학술논문
Reliability, Validity, and Responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index for Elderly Patients with a Femoral Neck Fracture
Document Type
Academic Journal
Author
Burgers, Paul T.P.W.; Poolman, Rudolf W; Van Bakel, Theodorus MJ; Tuinebreijer, Wim E; Zielinski, Stephanie M; Bhandari, Mohit; Patka, Peter; Van Lieshout, Esther MM; Bhandari, Mohit; Devereaux, P J; Guyatt, Gordon H; Einhorn, Thomas A; Thabane, Lehana; Schemitsch, Emil H; Koval, Kenneth J; Frihagen, Frede; Poolman, Rudolf W; Tetsworth, Kevin; Guerra-Farfan, Ernesto; Walter, Stephen D; Sprague, Sheila; Swinton, Marilyn; Scott, Taryn; McKay, Paula; Madden, Kim; Heels-Ansdell, Diane; Buckingham, Lisa; Duraikannan, Aravin; Silva, Heather; Heetveld, Martin J; Van Lieshout, Esther MM; Burgers, Paul T.P.W.; Zura, Robert D; Avram, Victoria; Manjoo, Ajay; Williams, Dale; Antoniou, John; Ramsay, Tim; Bogoch, Earl R; Trenholm, Andrew; Lyman, Stephen; Mazumdar, Madhu; Bozic, Kevin J; Luborsky, Mark; Goodman, Stuart; Muray, Susan; Korley, Rob; Buckley, Richard; Duffy, Paul; Puloski, Shannon; Carcary, Kimberly; Lorenzo, Melissa; McKee, Michael D; Hall, Jeremy A; Nauth, Aaron; Whelan, Daniel; Daniels, Timothy R; Waddell, James P; Ahn, Henry; Vicente, Milena R; Hidy, Jennifer T; MacNevin, Melanie T; Kreder, Hans; Axelrod, Terry; Jenkinson, Richard; Nousiainen, Markku; Stephen, David; Wadey, Veronica; Kunz, Monica; Milner, Katrine; Cagaanan, Ria; MacNevin, Melanie; O’Brien, Peter J; Blachut, Piotr A; Broekhuyse, Henry M; Guy, Pierre; Lefaivre, Kelly A; Slobogean, Gerard P; Johal, Raman; Leung, Irene; Coles, Chad; Leighton, Ross; Richardson, C. Glen; Biddulph, Michael; Gross, Michael; Dunbar, Michael; Amirault, J. David; Alexander, David; Coady, Catherine; Glazebrook, Mark; Johnston, David; Oxner, William; Reardon, Gerald; Wong, Ivan; Trask, Kelly; MacDonald, Shelley; Furey, Andrew; Stone, Craig; Parsons, Minnie; Stone, Trevor; Zomar, Mauri; McCormack, Robert; Apostle, Kelly; Boyer, Dory; Moola, Farhad; Perey, Bertrand; Viskontas, Darius; Moon, Karyn; Moon, Raely; Laflamme, Yves; Benoit, Benoit; Ranger, Pierre; Malo, Michel; Fernandes, Julio; Tardif, Karine; Fournier, Julie; Vendittoli, Pascal André; Massé, Vincent; Roy, Alain G; Lavigne, Martin; Lusignan, Daniel; Davis, Craig; Stull, Philip; Weinerman, Stewart; Weingarten, Peter; Lindenbaum, Steven; Hewitt, Michael; Danielwicz, Rebecca; Baker, Janell; Mont, Michael; Delanois, Donald E; Kapadia, Bhaveen; Issa, Kimona; Mullen, Marylou; Sems, Andrew; Foreman, Barb; Parvizi, Javad; Morrison, Tiffany; Lewis, Courtland; Caminiti, Stephanie; Tornetta, Paul, III; Creevy, William R; Lespasio, Michelle J; Carlisle, Hope; Marcantonio, Andrew; Kain, Michael; Specht, Lawrence; Tilzey, John; Garfi, John; Mehta, Samir; Esterhai, John L, Jr.; Ahn, Jaimo; Donegan, Derek; Horan, Annamarie; McGinnis, Kelly; Roberson, James; Bradbury, Thomas; Erens, Greg; Webb, Kyle; Mullis, Brian; Shively, Karl; Parr, Andrew; Ertl, Janos; Worman, Ripley; Webster, Mark; Cummings, Judd; Frizzell, Valda; Moore, Molly; Jones, Clifford B; Ringler, James R; Sietsema, Debra L; Walker, Jane E; Kanlic, Enes; Abdelgawad, Amr; Shunia, Juan; DePaolo, Charles; Sutherland, Susan; Alosky, Rachel; Zura, Robert; Manson, Maria; Strathy, Gregg; Peter, Kathleen; Johnson, Paul; Morton, Meaghan; Shaer, James; Schrickel, Tyson; Hileman, Barbara; Hanes, Marina; Chance, Elisha; Heinrich, E. Matthew; Dodgin, David; LaBadie, Michele; Zamorano, David; Tynan, Martin; Schwarzkopf, Ran; Scolaro, John A; Gupta, Ranjan; Bederman, Samuel; Bhatia, Nitin; Hoang, Bang; Kiester, Douglas; Jones, Neil; Rafijah, Gregory; Alavekios, Damon; Lee, Jason; Mehta, Akshay; Schroder, Steven; Chao, Tom; Colin, Vincent; Dang, Phuc (Phil); Heng, Stephen Keun; Lopez, Gregory; Galle, Samuel; Pahlavan, Sohrab; Phan, Duy L; Tapadia, Minal; Bui, Christopher; Jain, Nickul; Moore, Tyler; Moroski, Nathan; Pourmand, Deeba; Kubiak, Erik N; Gililland, Jeremy; Rothberg, David; Peters, Christopher; Pelt, Christopher; Stuart, Ami R; Corbey, Kirby; Shuler, Franklin D; Day, James; Garabekyan, Tigran; Cheung, Felix; Oliashirazi, Ali; Salava, Jonathon; Morgan, Linda; Wilson-Byrne, Timothy; Cordle, Mary Beth; Elmans, Leon H.G.J.; van den Hout, Joost A.A.M.; Joosten, Adrianus JP; van Beurden, Ad FA; Bolder, Stefan BT; Eygendaal, Denise; Moonen, Adrianus F.C.M.; van Geenen, Rutger CI; Hoebink, Eric A; Wagenmakers, Robert; van Helden, Wouter; van Jonbergen, Hans-Peter W; Roerdink, Herbert; Reuver, Joost M; Barnaart, Alexander FW; Flikweert, Elvira R; Krips, Rover; Mullers, J. Bernard; Schüller, Hans; Falke, Mark LM; Kurek, Frans J; Slingerland, Adrianus CH; van Dijk, Jan P; van Helden, Wouter H; Bolhuis, Hugo W; Bullens, Pieter HJ; Hogervorst, Mike; de Kroon, Karin E; Jansen, Rob H; Steenstra, Ferry; Raven, Eric EJ; Fontijne, W. Peter J; Wiersma, Saskia C; Boetes, Bastiaan; ten Holder, Edgar JT; van der Heide, Huub JL; Nagels, Jochem; van der Linden-van der Zwaag, Enrike H.M.J.; Keizer, Stefan B; Swen, Jan-Willem A; den Hollander, Peter HC; Thomassen, Bregje JW; Molekamp, Willem Jan Kleyn; de Meulemeester, Frank R.A.J.; Kleipool, Arthur EB; Haverlag, Robert; Simons, Maarten P; Mutsaerts, Eduard L.A.R.; Kooijman, Rob; Postema, Roelf R; Bleker, René J.T.M.; Lampe, Harald IH; Schuman, Lein; Cheung, John; van Bommel, Frank; Winia, W. Paul; Haverkamp, Daniel; van der Vis, Harm; Nolte, Peter A; van den Bekerom, Michel PJ; de Jong, Tjitte; van Noort, Arthur; Vergroesen, Diederik A; Schutte, Bernard G; van der Vis, Harm M; Beimers, Lijkele; de Vries, Jasper; Zurcher, Arthur W; Albers, G.H. Rob; Rademakers, Maarten; Breugem, Stefan; van der Haven, Ibo; Jan Damen, Pieter; Bulstra, Gythe H; Campo, Martin M; Somford, Mathijs P; Haverkamp, Daniël; Liew, Susan; Bedi, Harvinder; Carr, Ashley; Chia, Andrew; Csongvay, Steve; Donohue, Craig; Doig, Stephen; Edwards, Elton; Esser, Max; Freeman, Richard; Gong, Andrew; Li, Doug; Miller, Russell; Ton, Lu; Wang, Otis; Young, Ian; Dowrick, Adam; Murdoch, Zoe; Sage, Claire; Page, Richard; Bainbridge, David; Angliss, Richard; Miller, Ben; Thomson, Andrew; Brown, Graeme; Williams, Simon; Eng, Kevin; Bowyer, David; Skelley, John; Goyal, Chatar; Beattie, Sally; Guerado, Enrique; Cruz, Encarnacion; Cano, Juan Ramon; Froufe, Miguel Angel; Serra, Lluis Marull; Al-dirra, Samer; Martinez, Cristina; Tarazona Santabalbina, Francisco José; Serra, Jordi Teixidor; Hernandez, Jordi Tomas; Garcia, Marc Aguilar; Garcia, Vicente Molero; Barrera, Sergi; Garrido, Miriam; Nordsletten, Lars; Clarke-Jenssen, John; Hjorthaug, Geir; Brekke, Anne Christine; Vesterhus, Elise Berg; Skaugrud, Ingunn; Tripathi, Pradeep; Katiyar, Sandesh; Shukla, Preksha; Swiontkowski, Marc; Guyatt, Gordon; Jeray, Kyle; Walter, Stephen; Viveiros, Helena; Truong, Victoria; Koo, Kaitlin; Zhou, Qi; Maddock, Deborah; Simunovic, Nicole; Agel, Julie; Zielinski, Stephanie M; Rangan, Amar; Hanusch, Birgit C; Kottam, Lucksy; Clarkson, Rachel; Della Rocca, Gregory J; Slobogean, Gerard; Katz, Jeffrey; Gillespie, Brenda; Greendale, Gail A; Hartman, Curtis; Rubin, Craig; Waddell, James; Lemke, H. Michael; Oatt, Amber; Buckley, Richard E; Korley, Robert; Johnston, Kelly; Powell, James; Sanders, David; Lawendy, Abdel; Tieszer, Christina; Murnaghan, John; Nam, Diane; Yee, Albert; Whelan, Daniel B; Wild, Lisa M; Khan, Ryan M; Coady, Cathy; Amirault, David; Richardson, Glen; Dobbin, Gwen; Bicknell, Ryan; Yach, Jeff; Bardana, Davide; Wood, Gavin; Harrison, Mark; Yen, David; Lambert, Sue; Howells, Fiona; Ward, Angela; Zalzal, Paul; Brien, Heather; Naumetz, V; Weening, Brad; Wai, Eugene K; Papp, Steve; Gofton, Wade T; Kingwell, Stephen P; Johnson, Garth; O’Neil, Joseph; Roffey, Darren M; Borsella, Vivian; Oliver, Todd M; Jones, Vicki; Endres, Terrence J; Agnew, Samuel G; Jeray, Kyle J; Broderick, J. Scott; Goetz, David R; Pace, Thomas B; Schaller, Thomas M; Porter, Scott E; Tanner, Stephanie L; Snider, Rebecca G; Nastoff, Lauren A; Bielby, Shea A; Switzer, Julie A; Cole, Peter A; Anderson, Sarah A; Lafferty, Paul M; Li, Mengnai; Ly, Thuan V; Marston, Scott B; Foley, Amy L; Vang, Sandy; Wright, David M; Marcantonio, Andrew J; Kain, Michael SH; Iorio, Richard; Specht, Lawrence M; Tilzey, John F; Lobo, Margaret J; Garfi, John S; Vallier, Heather A; Dolenc, Andrea; Robinson, Chalitha; Prayson, Michael J; Laughlin, Richard; Rubino, L. Joseph; May, Jedediah; Rieser, Geoffrey Ryan; Dulaney-Cripe, Liz; Gayton, Chris; Gorczyca, John T; Gross, Jonathan M; Humphrey, Catherine A; Kates, Stephen; Noble, Krista; McIntyre, Allison W; Pecorella, Kaili; Davis, Craig A; Lindenbaum, Stephen; Schwappach, John; Baker, Janell K; Rutherford, Tori; Newman, Heike; Lieberman, Shane; Finn, Erin; Robbins, Kristin; Hurley, Meghan; Lyle, Lindsey; Mitchell, Khalis; Browner, Kieran; Whatley, Erica; Payton, Krystal; Reeves, Christina; Cannada, Lisa K; Karges, David; Hill, Leslie; Esterhai, John; Horan, Annamarie D; Kaminski, Christine A; Kowalski, Brynn N; Keeve, Jonathan P; Anderson, Christopher G; McDonald, Michael D; Hoffman, Jodi M; Tarkin, Ivan; Siska, Peter; Gruen, Gary; Evans, Andrew; Farrell, Dana J; Irrgang, James; Luther, Arlene; Cross, William W, III; Cass, Joseph R; Sems, Stephen A; Torchia, Michael E; Scrabeck, Tyson; Jenkins, Mark; Dumais, Jules; Romero, Amanda W; Sagebien, Carlos A; Butler, Mark S; Monica, James T; Seuffert, Patricia; Hsu, Joseph R; Ficke, James; Charlton, Michael; Napierala, Matthew; Fan, Mary; Tannoury, Chadi; Archdeacon, Michael; Finnan, Ryan; Le, Toan; Wyrick, John; Hess, Shelley; Brennan, Michael L; Probe, Robert; Kile, Evelyn; Mills, Kelli; Clipper, Lydia; Yu, Michelle; Erwin, Katie; Horwitz, Daniel; Strohecker, Kent; Swenson, Teresa K; Schmidt, Andrew H; Westberg, Jerald R; Aurang, Kamran; Zohman, Gary; Peterson, Brett; Huff, Roger B; Baele, Joseph; Weber, Timothy; Edison, Matt; McBeth, Jessica; Ertl, Janos P; Parr, J. Andrew; Moore, Molly M; Tobias, Erin; Thomas, Emily; DePaolo, Charles J; Shell, Leslie E; Hampton, Lynne; Shepard, Stephanie; Nanney, Tracy; Cuento, Claudine; Cantu, Robert V; Henderson, Eric R; Eickhoff, Linda S; Hammerberg, E. Mark; Stahel, Philip; Hak, David; Mauffrey, Cyril; Gibula, Douglas; Gissel, Hannah; Henderson, Corey; Zamorano, David P; Tynan, Martin C; Lawson, Deanna; Crist, Brett D; Murtha, Yvonne M; Anderson, Linda K; Linehan, Colleen; Pilling, Lindsey; Lewis, Courtland G; Sullivan, Raymond J; Roper, Elizabeth; Obremskey, William; Kregor, Philip; Richards, Justin E; Stringfellow, Kenya; Dohm, Michael P; Zellar, Abby; Segers, Michiel JM; Zijl, Jacco AC; Verhoeven, Bart; Smits, Anke B; de Vries, Jean Paul PM; Fioole, Bram; van der Hoeven, Henk; Theunissen, Evert BM; de Vries Reilingh, Tammo S; Govaert, Lonneke; Wittich, Philippe; de Brauw, Maurits; Wille, Jan; Go, Peter M.N.Y.M.; Ritchie, Ewan D; Wessel, Ronald N; Hammacher, Eric R; Visser, Gijs A; Stockmann, Heyn; Silvis, Rob; Snellen, Jaap P; Rijbroek, Bram; Scheepers, Joris JG; Vermeulen, Erik GJ; Siroen, Michiel PC; Vuylsteke, Ronald; Brom, Hans LF; Rijna, Herman; de Rijcke, Piet AR; Koppert, Cees L; Buijk, Steven E; Groenendijk, Richard PR; Dawson, Imro; Tetteroo, Geert WM; Bruijninckx, Milko MM; Doornebosch, Pascal G; de Graaf, Eelco JR; van der Elst, Maarten; van der Pol, Carmen C; van’t Riet, Martijne; Karsten, Tom M; de Vries, Mark R; Stassen, Laurents PS; Schep, Niels WL; Ben Schmidt, G; Hoffman, W H; van der Heijden, Frank H.W.M.; Willems, W. Jaap; van der Hart, Cor P; Turckan, Kahn; Festen, Sebastiaan; de Nies, Frank; Out, Nico JM; Bosma, Jan; van Kampen, Albert; Biert, Jan; van Vugt, Arie B; Edwards, Michael JR; Blokhuis, Taco J; Frölke, Jan Paul M; Geeraedts, Leo MG; Gardeniers, Jean WM; Tan, Edward T.C.H.; Poelhekke, Lodewijk M.S.J.; de Waal Malefijt, Maarten C; Schreurs, Bart; Roukema, Gert R; Josaputra, Hong A; Keller, Paul; de Rooij, Peter D; Kuiken, Hans; Boxma, Han; Cleffken, Berry I; Liem, Ronald; Rhemrev, Steven J; Bosman, Coks HR; de Mol van Otterloo, Alexander; Hoogendoorn, Jochem; de Vries, Alexander C; Meylaerts, Sven AG; Verhofstad, Michiel HJ; Meijer, Joost; van Egmond, Teun; van der Brand, Igor; Patka, Peter; Eversdijk, Martin G; Peters, Rolf; Den Hartog, Dennis; Van Waes, Oscar JF; Oprel, Pim; Campo, Martin; Verhagen, Ronald; Albers, G.H. Robert; Simmermacher, Rogier KJ; van Mulken, Jeroen; van Wessem, Karlijn; van Gaalen, Steven M; Leenen, Luke PH; Bronkhorst, Maarten W.G.A.; Guicherit, Onno R; Goslings, J. Carel; Ponsen, Kees Jan; Bhatia, Mahesh; Arora, Vinod; Tyagi, Vivek; Gupta, Ajay; Jain, Neeraj; Khan, Farah; Sharma, Ateet; Sanghavi, Amir; Trivedi, Mittal; Rai, Anil; Subash; Rai, Kamal; Yadav, Vineet; Singh, Sanjay; Prasad, Amal Shankar; Mishra, Vimlesh; Sundaresh, D C; Khanna, Angshuman; Cherian, Joe Joseph; Olakkengil, Davy J; Sharma, Gaurav; Dadi, Akhil; Palla, Naveen; Ganguly, Utsav; Rai, B. Sachidananda; Rajakumar, Janakiraman; Hull, Peter; Lewis, Sophie; Evans, Simone; Nanda, Rajesh; Logishetty, Rajanikanth; Anand, Sanjeev; Bowler, Carol; Jennings, Andrew; Chuter, Graham; Rose, Glynis; Horner, Gillian; Clark, Callum; Eke, Kate; Reed, Mike; Herriott, Chris; Dobb, Christine; Curry, Hamish; Etherington, Greg; Jain, Arvind; Moaveni, Ash; Russ, Matthias; Donald, Geoff; Weinrauch, Patrick; Pincus, Paul; Yang, Steven; Halliday, Brett; Gervais, Trevor; Holt, Michael; Flynn, Annette; Pirpiris, Marinis; Love, David; Bucknill, Andrew; Farrugia, Richard J; Ianssen, Torben; Amundsen, Asgeir; Brattgjerd, Jan Egil; Borch, Tor; Bøe, Berthe; Flatøy, Bernhard; Hasselund, Sondre; Haug, Knut Jørgen; Hemlock, Kim; Hoseth, Tor Magne; Jomaas, Geir; Kibsgård, Thomas; Lona, Tarjei; Moatshe, Gilbert; Müller, Oliver; Molund, Marius; Nicolaisen, Tor; Nilsen, Fredrik; Rydinge, Jonas; Smedsrud, Morten; Stødle, Are; Trommer, Axel; Ugland, Stein; Karlsten, Anders; Ekås, Guri; Pape, Hans-Christoph; Knobe, Matthias; Pfeifer, Roman
Source
The Journal of Bone and Joint Surgery-American Volume. May 01, 2015 97(9):751-757
Subject
Language
English
ISSN
0021-9355
Abstract
BACKGROUND:: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) has been extensively evaluated in groups of patients with osteoarthritis, yet not in patients with a femoral neck fracture. This study aimed to determine the reliability, construct validity, and responsiveness of the WOMAC compared with the Short Form-12 (SF-12) and the EuroQol 5D (EQ-5D) questionnaires for the assessment of elderly patients with a femoral neck fracture. METHODS:: Reliability was tested by assessing the Cronbach alpha. Construct validity was determined with the Pearson correlation coefficient. Change scores were calculated from ten weeks to twelve months of follow-up. Standardized response means and floor and ceiling effects were determined. Analyses were performed to compare the results for patients less than eighty years old with those for patients eighty years of age or older. RESULTS:: The mean WOMAC total score was 89 points before the fracture in the younger patients and increased from 70 points at ten weeks to 81 points at two years postoperatively. In the older age group, these scores were 86, 75, and 78 points. The mean WOMAC pain scores before the fracture and at ten weeks and two years postoperatively were 92, 76, and 87 points, respectively, in the younger age group and 92, 84, and 93 points in the older age group. Function scores were 89, 68, and 79 points for the younger age group and 84, 71, and 73 points for the older age group. The Cronbach alpha for pain, stiffness, function, and the total scale ranged from 0.83 to 0.98 for the younger age group and from 0.79 to 0.97 for the older age group. Construct validity was good, with 82% and 79% of predefined hypotheses confirmed in the younger and older age groups, respectively. Responsiveness was moderate. No floor effects were found. Moderate to large ceiling effects were found for pain and stiffness scales at ten weeks and twelve months in younger patients (18% to 36%) and in the older age group (38% to 53%). CONCLUSIONS:: The WOMAC showed good reliability, construct validity, and responsiveness in both age groups of elderly patients with a femoral neck fracture who had been physically and mentally fit before the fracture. The instrument is suitable for use in future clinical studies in these populations. CLINICAL RELEVANCE:: The results are based on two clinical trials. The questionnaires used concern pure, clinically relevant issues (ability to walk, climb stairs, etc.). Moreover, the results can be used for future research comparing clinical outcomes (or treatments) for populations with a femoral neck fracture.