Postoperative Harris Hip Score Versus Harris Hip Score Difference in Hip Replacement: What to Report?
ABSTRACT Background Reliable scientific information is crucial for assessing hip function and evaluating the success of hip surgery. The Harris Hip Score (HHS) is the most widely used tool for measuring hip function and, in particular, the outcomes of hip surgery. The aim of this study was to conduc...
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| Format: | Article |
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Wiley
2025-01-01
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| Series: | Orthopaedic Surgery |
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| Online Access: | https://doi.org/10.1111/os.14272 |
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| author | Nikolai Ramadanov Maximilian Voss Robert Hable Hassan Tarek Hakam Robert Prill Mikhail Salzmann Dobromir Dimitrov Roland Becker |
| author_facet | Nikolai Ramadanov Maximilian Voss Robert Hable Hassan Tarek Hakam Robert Prill Mikhail Salzmann Dobromir Dimitrov Roland Becker |
| author_sort | Nikolai Ramadanov |
| collection | DOAJ |
| description | ABSTRACT Background Reliable scientific information is crucial for assessing hip function and evaluating the success of hip surgery. The Harris Hip Score (HHS) is the most widely used tool for measuring hip function and, in particular, the outcomes of hip surgery. The aim of this study was to conduct a systematic review of the literature to identify randomized controlled trials (RCTs) that reported the HHS for hip replacement treatment groups and to test whether there was a substantial difference between reporting only the postoperative HHS or the HHS difference (HHSdiff). Methods PubMed, CNKI, and Epistemonikos were searched until March 1, 2024. The risk of bias, level of evidence, and publication bias were assessed. As HHS is a continuous outcome, mean difference (MD) with 95% confidence intervals (CIs) was calculated using the Hartung–Knapp–Sidik–Jonkman method and a common‐effect/random‐effects model. The same approach was used for both postoperative HHS and HHSdiff. The effect of the two treatment groups studied (minimally invasive vs. conventional approach) on postoperative HHS was then compared with the effect of the two groups studied on the difference in HHS. Results A total of 41 RCTs, involving 3572 patients, with a low to high risk of bias and a low to moderate publication bias were included. The measured outcome parameters showed a low to moderate level of evidence. There was no relevant difference in the reporting of HHS only postoperatively or HHSdiff when comparing two hip replacement treatment groups in RCTs, measured at 0–0.5, 3, 6, and 12 months postoperatively. Conclusion The present study showed that there is no relevant difference between reporting of the HHS only postoperatively or HHSdiff when comparing two hip replacement treatment groups in RCTs. Both methods of HHS reporting produced comparable results in an identical cohort of 3765 patients undergoing hip replacement surgery. |
| format | Article |
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| institution | Kabale University |
| issn | 1757-7853 1757-7861 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
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| series | Orthopaedic Surgery |
| spelling | doaj-art-cc3f936324ed41d3bd5d8e67751bddb72025-01-16T05:31:15ZengWileyOrthopaedic Surgery1757-78531757-78612025-01-0117132110.1111/os.14272Postoperative Harris Hip Score Versus Harris Hip Score Difference in Hip Replacement: What to Report?Nikolai Ramadanov0Maximilian Voss1Robert Hable2Hassan Tarek Hakam3Robert Prill4Mikhail Salzmann5Dobromir Dimitrov6Roland Becker7Center of Orthopaedics and Traumatology University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane Brandenburg an der Havel GermanyCenter of Orthopaedics and Traumatology University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane Brandenburg an der Havel GermanyFaculty of Applied Computer Science Deggendorf Institute of Technology Deggendorf GermanyCenter of Orthopaedics and Traumatology University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane Brandenburg an der Havel GermanyCenter of Orthopaedics and Traumatology University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane Brandenburg an der Havel GermanyCenter of Orthopaedics and Traumatology University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane Brandenburg an der Havel GermanyDepartment of Surgical Propedeutics, Faculty of Medicine Medical University of Pleven Pleven BulgariaCenter of Orthopaedics and Traumatology University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane Brandenburg an der Havel GermanyABSTRACT Background Reliable scientific information is crucial for assessing hip function and evaluating the success of hip surgery. The Harris Hip Score (HHS) is the most widely used tool for measuring hip function and, in particular, the outcomes of hip surgery. The aim of this study was to conduct a systematic review of the literature to identify randomized controlled trials (RCTs) that reported the HHS for hip replacement treatment groups and to test whether there was a substantial difference between reporting only the postoperative HHS or the HHS difference (HHSdiff). Methods PubMed, CNKI, and Epistemonikos were searched until March 1, 2024. The risk of bias, level of evidence, and publication bias were assessed. As HHS is a continuous outcome, mean difference (MD) with 95% confidence intervals (CIs) was calculated using the Hartung–Knapp–Sidik–Jonkman method and a common‐effect/random‐effects model. The same approach was used for both postoperative HHS and HHSdiff. The effect of the two treatment groups studied (minimally invasive vs. conventional approach) on postoperative HHS was then compared with the effect of the two groups studied on the difference in HHS. Results A total of 41 RCTs, involving 3572 patients, with a low to high risk of bias and a low to moderate publication bias were included. The measured outcome parameters showed a low to moderate level of evidence. There was no relevant difference in the reporting of HHS only postoperatively or HHSdiff when comparing two hip replacement treatment groups in RCTs, measured at 0–0.5, 3, 6, and 12 months postoperatively. Conclusion The present study showed that there is no relevant difference between reporting of the HHS only postoperatively or HHSdiff when comparing two hip replacement treatment groups in RCTs. Both methods of HHS reporting produced comparable results in an identical cohort of 3765 patients undergoing hip replacement surgery.https://doi.org/10.1111/os.14272Harris Hip Scoremeta‐analysispatient reported outcome measuresystematic reviewtotal hip arthroplasty |
| spellingShingle | Nikolai Ramadanov Maximilian Voss Robert Hable Hassan Tarek Hakam Robert Prill Mikhail Salzmann Dobromir Dimitrov Roland Becker Postoperative Harris Hip Score Versus Harris Hip Score Difference in Hip Replacement: What to Report? Orthopaedic Surgery Harris Hip Score meta‐analysis patient reported outcome measure systematic review total hip arthroplasty |
| title | Postoperative Harris Hip Score Versus Harris Hip Score Difference in Hip Replacement: What to Report? |
| title_full | Postoperative Harris Hip Score Versus Harris Hip Score Difference in Hip Replacement: What to Report? |
| title_fullStr | Postoperative Harris Hip Score Versus Harris Hip Score Difference in Hip Replacement: What to Report? |
| title_full_unstemmed | Postoperative Harris Hip Score Versus Harris Hip Score Difference in Hip Replacement: What to Report? |
| title_short | Postoperative Harris Hip Score Versus Harris Hip Score Difference in Hip Replacement: What to Report? |
| title_sort | postoperative harris hip score versus harris hip score difference in hip replacement what to report |
| topic | Harris Hip Score meta‐analysis patient reported outcome measure systematic review total hip arthroplasty |
| url | https://doi.org/10.1111/os.14272 |
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