in your hip?
  2. Have you been troubled by pain from your hip in bed at night?
  3. Have you had any sudden, severe pain (shooting, stabbing, or spasms) from your affected hip?
  4. Have you been limping when walking because of your hip?
  5. For how long have you been able to walk before the pain in your hip becomes severe (with or without a walking aid)?
  6. Have you been able to climb a flight of stairs?
  7. Have you been able to put on a pair of socks, stockings or tights?
  8. After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your hip?
  9. Have you had any trouble getting in and out of a car or using public transportation because of your hip?
  10. Have you had any trouble with washing and drying yourself (all over) because of your hip?
  11. Could you do the household shopping on your own?
  12. How much has pain from your hip interfered with your usual work, including housework?

Interpretation

The OHS represents a continuous score ranging from 0 (most severe symptoms) to 48 (least symptoms).

References

[1] Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg Br. 1996;78(2):185-190.\
[2] Weale AE, Halabi OA, Jones PW, White SH. Perceptions of outcomes after unicompartmental and total knee replacements. Clin Orthop Relat Res. 2001;(382):143-153. doi:10.1097/00003086-200101000-00021\
[3] Dawson J, Fitzpatrick R, Frost S, Gundle R, McLardy-Smith P, Murray D. Evidence for the validity of a patient-based instrument for assessment of outcome after revision hip replacement. J Bone Joint Surg Br. 2001;83(8):1125-1129. doi:10.1302/0301-620x.83b8.11643\
[4] Ahmad MA, Xypnitos FN, Giannoudis PV. Measuring hip outcomes: common scales and checklists. Injury. 2011;42(3):259-264. doi:10.1016/j.injury.2010.11.052

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