IKDC or KOOS? Which Measures Symptoms and Disabilities Most Important to Postoperative Articular Cartilage Repair Patients?

Background: The relevance of knee-specific subjective measures of outcome to patients has not been evaluated for cartilage repair procedures. Purpose: The aim of this study was to identify which instrument out of the Knee injury Osteoarthritis Outcome Score and the International Knee Documentation C...

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Veröffentlicht in:The American journal of sports medicine 2008-09, Vol.36 (9), p.1695-1704
Hauptverfasser: Hambly, Karen, Griva, Konstadina
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container_title The American journal of sports medicine
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creator Hambly, Karen
Griva, Konstadina
description Background: The relevance of knee-specific subjective measures of outcome to patients has not been evaluated for cartilage repair procedures. Purpose: The aim of this study was to identify which instrument out of the Knee injury Osteoarthritis Outcome Score and the International Knee Documentation Committee Subjective Knee Form measures symptoms and disabilities most important to postoperative articular cartilage repair patients. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Data were collected from 58 participants of an Internet knee forum via a self-reported online questionnaire consisting of demographic and surgical data, the Tegner activity scale, and 49 consolidated items from the Knee injury Osteoarthritis Outcome Score and the International Knee Documentation Committee Subjective Knee Form. Item importance, frequency, and frequency-importance product were calculated. Results: Overall, the International Knee Documentation Committee Subjective Knee Form was the highest scoring instrument in all categories. However, 2 of the Knee injury Osteoarthritis Outcome Score subscales (“function in sport and recreation” and “knee-related quality of life”) scored higher on mean importance and frequency-importance product than the overall International Knee Documentation Committee Subjective Knee Form score. Conclusion: The International Knee Documentation Committee Subjective Knee Form provided the best overall measure of symptoms and disabilities that are most important to this population of postoperative articular cartilage repair patients. This brings into question the validity of using the Knee injury Osteoarthritis Outcome Score in shorter-term—less than 10 years—studies. Issues related to sports activity appear to be highly valued and very pertinent to evaluation of outcomes for this patient group. Keywords: IKDC KOOS knee outcome measures cartilage repair
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Methods: Data were collected from 58 participants of an Internet knee forum via a self-reported online questionnaire consisting of demographic and surgical data, the Tegner activity scale, and 49 consolidated items from the Knee injury Osteoarthritis Outcome Score and the International Knee Documentation Committee Subjective Knee Form. Item importance, frequency, and frequency-importance product were calculated. Results: Overall, the International Knee Documentation Committee Subjective Knee Form was the highest scoring instrument in all categories. However, 2 of the Knee injury Osteoarthritis Outcome Score subscales (“function in sport and recreation” and “knee-related quality of life”) scored higher on mean importance and frequency-importance product than the overall International Knee Documentation Committee Subjective Knee Form score. Conclusion: The International Knee Documentation Committee Subjective Knee Form provided the best overall measure of symptoms and disabilities that are most important to this population of postoperative articular cartilage repair patients. This brings into question the validity of using the Knee injury Osteoarthritis Outcome Score in shorter-term—less than 10 years—studies. Issues related to sports activity appear to be highly valued and very pertinent to evaluation of outcomes for this patient group. 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Methods: Data were collected from 58 participants of an Internet knee forum via a self-reported online questionnaire consisting of demographic and surgical data, the Tegner activity scale, and 49 consolidated items from the Knee injury Osteoarthritis Outcome Score and the International Knee Documentation Committee Subjective Knee Form. Item importance, frequency, and frequency-importance product were calculated. Results: Overall, the International Knee Documentation Committee Subjective Knee Form was the highest scoring instrument in all categories. However, 2 of the Knee injury Osteoarthritis Outcome Score subscales (“function in sport and recreation” and “knee-related quality of life”) scored higher on mean importance and frequency-importance product than the overall International Knee Documentation Committee Subjective Knee Form score. Conclusion: The International Knee Documentation Committee Subjective Knee Form provided the best overall measure of symptoms and disabilities that are most important to this population of postoperative articular cartilage repair patients. This brings into question the validity of using the Knee injury Osteoarthritis Outcome Score in shorter-term—less than 10 years—studies. Issues related to sports activity appear to be highly valued and very pertinent to evaluation of outcomes for this patient group. 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Which Measures Symptoms and Disabilities Most Important to Postoperative Articular Cartilage Repair Patients?</title><author>Hambly, Karen ; Griva, Konstadina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-ad46bb9e5a8590711102bc38a047c6f8b72a9c2683d5eb1c5ab45fc97a8596f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Arthritis</topic><topic>Arthroplasty, Subchondral - psychology</topic><topic>Biological and medical sciences</topic><topic>Cartilage</topic><topic>Cross-Sectional Studies</topic><topic>Disability Evaluation</topic><topic>Diseases of the osteoarticular system</topic><topic>Documentation</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries</topic><topic>Knee</topic><topic>Knee injuries</topic><topic>Knee Injuries - complications</topic><topic>Knee Injuries - psychology</topic><topic>Knee Injuries - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Postoperative care</topic><topic>Quality of Life</topic><topic>Recovery of Function</topic><topic>Skin &amp; tissue grafts</topic><topic>Sports</topic><topic>Sports medicine</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hambly, Karen</creatorcontrib><creatorcontrib>Griva, Konstadina</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hambly, Karen</au><au>Griva, Konstadina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>IKDC or KOOS? 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subjects Adult
Arthritis
Arthroplasty, Subchondral - psychology
Biological and medical sciences
Cartilage
Cross-Sectional Studies
Disability Evaluation
Diseases of the osteoarticular system
Documentation
Female
Humans
Injuries
Knee
Knee injuries
Knee Injuries - complications
Knee Injuries - psychology
Knee Injuries - surgery
Male
Medical sciences
Methods
Middle Aged
Miscellaneous. Osteoarticular involvement in other diseases
Postoperative care
Quality of Life
Recovery of Function
Skin & tissue grafts
Sports
Sports medicine
Studies
Surveys and Questionnaires
Treatment Outcome
title IKDC or KOOS? Which Measures Symptoms and Disabilities Most Important to Postoperative Articular Cartilage Repair Patients?
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