Concurrent validity of the Single Assessment Numerical Evaluation and hip-specific patient-reported outcome measures: a cross-sectional retrospective database analysis
Aims: The Single Assessment Numerical Evalution (SANE) score is a pragmatic alternative to longer patient-reported outcome measures (PROMs). The purpose of this study was to investigate the concurrent validity of the SANE and hip-specific PROMs in a generalized population of patients with hip pain...
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The British Editorial Society of Bone & Joint Surgery
2024-10-01
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| Series: | Bone & Joint Open |
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| Online Access: | https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.510.BJO-2024-0094.R1 |
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| author | Elizabeth M. Bergman Edward P. Mulligan Rupal M. Patel Joel Wells |
| author_facet | Elizabeth M. Bergman Edward P. Mulligan Rupal M. Patel Joel Wells |
| author_sort | Elizabeth M. Bergman |
| collection | DOAJ |
| description | Aims: The Single Assessment Numerical Evalution (SANE) score is a pragmatic alternative to longer patient-reported outcome measures (PROMs). The purpose of this study was to investigate the concurrent validity of the SANE and hip-specific PROMs in a generalized population of patients with hip pain at a single timepoint upon initial visit with an orthopaedic surgeon who is a hip preservation specialist. We hypothesized that SANE would have a strong correlation with the 12-question International Hip Outcome Tool (iHOT)-12, the Hip Outcome Score (HOS), and the Hip disability and Osteoarthritis Outcome Score (HOOS), providing evidence for concurrent validity of the SANE and hip-specific outcome measures in patients with hip pain. Methods: This study was a cross-sectional retrospective database analysis at a single timepoint. Data were collected from 2,782 patients at initial evaluation with a hip preservation specialist using the iHOT-12, HOS, HOOS, and SANE. Outcome scores were retrospectively analyzed using Pearson correlation coefficients. Results: Mean raw scores were iHOT-12 67.01 (SD 29.52), HOS 58.42 (SD 26.26), HOOS 86.85 (SD 32.94), and SANE 49.60 (SD 27.92). SANE was moderately correlated with the iHOT-12 (r = -0.4; 95% CI -0.35 to -0.44; p < 0.001), HOS (r = 0.57; 95% CI 0.53 to 0.60; p < 0.001), and HOOS (r = -0.55; 95% CI -0.51 to -0.58; p < 0.001). The iHOT-12 and HOOS were recorded as a lower score, indicating better function, which accounts for the negative r values. Conclusion: This study was the first to investigate the relationship between the SANE and the iHOT-12, HOS, and HOOS in a population of patients with hip pain at the initial evaluation with an orthopaedic surgeon, and found moderate correlation between SANE and the iHOT-12, HOS, and HOOS. The SANE may be a pragmatic alternative for clinical benchmarking in a general population of patients with hip pain. The construct validity of the SANE should be questioned compared to legacy measures whose content validity has been more rigorously investigated. Cite this article: Bone Jt Open 2024;5(10):904–910. |
| format | Article |
| id | doaj-art-7dd1dfa76397427fba4530e3dc78e705 |
| institution | OA Journals |
| issn | 2633-1462 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | The British Editorial Society of Bone & Joint Surgery |
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| series | Bone & Joint Open |
| spelling | doaj-art-7dd1dfa76397427fba4530e3dc78e7052025-08-20T02:11:22ZengThe British Editorial Society of Bone & Joint SurgeryBone & Joint Open2633-14622024-10-0151090491010.1302/2633-1462.510.BJO-2024-0094.R1Concurrent validity of the Single Assessment Numerical Evaluation and hip-specific patient-reported outcome measures: a cross-sectional retrospective database analysisElizabeth M. Bergman0https://orcid.org/0000-0003-1469-0973Edward P. Mulligan1https://orcid.org/0000-0001-5561-9394Rupal M. Patel2https://orcid.org/0000-0003-3214-9638Joel Wells3https://orcid.org/0000-0002-4784-2665School of Physical Therapy, Texas Woman’s University, Houston, Texas, USADepartment of Rehabilitation Sciences, Tufts School of Medicine, Phoenix, Arizona, USASchool of Physical Therapy, Texas Woman’s University, Houston, Texas, USADepartment of Orthopedic Surgery, Baylor Scott and White Health, McKinney, Texas, USAAims: The Single Assessment Numerical Evalution (SANE) score is a pragmatic alternative to longer patient-reported outcome measures (PROMs). The purpose of this study was to investigate the concurrent validity of the SANE and hip-specific PROMs in a generalized population of patients with hip pain at a single timepoint upon initial visit with an orthopaedic surgeon who is a hip preservation specialist. We hypothesized that SANE would have a strong correlation with the 12-question International Hip Outcome Tool (iHOT)-12, the Hip Outcome Score (HOS), and the Hip disability and Osteoarthritis Outcome Score (HOOS), providing evidence for concurrent validity of the SANE and hip-specific outcome measures in patients with hip pain. Methods: This study was a cross-sectional retrospective database analysis at a single timepoint. Data were collected from 2,782 patients at initial evaluation with a hip preservation specialist using the iHOT-12, HOS, HOOS, and SANE. Outcome scores were retrospectively analyzed using Pearson correlation coefficients. Results: Mean raw scores were iHOT-12 67.01 (SD 29.52), HOS 58.42 (SD 26.26), HOOS 86.85 (SD 32.94), and SANE 49.60 (SD 27.92). SANE was moderately correlated with the iHOT-12 (r = -0.4; 95% CI -0.35 to -0.44; p < 0.001), HOS (r = 0.57; 95% CI 0.53 to 0.60; p < 0.001), and HOOS (r = -0.55; 95% CI -0.51 to -0.58; p < 0.001). The iHOT-12 and HOOS were recorded as a lower score, indicating better function, which accounts for the negative r values. Conclusion: This study was the first to investigate the relationship between the SANE and the iHOT-12, HOS, and HOOS in a population of patients with hip pain at the initial evaluation with an orthopaedic surgeon, and found moderate correlation between SANE and the iHOT-12, HOS, and HOOS. The SANE may be a pragmatic alternative for clinical benchmarking in a general population of patients with hip pain. The construct validity of the SANE should be questioned compared to legacy measures whose content validity has been more rigorously investigated. Cite this article: Bone Jt Open 2024;5(10):904–910.https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.510.BJO-2024-0094.R1patient-reported outcome measureshippatient-reported outcome measures (proms)orthopaedic surgeonhip painpearson correlation coefficientship outcome scorehip disability and osteoarthritis outcome scoreoutcome toolfemoroacetabular impingementclinicians |
| spellingShingle | Elizabeth M. Bergman Edward P. Mulligan Rupal M. Patel Joel Wells Concurrent validity of the Single Assessment Numerical Evaluation and hip-specific patient-reported outcome measures: a cross-sectional retrospective database analysis Bone & Joint Open patient-reported outcome measures hip patient-reported outcome measures (proms) orthopaedic surgeon hip pain pearson correlation coefficients hip outcome score hip disability and osteoarthritis outcome score outcome tool femoroacetabular impingement clinicians |
| title | Concurrent validity of the Single Assessment Numerical Evaluation and hip-specific patient-reported outcome measures: a cross-sectional retrospective database analysis |
| title_full | Concurrent validity of the Single Assessment Numerical Evaluation and hip-specific patient-reported outcome measures: a cross-sectional retrospective database analysis |
| title_fullStr | Concurrent validity of the Single Assessment Numerical Evaluation and hip-specific patient-reported outcome measures: a cross-sectional retrospective database analysis |
| title_full_unstemmed | Concurrent validity of the Single Assessment Numerical Evaluation and hip-specific patient-reported outcome measures: a cross-sectional retrospective database analysis |
| title_short | Concurrent validity of the Single Assessment Numerical Evaluation and hip-specific patient-reported outcome measures: a cross-sectional retrospective database analysis |
| title_sort | concurrent validity of the single assessment numerical evaluation and hip specific patient reported outcome measures a cross sectional retrospective database analysis |
| topic | patient-reported outcome measures hip patient-reported outcome measures (proms) orthopaedic surgeon hip pain pearson correlation coefficients hip outcome score hip disability and osteoarthritis outcome score outcome tool femoroacetabular impingement clinicians |
| url | https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.510.BJO-2024-0094.R1 |
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