Reliability, Validity, and Responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index for Elderly Patients with a Femoral Neck Fracture

Burgers, P.T.P.W.; Poolman, Rudolf W.; Bakel, Theodorus M. J. van; Tuinebreijer, W.E.; Zielinski, Stephanie M.; Bhandari, Mohit; Lieshout, Esther M.M. Van

doi:10.2106/jbjs.n.00542

Cited by 18 publications

(11 citation statements)

References 21 publications

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“…Therefore, the 36-item WHODAS 2.0 might be more suitable for evaluating cognition and getting along domains in KBD patients. Several studies have shown that the WOMAC is responsive to changes in OA patients with different situations [31][32][33]. A study compared the responsiveness of the WOMAC and generic Short Form-36 (SF-36) in patients with OA of the legs undergoing comprehensive inpatient rehabilitation, and the results showed that both of the measures were able to detect improvement in pain, but the WOMAC was more responsive than the SF-36 in the measurement of function [31].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the responsiveness of the WOMAC and the 12-item WHODAS 2.0 in patients with Kashin–Beck disease

Yang

Wang

et al. 2020

BMC Musculoskelet Disord

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Background: Several questionnaires have been used to assess the health status of patients with Kashin-Beck disease (KBD) in clinical trials, but the evidence regarding the responsiveness of these instruments in KBD patients is limited. Therefore, the aim of this study was to evaluate and compare the responsiveness of the Chinese version of the Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) and 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) in KBD patients undergoing intra-articular injection of hyaluronic acid (HA). Methods: A sample of 232 KBD patients treated with intra-articular injection of HA completed the WOMAC, 12-item WHODAS 2.0 and joint dysfunction index (JDI) both pre-and post-treatment. Responsiveness was assessed using correlation and receiver operating characteristic (ROC) curve analyses following the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. Results: Overall, there were significant improvements in the mean scores on the WOMAC and on the 12-item WHODAS 2.0, except for in the cognition domain. Correlation analysis showed that changes in the WOMAC and 12item WHODAS 2.0 scores had moderate or weak positive associations with the changes in the JDI. However, acceptable areas under the ROC curve (value > 0.7) were found for all domains and for the total score on the WOMAC, but only for the mobility domain and the total score on the 12-item WHODAS 2.0. Conclusions: These results demonstrated that the WOMAC was more responsive than the 12-item WHODAS 2.0 in KBD patients treated with intra-articular injection of HA. Our findings support the continued use of the WOMAC as an outcome measure in assessing disability in KBD patients.

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Section: Discussionmentioning

confidence: 99%

Comparison of the responsiveness of the WOMAC and the 12-item WHODAS 2.0 in patients with Kashin–Beck disease

Yang

Wang

et al. 2020

BMC Musculoskelet Disord

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“… 2001 , Burgers et al. 2015 ). Cognitive function was evaluated with the Short Portable Mental Status Questionnaire (SPMSQ) (Pfeiffer 1975 ).…”

Section: Methodsmentioning

confidence: 99%

Reduced revision rate and maintained function after hip arthroplasty for femoral neck fractures after transition from posterolateral to direct lateral approach

et al. 2017

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Background and purpose — The direct lateral (DL) approach to the hip for femoral neck fractures (FNF) has been shown to reduce the rate of dislocation and reoperations. We evaluate the effect of transition from the posterolateral (PL) to DL approach on reoperation and dislocation rates and patients’ reported outcome.Patients and methods — In a prospective cohort study between 2012 and 2015, we enrolled 362 patients (median age 83 years, 70% women, mean follow-up 25 months) with a displaced FNF. The first group of 146 patients were operated using the PL and the second group of 216 patients with a DL approach, after change of our routines. A multivariable Cox regression analysis was used to evaluate factors associated with dislocation and reoperation. A generalized linear model was used to evaluate the functional outcome by comparing WOMAC and Harris hip scores between the 2 groups.Results — The reoperation rate was reduced from 13% in the PL to 6% in the DL group and the dislocation rate from 13% to 4%. Cox proportional hazard analysis identified the PL approach as the only factor associated with an increased risk of reoperation (hazard ratio =2.5, 95% CI 1.2–5.2). Age, sex, ASA classification, type of arthroplasty, cognitive dysfunction, or the experience of the surgeon had no effect on the risk of reoperation. Patient-reported outcome was similar between the 2 groups.Interpretation — In patients with FNF we have reduced the reoperation and dislocation rates by changing the surgical approach used for hip arthroplasty without affecting the patient-reported functional outcome.

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“…Ceiling effects are more commonly reported in all WOMAC subscales, particularly in pain and stiffness . A ceiling effect has been demonstrated in the pain and stiffness subscales when patients are evaluated at 10 weeks and 12 months after hip fracture .…”

Section: Western Ontario and Mcmaster Universities Osteoarthritis Indexmentioning

confidence: 98%

“…Floor effects for WOMAC subscales or total scores are generally minimal or 0 . However, in one 2005 study, floor effects at 6 months and 2 years following THA were significant in the pain (25% and 39%) and stiffness (30% and 46%) subscales .…”

Section: Western Ontario and Mcmaster Universities Osteoarthritis Indexmentioning

confidence: 99%

“…A ceiling effect has been demonstrated in the pain and stiffness subscales when patients are evaluated at 10 weeks and 12 months after hip fracture . These effects appear to be significantly different between young (18%‐36%) and old (38%‐53%) age groups . In patients after periacetabular osteotomy, the ceiling effect is more substantial than the floor effect but still small (4%, 11%, 5%, and 2% for pain, stiffness, function, and total scores, respectively) .…”

Section: Western Ontario and Mcmaster Universities Osteoarthritis Indexmentioning

confidence: 99%

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Measures of Hip Function and Symptoms

Weick

Bullard

Green

et al. 2020

Arthritis Care & Research

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Reliability, Validity, and Responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index for Elderly Patients with a Femoral Neck Fracture

Cited by 18 publications

References 21 publications

Comparison of the responsiveness of the WOMAC and the 12-item WHODAS 2.0 in patients with Kashin–Beck disease

Comparison of the responsiveness of the WOMAC and the 12-item WHODAS 2.0 in patients with Kashin–Beck disease

Reduced revision rate and maintained function after hip arthroplasty for femoral neck fractures after transition from posterolateral to direct lateral approach

Measures of Hip Function and Symptoms

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