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Using patients’ and rheumatologists’ opinions to specify a short form of the WOMAC function subscale

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Using patients’ and rheumatologists’ opinions to specify a short form of the WOMAC function subscale

Auteurs : F. Tubach [France] ; G. Baron [France] ; B. Falissard [France] ; I. Logeart [France] ; M. Dougados [France] ; N. Bellamy [Australie] ; P. Ravaud [France]

Source :

Annals of the Rheumatic Diseases [ 0003-4967 ] ; 2005-01.

RBID : ISTEX:C363CBA27D5E11B576ED2FA7176F58B07D1AC962

English descriptors

Abstract

Background: The WOMAC (Western Ontario and McMaster Universities) function subscale is widely used in clinical trials of hip and knee osteoarthritis. Reducing the number of items of the subscale would enhance efficiency and compliance, particularly for use in clinical practice applications. Objective: To develop a short form of the WOMAC function subscale based on patients’ and experts’ opinions (WOMAC function short form). Methods: WOMAC function subscale data (Likert version) were obtained from 1218 outpatients with painful hip or knee osteoarthritis. These patients and their rheumatologists selected the five items that they considered most in need of improvement. The rheumatologists were asked to select the five items for which patients in general are the most impaired. Items that were least important to patients and experts, those with a high proportion of missing data, and those with a response distribution showing a floor or ceiling response were excluded, along with one of a pair of items with a correlation coefficient >0.75. Results: The WOMAC function short form included items 1, 2, 3, 6, 7, 8, 9, and 15 of the long form. The short form did not differ substantially from the long form in responsiveness (standardised response mean of 0.84 v 0.80). Conclusions: A short form of the WOMAC function subscale was developed according to the views of patients and rheumatologists, based on the responses of 1218 patients and 399 rheumatologists. The clinical relevance and applicability of this WOMAC function subscale short form require further evaluation.

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https://api.istex.fr/document/C363CBA27D5E11B576ED2FA7176F58B07D1AC962/fulltext/pdf

DOI: 10.1136/ard.2003.019539

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<term>Derivation process</term>
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<term>Mcmaster universities osteoarthritis index</term>
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<front><div type="abstract" xml:lang="en">Background: The WOMAC (Western Ontario and McMaster Universities) function subscale is widely used in clinical trials of hip and knee osteoarthritis. Reducing the number of items of the subscale would enhance efficiency and compliance, particularly for use in clinical practice applications. Objective: To develop a short form of the WOMAC function subscale based on patients’ and experts’ opinions (WOMAC function short form). Methods: WOMAC function subscale data (Likert version) were obtained from 1218 outpatients with painful hip or knee osteoarthritis. These patients and their rheumatologists selected the five items that they considered most in need of improvement. The rheumatologists were asked to select the five items for which patients in general are the most impaired. Items that were least important to patients and experts, those with a high proportion of missing data, and those with a response distribution showing a floor or ceiling response were excluded, along with one of a pair of items with a correlation coefficient >0.75. Results: The WOMAC function short form included items 1, 2, 3, 6, 7, 8, 9, and 15 of the long form. The short form did not differ substantially from the long form in responsiveness (standardised response mean of 0.84 v 0.80). Conclusions: A short form of the WOMAC function subscale was developed according to the views of patients and rheumatologists, based on the responses of 1218 patients and 399 rheumatologists. The clinical relevance and applicability of this WOMAC function subscale short form require further evaluation.</div>
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Using patients’ and rheumatologists’ opinions to specify a short form of the WOMAC function subscale

Using patients’ and rheumatologists’ opinions to specify a short form of the WOMAC function subscale

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