The translated Danish version of the Western Ontario Meniscal Evaluation Tool (WOMET) is reliable and responsive

Clementsen, Jon M.; Skou, Søren Thorgaard; Hansen, Sascha; Eshøj, Henrik; Mølgaard, Carsten; Mikkelsen, Lone Ramer; Thorlund, Jonas Bloch

doi:10.1007/s00167-021-06551-6

Cited by 3 publications

(2 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Secondary self-reported outcomes were the change from baseline to 12-month follow-up on five KOOS subscale scoresincluding the initial four, with the fifth being function in daily living (each scored from 0 to 100 as the primary outcome) 22 and the Western Ontario Meniscal Evaluation Tool (WOMET), a meniscus-specific, valid, and reliable patient-reported outcome measure (converted to scores from 0 to 100, with lower scores indicating worse quality of life). 23,24 Physical performance measures included the change in isometric leg press muscle strength (primary end point, 3 months) assessed using the FysioMeter, the maximum number of knee bends in 30 seconds at 3 and 12 months, as well as the one-leg hop for distance and the 6-m timed hop assessed at 12 months. 10 The numbers of adverse events (AEs) and serious adverse events (SAEs) during the 12 months were identified by reviewing hospital records and by self-report at all followups using open-probe questioning.…”

Section: Primary Outcome Measurementioning

confidence: 99%

Early Surgery or Exercise and Education for Meniscal Tears in Young Adults

et al. 2022

Self Cite

View full text Add to dashboard Cite

BACKGROUND Surgery is commonly used to treat meniscal tears; however, to our knowledge, no randomized controlled trials (RCTs) have compared surgery with nonsurgical alternatives in young adults. We hypothesized that early meniscal surgery would be superior to a strategy of exercise and education with the option of surgery later if needed.METHODS In this pragmatic parallel-group RCT, we enrolled young adults (18-40 years of age) with magnetic resonance imaging-verified meniscal tears eligible for surgery from seven Danish hospitals. Patients were randomly assigned (1:1) to surgery (partial meniscectomy or meniscal repair) or 12-week supervised exercise therapy and education with the option of surgery later if needed. The primary outcome was the difference in change from baseline to 12 months in the mean score of four Knee Injury and Osteoarthritis Outcome Score (KOOS 4 ) subscales covering pain, symptoms, function in sport and recreation, and quality of life, ranging from 0 (worst) to 100 (best). RESULTSWe enrolled 121 young adults (mean age, 29.7 years; 28% were female). In total, 107 participants (88%) completed the 12-month follow-up; 16 participants (26%) from the exercise group crossed over to surgery, while 8 (13%) from the surgery group did not undergo surgery. Intention-to-treat analysis showed no statistically significant difference in change between groups from baseline to 12 months in KOOS 4 scores (19.2 vs. 16.4 in the surgery vs. exercise groups; adjusted mean difference, 5.4 [95% confidence interval, 20.7 to 11.4]). No difference in serious adverse events was observed (four vs. seven in the surgery and exercise groups, respectively; P50.40). Per-protocol and as-treated analyses yielded similar results.CONCLUSIONS Our results suggest that among young, active adults with meniscal tears, a strategy of early meniscal surgery is not superior to a strategy of exercise and education with the option of later surgery. Both groups experienced clinically relevant improvements in pain, function, and quality of life at 12 months, and one of four from the exercise group eventually had surgery.

show abstract

Section: Primary Outcome Measurementioning

confidence: 99%

Early Surgery or Exercise and Education for Meniscal Tears in Young Adults

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…The KOOS 4 is the mean of four of five subscale scores, including pain, symptoms, function in sport and recreation, and quality of life, and ranges from 0 to 100, with lower scores indicating worse symptoms, function and quality of life 16 17. Additional PROMs were the between-group difference in change in the individual KOOS subscales and the Western Ontario Meniscal Evaluation Tool (WOMET), a meniscus-specific, valid and reliable PROM measure (converted to scores from 0 to 100, with lower scores indicating a worse quality of life) 18 19…”

Section: Methodsmentioning

confidence: 99%

Two-year MRI-defined structural damage and patient-reported outcomes following surgery or exercise for meniscal tears in young adults

Clausen,

Skou,

Boesen

et al. 2023

Br J Sports Med

View full text Add to dashboard Cite

ObjectiveTo investigate potential differences in structural knee joint damage assessed by MRI and patient-reported outcomes (PROMs) at 2-year follow-up between young adults randomised to early surgery or exercise and education with optional delayed surgery for a meniscal tear.MethodsA secondary analysis of a multicentre randomised controlled trial including 121 patients (18–40 years) with an MRI-verified meniscal tear. For this study, only patients with 2-year follow-up were included. The main outcomes were the difference in worsening of structural knee damage, assessed by MRI using the Anterior Cruciate Ligament OsteoArthrits Score, and the difference in change in the mean score of four Knee Injury and Osteoarthritis Outcome Score (KOOS4) subscales covering pain, symptoms, function in sport and recreation, and quality of life, from baseline to 2 years.ResultsIn total, 82/121 (68%) patients completed the 2-year follow-up (39 from the surgical group and 43 from the exercise group). MRI-defined cartilage damage had developed or progressed in seven (9.1%) patients and osteophytes developed in two (2.6%) patients. The worsening of structural damage from baseline to 2-year follow-up was similar between groups. The mean (95% CI) adjusted differences in change in KOOS4between intervention groups from baseline to 2 years was −1.4 (−9.1, 6.2) points. The mean improvement in KOOS4was 16.4 (10.4, 22.4) in the surgical group and 21.5 (15.0, 28.0) in the exercise group. No between group differences in improvement were found in the KOOS subscales.ConclusionsThe 2-year worsening of MRI-defined structural damage was limited and similar in young adult patients with a meniscal tear treated with surgery or exercise with optional delayed surgery. Both groups had similar clinically relevant improvements in KOOS4, suggesting the choice of treatment strategy does not impact 2-year structural knee damage or PROMs.Trial registration numberNCT02995551.

show abstract

Effect of exercise therapy versus surgery on mechanical symptoms in young patients with a meniscal tear: a secondary analysis of the DREAM trial

et al. 2023

View full text Add to dashboard Cite

ObjectiveTo compare the effect of early surgery versus exercise and education on mechanical symptoms and other patient-reported outcomes in patients aged 18–40 years with a meniscal tear and self-reported mechanical knee symptoms.MethodsIn a randomised controlled trial, 121 patients aged 18–40 years with a MRI-verified meniscal tear were randomised to surgery or 12-week supervised exercise and education. For this study, 63 patients (33 and 30 patients in the surgery and in the exercise group, respectively) reporting baseline mechanical symptoms were included. The main outcome was self-reported mechanical symptoms (yes/no) at 3, 6 and 12 months assessed using a single item from the Knee Injury and Osteoarthritis Outcome Score (KOOS). Secondary outcomes were KOOS4and the 5 KOOS-subscales and the Western Ontario Meniscal Evaluation Tool (WOMET).ResultsIn total, 55/63 patients completed the 12-month follow-up. At 12 months, 9/26 (35%) in the surgery group and 20/29 (69%) in the exercise group reported mechanical symptoms. The risk difference and relative risk at any time point was 28.7% (95% CI 8.6% to 48.8%) and 1.83 (95% CI 0.98 to 2.70) of reporting mechanical symptoms in the exercise group compared with the surgery group. We did not detect any between-group differences in the secondary outcomes.ConclusionThe results from this secondary analysis suggest that early surgery is more effective than exercise and education for relieving self-reported mechanical knee symptoms, but not for improving pain, function and quality of life in young patients with a meniscal tear and mechanical symptoms.Trial registration numberNCT02995551.

show abstract

The translated Danish version of the Western Ontario Meniscal Evaluation Tool (WOMET) is reliable and responsive

Cited by 3 publications

References 31 publications

Early Surgery or Exercise and Education for Meniscal Tears in Young Adults

Early Surgery or Exercise and Education for Meniscal Tears in Young Adults

Two-year MRI-defined structural damage and patient-reported outcomes following surgery or exercise for meniscal tears in young adults

Effect of exercise therapy versus surgery on mechanical symptoms in young patients with a meniscal tear: a secondary analysis of the DREAM trial

Contact Info

Product

Resources

About