Propiedades métricas del cuestionario WOMAC y de una versión reducida para medir la sintomatología y la discapacidad física

Alonso, Sergio Romeo López; Sanchez, Carmen María; Cañadillas, Ana B. Romero; Casado, Félix J. Navarro; Rojo, Josefina González

doi:10.1016/j.aprim.2009.02.005

Cited by 18 publications

(10 citation statements)

References 18 publications

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“…Taking into account the instruments included in the studies (Table 2), a total of 8 tools were identified, four of which were variants or sub-scales of other main tools. In terms of specific questionnaires, we found: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [33–36,44], composed by 24 Likert-type items designed to assess pain, stiffness and physical function; two different versions of the WOMAC Short Form, each composed of 11 items with 5 Likert-type items [35,37]; The WOMAC Short Form (Function dimension) composed of 7 items validated to assess functionality in joint replacement [38]; The Pain and Function of the Hip scale (PFH) composed of 9 Likert-type items to assess pain, function and mobility/strength [41,42,45]; The Osteoarthritis Knee and Hip Quality of Life (OAKHQOL) composed of 43 Likert-type items, 40 of which are used to assess physical activity, mental health, pain, social support and social functioning [39]; The Mini-OAKHQOL composed of 20 Likert-type items to assess the same dimensions as the long version (OAKHQOL); and the Harris Hip Score (HHS), with 10 Likert-type items that assess pain, function, amplitude of movement and absence of deformity [43].…”

Section: Resultsmentioning

confidence: 99%

Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment

et al. 2019

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Purpose 1) To systematically review the available scientific literature regarding specific instruments developed and/or tested in a Spanish population, to assess these PROMs in hip arthroplasty; 2) to carry out a standardized assessment of their measurement properties; and 3) to identify the best tools for use in Spain in an arthroplasty registry context. Methods A systematic review of PubMed/MEDLINE and EMBASE and CINHAL was done. Furthermore, a standardized assessment of the questionnaires identified using the Evaluating the Measurement of Patient-Reported Outcomes (EMPRO) tool was performed. All developments, validation and studies aiming to assess the measurement properties of PROMs in hip arthroplasty in the Spanish population were included. Data from the questionnaires on metric properties was taken into account to identify the best candidates for inclusion in a register. Results A total of 853 documents were found. After screening title and abstract, 13 full text documents were reviewed and 8 questionnaires adapted and validated to assess some of the aspects of hip arthroplasty in the Spanish population were identified. After the EMPRO assessment, 4 questionnaires showed suitable properties (WOMAC, OAKHQOL, mini-OAKHQOL and PFH). Conclusions In Spain, there are a few suitable hip-specific questionnaires currently available to assess PROMs in hip arthroplasty surgery. Some of the more widely used questionnaires, like the OHS and HOOS, have not been validated in the Spanish population until now. Identified tools are suitable for use in a clinical context, however their use in an arthroplasty register is more questionable due to the lack of validation studies of the widely used tools in other registers.

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Section: Resultsmentioning

confidence: 99%

Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment

et al. 2019

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“…We assessed functional status, quality of life and disability using validated Spanish language versions of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC),(16) the Osteoarthritis of Lower Limbs and Quality of Life (AMICAL),(17) and the Stanford Health Assessment Questionnaire-Disability Index (HAQ-DI). (18)…”

Section: Methodsmentioning

confidence: 99%

Associations of current and childhood socioeconomic status and health outcomes amongst patients with knee or hip osteoarthritis in a Mexico City family-practice setting

Pisanty-Alatorre

Bello‐Chavolla

Chaparro

et al. 2022

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Objectives: To examine the association of current and childhood socioeconomic status (SES) with patient-reported functional status, quality of life and disability in patients with knee osteoarthritis (OA) Methods: We conducted a cross–sectional study amongst individuals seeking care for any medical reason in a primary care family practice clinic in Mexico City. We included individuals with self-reported doctor-diagnosed arthritis and administered a survey using validated Spanish language versions of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Osteoarthritis of Lower Limbs and Quality of Life (AMICAL), and the Stanford Health Assessment Questionnaire-Disability Index (HAQ–DI). To estimate current and childhood SES, we and used a validated tool to estimate income quintile, as well as education level and occupation type, for both the patient and their parents. Results: We recruited 154 patients and excluded 8 patients. Estimated income and education levels were correlated with WOMAC, AMICAL and HAQ–DI scores, and significant differences were found in all scores by occupation type. The association for estimated income and all scores remained significant independently of age, sex, BMI, and presence of diabetes or hypertension. Maternal education was best correlated with AMICAL scores, though its effect seemed largely mediated by its association with current SES measures. Conclusions Current and – to a lesser extent – childhood Socioeconomic Status impacts functional status, quality of life and disability amongst OA patients in Mexico City. Awareness of life–course SES can help identify patients at risk for worse outcomes.

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“…12 La escala ha sido validada para ser autoadministrada y administrada por teléfono. 15 Aunque no es la función principal de la escala, las puntuaciones de las 3 dimensiones se pueden sumar y reportar estandarizadas de 0 a 100. 14…”

Section: Métodosunclassified

Cohorte histórica de artroplastia unicompartimental de rodilla en un hospital universitario chileno

Infante

Barahona

Palma

et al. 2022

Revista Chilena de Ortopedia y Traumatología

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Resumen Objetivo Describir el resultado funcional informado por el paciente de una cohorte de pacientes sometidos a artroplastia unicompartimental de rodilla (AUR) en un hospital universitario chileno. Métodos Se diseñó un estudio de cohorte histórica. Se incluyeron todos los pacientes que se sometieron a AUR de platillo fijo entre 2003 y 2019. Un evaluador independiente se puso en contacto con los pacientes en junio de 2020. Se utilizó el índice de artritis de las universidades de Western Ontario y McMaster (WOMAC) para comparar los procedimientos de AUR (medial o lateral), la edad (mayor o menor de 70 años), y el seguimiento (más o menos de 5 años). Resultados Se incluyeron 78 pacientes, en un total de 94 AURs. La mediana de edad fue de 64 años (rango: 43 a 85 años). Hubo 72 (76,6%) casos de AUR medial. Un paciente necesitó revisión para artroplastia total de rodilla (ATR). Un total de 60 pacientes (76,9%), correspondientes a 72 AURs (76,7%), fueron contactados con éxito por teléfono para el seguimiento final. La mediana del puntaje en los dominios del WOMAC fue: dolor – 1 (rango: 0 a 12); rigidez – 0 (rango: 0 a 4); y función física – 2 (rango: 0 a 29). La mediana del puntaje total en el WOMAC fue de 4 (rango: 0 a 44). Los pacientes sometidos a AUR lateral lograron mejores puntuaciones funcionales (p = 0,0432), y el puntaje total en el WOMAC fue similar en pacientes mayores o menores de 70 años (p = 0,3706). Conclusiones La AUR es un tratamiento eficaz y reproducible para pacientes con artrosis de rodilla unicompartimental. La edad parece no afectar los resultados funcionales, y la AUR es un tratamiento eficaz en pacientes mayores de 70 años. Estos resultados deberían animar a los cirujanos de rodilla a aprender esta técnica y a los responsables de las políticas de salud pública a considerar la AUR para la osteoartritis de rodilla.

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Propiedades métricas del cuestionario WOMAC y de una versión reducida para medir la sintomatología y la discapacidad física

Abstract: The original WOMAC questionnaire showed adequate metric properties to be used over the telephone on people suffering from hip and knee osteoarthritis. Furthermore, a reduced version of WOMAC with 11 items had better metric properties than the full version.

Cited by 18 publications

References 18 publications

Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment

Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment

Associations of current and childhood socioeconomic status and health outcomes amongst patients with knee or hip osteoarthritis in a Mexico City family-practice setting

Cohorte histórica de artroplastia unicompartimental de rodilla en un hospital universitario chileno

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