The utility of outcome measures in total knee replacement. The items on the womac were generated from interviews with 100 patients with osteoarthritis. The womac westren ontario and mcmaster universities index is used to assess. The krill oil group showed a decrease in the level of crp and the three womac scores compared to placebo at all time points deutsch. Reporting of the exact method used in administering the womac pain subscale scoring was poor in many cases. Since its development in 1982, the womac index has undergone several revisions and modifications. Bellamy n, goldsmith ch, buchanan ww, campbell j and duku e. Bellamy views in the literature to the use of womac in validation studies, comparative studies against other health status measures, and in various clinical research and clinical practice settings to evaluate patient outcomes 7. Less than two per cent of patients have scores greater than 150.
The western ontario and mcmaster universities osteoarthritis index. Womac index was developed for hip and knee osteoarthritis, however it has been used with other rheumatic conditions such as. The womac knee and hip and the auscan hand oa indices n. The western ontario and mcmaster universities osteoarthritis.
The utility of outcome measures in total knee replacement surgery. Search 25 then share your genealogy and compare dna to grow an accurate global family tree thats free forever. Information and translations of womac in the most comprehensive dictionary definitions resource on the web. Pdf validation of the spanish version of the womac.
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. What is the minimum clinically important difference for. Looking for online definition of womac or what womac stands for. Thus, a hoos survey may also be used to determine a womac score. The subscale scores can vary, with pain ranging from 0 to 20 points. The womac score can be reliably used to classify patient. In the subset of oa patients, radiographic scores added little to the explained variance. The womac measures five items for pain score range 020, two for stiffness score. How to fix forward head posture 3 easy exercises from a chiropractor duration. Hip disability and osteoarthritis outcome score womac. Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd. Koos was developed for younger andor more active patients with knee injury and knee. The aims of this study were to propose a spanish western ontario and mcmaster universities osteoarthritis index womac short form based on previously shortened versions and to study its validity, reliability, and responsiveness for patients with hip osteoarthritis undergoing total hip replacement thr. The expected range of scores for womac pain subscale and the womac index form of womac used womac pain score range womac index range vas 010 0 to 50 0 to 240 vas 0100 0 to 500 0 to 2400 nrs 010 0 to 50 0 to 240 likert scale 04.
The western ontario and mcmaster universities osteoarthritis index womac is a widely used. Excellent, no participants scored the lowest or highest possible scores on the womac or lefs, that is. Validation of a proposed womac short form for patients with. Western ontario and mcmaster universities osteoarthritis index womac this questionnaire is used to assess the health status of osteoarthritis patients introduced in 1988. The womac index is a diseasespecific, tridimensional self administered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip.
Womac score definition of womac score by medical dictionary. Validation studies reliability, validity, responsiveness orthopaedic validation study. Womac is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms the free dictionary. Pain was measured using a variety of scales, with womac pain scores. Determinants of womac function, pain and stivness scores. We aimed to explore the internal validity and responsiveness of this vas version of the womac. Womac law firm television commercial sample duration. In many instances investigators have converted raw scores to a 100point scale9,10,29,30. The womac is patient administered and should take approximately 10 minutes to complete, and responses are based on symptoms in the preceding 48 hours. Each item was scored 04 with a high score indicating a worse outcome. Summary of clinical outcome measures for sportsrelated. Womac has been used extensively in research studies, undergone rigorous psychometric validation, and is frequently utilized in many clinical trials.
The iccs for the subscale scores pain, stiffness, physical function and. It was tested with a group of patients with an average age of 71 years who were undergoing total hip arthroplasty. The western ontario and mcmaster universities arthritis index womac is widely. Rasch analysis of the western ontario macmaster questionnaire. For these indexes, the proportion of answer frequencies with the lowest possible score in. Pdf validation of the shortform womac function scale for the. Bellamy n, buchanan ww, goldsmith ch, campbell j, stitt lw. The womac has been translated into german, swedish, and hebrew. Usually a sum of the scores for all three subscales gives a total womac score, however there are other methods that have been used to combine scores. The authors are currently part of a multicentric study in india that is using the womac as an index of efficacy in a study on osteoarthritis. The western ontario and mcmaster universities osteoarthritis index womac name. 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.
Pdf this study validates the shortform womac function scale for assessment of. Western ontario and mcmaster universities osteooarthritis. The womac has been found to be both consistent and reproducible, and face and criterion validity were ensured during its development. Feb 04, 2011 womac law firm television commercial sample duration. 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. As their names say, ceiling effect is highest possible score and floor effect is the opposite side. Western ontario and mcmaster universities osteoarthritis index womac. It is consisted of 33 items which evaluates the health and function of the patient from various aspects including. Summary of clinical outcome measures for sportsrelated knee injuries. A score derived from a questionnaire in which the patient answers questions regarding rheumatic symptoms, stiffness, pain and how it affects the ability to function. Clinically important improvement in the womac and predictor.
Higher scores represent worse pain, stiffness, and functional limitations. However, there is relatively little evidence to support the use of the visual analogue scale vas version of the scale. Jul 26, 2016 adequate, womac had minor floor and ceiling effect less than 15% of patients in the worst or best possible score of each domain before the intervention. Answer every question by circling the appropriate response. Afrikaans, spain, sweden, switzerland german, switzerland italian, switzerland. 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. Hip disability and osteoarthritis outcome score physiopedia objective the hip. The total womac score at the 6week followup minus the score at baseline examination prior to the treatment defined the effect measured by womac. Moreover, from a resource perspective, this conversion takes time and requires a computational aid, both of which are likely to impede its application in clinical practice. The womac index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip. The use and reporting of womac for the assessment of. The womac takes approximately 12 minutes to complete, and can be taken on paper, over the telephone or. Mcmaster osteoarthritis index womac please circle the.
Twenty one per cent have scores less than 25 see fig 1. This produces a reported womac score of between 0 worst to 100 best. The primary aim of this study was to define a classification in the womac score after total knee arthroplasty tka according to patient satisfaction. Exploring differential item functioning in the womac. The womac score is a validated outcome measure for use in patients undergoing tka. Analysis of covariance adjusted for baseline womac a1 score in the intenttotreat itt population was conducted. The womac function score is linear over the range of 25150 equivalent range on 010 scale is 1. Apr 30, 2010 the western ontario and mcmaster universities osteoarthritis index womac has been a widely used patient reported outcome in oa.
Translation, adaptation and validation of the western ontario and mcmaster universities osteoarthritis index womac for an arab population. The ceiling effect was increasing until 2 years while the floor was constant across time. Womac question a1, how much pain have you had when walking on a flat surface. Please rate the activities in each category according to the following scale of difficulty. The measure was developed to evaluate clinically important, patient. Summary of clinical outcome measures for sportsrelated knee. For these reasons we believe it is of interest to present the measurement properties of the womac lk is the same units as the original measurement. Womac produces one aggregate total score and scores for each of the subscales, with a higher score for each subscale indicating a worse condition. Health, general arthritic persons health aspects medical examination arthritics care and treatment patient outcomes outcome and process assessment health care methods outcome and. The questions on the womac are a subset of the questions of the hip disability and osteoarthritis outcome score hoos. Moreover, less than 10% of the participants had initial womac pf or lefs scores that did not allow suf. I have applied for a licence to use the womac, osteoarthritis.
The scores for each subscale are summed up, with a possible score range of 020 for pain, 08 for stiffness, and 068 for physical function. Womac is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms. Translation, adaptation and validation of the western ontario. Defining meaningful changes in the womac score is important for samplesize calculations in clinical research and for interpreting published studies. Western ontario and mcmaster universities osteoarthritis. S televiznimi porady a zdravotnimi casopisy, ktere je propaguji, nelze poprit, jejich popularitu mezi lidmi, kteri chteji zhubnout. Western ontario mcmaster university osteoarthritis index rheumatology an arthritic pain scoring system ranging from 0no paindisability to 100most severe paindisability. Jan 23, 2012 the mean effects measured by womac of the slightly better group and the no change group was defined as the mcid of improvement on the womac global score 6, 7, 9, 10. The following questions concern the amount of pain you are currently experiencing in your knees.
Total womac pain scale scores can vary from 0 to 500 when va3 scaling is applied and from 0 to 20 when lk3 scaling is implemented. The womac measures five items for pain score range 020, two for stiffness score range 08, and 17 for functional limitation score range 068. The function dimension of the womac questionnaire achieved the highest pearson correlation coef. Treatment of knee osteoarthritis with sm04690 improved. Lorsque vous vous levez dune chaise ou vous asseyez. Faam pdf online foot and ankle activity measure faam score calculator. Pdf clinically important improvement in the womac and. Oct 11, 2001 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. A popular patientreported outcome measure prom used for evaluation with hip and knee osteoarthritis is the western ontario and mcmaster universities osteoarthritis index womac. A total womac score is calculated by summing the items for all 3 subscales, for a total score between 0 and 96. Determinants of womac function, pain and stiffness scores. The index is selfadministered and assesses the three dimensions of pain, disability and joint stiffness in knee and hip osteoarthritis using a battery of 24 questions. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered outcome measure.
For this analysis, a responder was identified using 50% and 70% minimum clinically important response levels to investigate how increasing response. The level of serum crp and the three womac scores pain, stiffness, and functional impairment were measured at baseline, and after 7, 14, and 30 days. Patient relevant, diseasespecific, patient selfcompleted, flexible delivery, multiple language forms. Womac western ontario and mcmaster universities arthritis. This information will help to keep track of how you feel about your hip and how well you are able to do your usual activities. An extension of the western ontario and mcmaster universities osteoarthritis index. Plot of severity in logits versus womac functional score for oa. In sections a, b, and c, questions will be asked about your hip or knee pain. Tanezumab for the treatment of pain from osteoarthritis of. 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.
For each situation, please enter the amount of pain you have experienced in the past 48 hours. Clinically important improvement in the womac and predictor factors for response to nonspecific nonsteroidal antiinflammatory drugs in osteoarthritic patients. Clinimetrics, report by australian journal of physiotherapy. If you are unsure about how to answer a question, please give the best answer you can. I have applied for a licence to use the womac, osteoarthritis questionnaire, and have had no reply from 2 weeks, can anyone helpadvise. I have applied for a licence to use the womac, osteoarthritis questionnaire, and have had no reply from womac.
Western ontario and mcmaster university osteoarthritis index. The strongest predictor of womac abnormality in bivariate and multivariate analyses was the fatigue score, with correlations of 0. The secondary aims were to describe patient demographics for each level of satisfaction. Womac was assessed at baseline and 4, 26, 39 and 52 weeks postinjection. Mar 15, 2014 western ontario and mcmaster universities osteoarthritis index womac this questionnaire is used to assess the health status of osteoarthritis patients introduced in 1988. Western ontario and mcmaster universities arthritis index.