Womac osteoarthritis index rozina and smith physical therapy. Based on the western ontario and mcmaster universities osteoarthritis index womac. Furthermore, the womac has been used as an outcome measure in. The womac has also been used to assess back pain, rheumatoid arthritis, juvenile rheumatoid arthritis, systemic lupus. An important aspect of the utility of any outcome measure is the availability of responder definitions and cutoff points and that these are appropriately validated. We report cutoff values for an outcome measure as a threshold for treatment success that provides the highest sensitivity and specificity i. Normative values for the koos and womac in a young. Satisfactory cross cultural equivalence of the dutch womac. The western ontario and mcmaster universities osteoarthritis.
Western ontario and mcmaster universities osteoarthritis. An outcome measure is the result of a test that is used to objectively determine the baseline function of a patient at the beginning of treatment. Satisfactory cross cultural equivalence of the dutch womac in. Rmos are vital to the practice of evidencebased medicine, and can be understood in the context of the world health. It is a selfadministered questionnaire consisting of 24 items divided into 3 subscales. This study aims to bridge that gap by providing appropriate methods to link values from the western ontario and mcmaster universities osteoarthritis index womac to the eq5d utility instrument. Please rate the activities in each category according to the following scale of difficulty. The womac index has been used extensively in clinical trials, and has generally been shown to exhibit greater or comparable responsiveness to change than other tests. Additionally, womac has been recognized by the outcome measures in rheumatoid arthritis clinical trials group omeract and osteoarthritis research. Koos was developed for younger andor more active patients with knee injury and knee osteoarthritis and has in previous studies on.
Health, general arthritic persons health aspects medical examination arthritics care and treatment patient outcomes outcome and process assessment health care methods outcome and process assessment. Outcome measures tac transport accident commission. Hip disability and osteoarthritis outcome score and. To provide normative data for the knee injury and osteoarthritis outcome score koos and western ontario and mcmaster universities osteoarthritis index womac in a young and athletic population, and to compare scores between participants with. Objective to compare the responsiveness of the conditionspecific western ontario and mcmaster universities osteoarthritis oa index womac and the generic short form36 sf36 in patients with oa of the legs undergoing a comprehensive inpatient rehabilitation intervention. Womac is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms the free dictionary.
This varies, however, for different subscales and types of interventions. However, such outcomes are often missing from studies of clinical effectiveness. Marco monticone, md, phd, director of the physical medicine and. An important property of the rasch model is that, generally speaking, the measurement of patients is test free. Western ontario mcmaster university osteoarthritis index rheumatology an arthritic pain scoring system ranging from 0no paindisability to 100most severe paindisability. Summary of clinical outcome measures for sportsrelated knee injuries. The womac is a widely used selfadministered health status measure used in assessing pain, stiffness, and function in patients with oa of the hip or knee. Womac, eq5d and knee society score thresholds for treatment success after total knee arthroplasty. It is used for people with hip disability, with or without hip osteoarthritis oa. Responsiveness of the womac osteoarthritis index as compared. The womac index is a diseasespecific, tridimensional self administered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip. Methods a prospective follow up study of consecutively referred inpatients of a rehabilitation clinic was made. Sep 04, 2018 the womac score is a validated outcome measure for use in patients undergoing tka. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered outcome measure.
Download pdf, 48kb the auscan index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in. This page categorises all pages related to outcome measures. Heavy domestic duties moving heavy boxes, scrubbing floors, etc none mild moderate severe extreme a17. The measure was developed to evaluate clinically important, patient. In 1994 a consensus meeting recommended the use of womac as a primary measure of efficacy in oa. The womac is currently the only outcome measure that has validated responder definitions and cutoff points specifically for tkr. Clinician researchers american college of rheumatology. Clinimetrics, report by australian journal of physiotherapy. Change in koos and womac scores in a young athletic. Heavy domestic duties moving heavy boxes, scrubbing. A comparative study of the relative efficiency of the womac, aims and haq instruments in evaluating the outcome of total knee arthroplasty. Knee injury and osteoarthritis outcome score koos, english version lk1. What is the minimum clinically important difference for the.
Many people suffer with osteoarthritis oa and subsequent morbidity. The womac pain subscale comprises 5 questions, the womac physical function subscale has 17 questions, and the womac stiffness subscale includes 2 questions. These details will be sent to dr bellamy who will respond to your request in due course. Womac is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms. Marx knee pro measure marx was developed in 2001 as an patientreported outcome measure with the goal of finding a patients general level of activity. It is a valid, reliable and responsive measure of outcome, and has been used in diverse clinical and interventional environments.
The womac index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip. An outcome measure is a qualitative or quantitative measurement of outcome, 1 generally in response to a rehabilitation intervention in the context of physiatry, 2 and will be referred to as rehabilitation measure of outcome rmo in this article. Thus, a hoos survey may also be used to determine a womac score. Mcmaster osteoarthritis index womac please circle the. A womac test takes about 12 minutes, but is also available in a short form, although this has not been as extensively tested as the full version. The aims of this study were to develop an outcome measure for management of hip and knee arthritic conditions, and to investigate the validity and responsiveness of it. The knee injury and osteoarthritis outcome score koos is an extension of the western ontario and mcmaster universities osteoarthrtis index womac, the most commonly used outcome instrument for assessment of patientrelevant treatment effects in osteoarthritis.
Use of the womac questionnaire in mumbai and the challenges. The utility of outcome measures in total knee replacement. The clinimetric properties of an outcome measure are not fixed but vary among different settings and populations in which the outcome measure is used. The womac score is a validated outcome measure for use in patients undergoing tka.
Problems persist in reporting of methods and results for the womac. Womac, eq5d and knee society score thresholds for treatment. The womac measure has been used for decades 57 and is one of the most commonly used outcome measures in hip and knee osteoarthritis. Western ontario and mcmaster universities osteoarthritis index womac.
Suppose that only item 3 of the five womac pain items shows dif. Summary of clinical outcome measures for sportsrelated knee. A popular patientreported outcome measure prom used for evaluation with hip and knee osteoarthritis is the western ontario and mcmaster universities osteoarthritis index womac. Summary of clinical outcome measures for sportsrelated. Comprehensive assessment of patients with osteoarthritis oa of the legs includes both measurement of impairmentfor example, symptoms and disability, and health related quality of life.
The western ontario and mcmaster universities osteoarthritis index. The western ontario and mcmaster universities osteoarthritis index womac has been a widely used patient reported outcome in oa. The hoos is a selfreport questionnaire designed to further develop the womac. Once treatment has commenced, the same instrument can be used to determine progress and treatment efficacy. In the roc analysis, the area under the curve auc is a measure of diagnostic accuracy, i.
Oct 31, 20 womac scores can also be derived from the koos. In conclusion, the koos outcome measure was successfully translated into italian, and proved to have good psychometric properties that replicated the results of other existing versions. The clinimetric properties of outcome measures include both psychometric aspects validity, reliability and responsiveness and clinical utility feasibility, interpretability and external validity. Request further information please complete the following form to request further information. Any hesitancy or multiple attempts 0 no hesitancy 1. To provide normative data for the knee injury and osteoarthritis outcome score koos and western ontario and mcmaster universities osteoarthritis index womac in a young and athletic population, and to compare scores between participants with a history of knee ligament injury and those with no history. Jan 23, 2012 the aims of the present study were first to detect mcid for womac in a moroccan population, and second, to identify the best pretreatment predictors on the change of health after treatment by nonspecific, nonsteroidal antiinflammatory drugs nsaids, and to evaluate whether the predictors were dependent on the choice of the response criterion. Randomized controlled trials strand and kelman 25 responses to treatment and diseas e activity, a mean score of all individual endpoints, and total womac. However, there is relatively little evidence to support the use of the visual analogue scale vas version of the scale. Clinically important improvement in the womac and predictor. The womac has also been used to assess back pain, rheumatoid arthritis, juvenile rheumatoid arthritis, systemic lupus erythematosus, and fibromyalgia. For each outcome measure, the following data are presented. The use and reporting of womac for the assessment of. International knee documentation committee ikdc subjective knee evaluation form, knee injury and osteoarthritis outcome score koos, knee injury and osteoarthritis outcome score physical function short form koosps, knee outcome survey activities of daily living scale kosadl, lysholm knee scoring.
Hip disability and osteoarthritis outcome score and western. Defining meaningful changes in the womac score is important for samplesize calculations in clinical research and for interpreting published studies. Normative values for the koos and womac in a young athletic. For the purposes of metaanalysis and network metaanalysis, the use of standard outcome measures is ideal. It is a selfadministered questionnaire consisting of 24 items divided into 3. The utility of outcome measures in total knee replacement surgery. International knee documentation committee ikdc subjective knee evaluation form, knee injury and osteoarthritis outcome score koos, knee injury and osteoarthritis outcome score physical function short form koosps, knee outcome survey activities of daily living scale kosadl, lysholm knee. Economic evaluation typically is conducted using health state utilities to estimate treatment benefits.
The proportion of trials, for which assumptions had to be made in order to reach a conclusion regarding the type of scale and the score range used, was calculated. The western ontario and mcmaster universities arthritis index womac is. Hip disability and osteoarthritis outcome score womac. Validation of the chinese western ontario and mcmaster. These questions measure the amount of pain, degree of difficulty in completing various day. Validation studies reliability, validity, responsiveness. Western ontario and mcmaster universities osteoarthritis index. The number of total hip arthroplasties thas performed continues to increase. A 42item selfadministered assessment of five outcomes. The following questions concern the amount of pain you are currently experiencing in your knees. The aims2 is an arthritisspecific measure of physical, social, and emotional wellbeing. Guermazi et al found that when the womac was translated into arabic from english, eight questions of the physical function subscale had insufficient. With the move towards evidence based practice ebp in the health sciences.
Responsiveness of the womac osteoarthritis index as. Collins, nj, misra, d, felson, dt, crossley, km, roos, em. Koos was developed for younger andor more active patients with knee injury and knee osteoarthritis and has in previous. In oa research, the womac was developed as an oaspecific measure of disability. The western ontario and mcmaster universities arthritis index womac is widely used in the evaluation of hip and knee osteoarthritis. The reduced womac function scale provides an alternative which will limit the. Background the womac score is a validated outcome measure for use in patients undergoing tka. Therefore, measuring outcome associated with oa is important. Please enter your personal details first name, last name, and email address are required. Looking for online definition of womac or what womac stands for. If you are unsure about how to answer a question, please give the best answer you can. An extension of the western ontario and mcmaster universities osteoarthritis index. Health, general arthritic persons health aspects medical examination arthritics care and treatment patient outcomes outcome and process assessment health care methods outcome and process assessment medical care patient. The 59item selfreported questionnaire measures 12 scales 5 items each for mobility, walking and bending, hand and finger function, arm function, selfcare tasks, household tasks, social activity, support from family and friends, arthritis pain, work.
In sections a, b, and c, questions will be asked about your hip or knee pain. What is the minimum clinically important difference for. The western ontario and mcmaster universities osteoarthritis index womac is a widely used measure of symptoms and physical disability originally developed for people with osteoarthritis oa of the hip andor knee 1, 2. The questions on the womac are a subset of the questions of the hip disability and osteoarthritis outcome score hoos. Womac is used in assessing pain, stiffness, and function in patients with oa of the hip or knee.
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