Comparative responsiveness of measures of pain and function after total hip replacement
Objective To compare the responsiveness of the Functional Assessment System (FAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Medical Outcomes Study 36‐item Short Form (SF‐36) in patients with osteoarthritis (OA) scheduled for total hip replacement. Method Tw...
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Veröffentlicht in: | Arthritis and rheumatism 2001-06, Vol.45 (3), p.258-262 |
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creator | Nilsdotter, Anna‐K. Roos, Ewa M. Westerlund, Jonas P. Roos, Harald P. Lohmander, L. Stefan |
description | Objective
To compare the responsiveness of the Functional Assessment System (FAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Medical Outcomes Study 36‐item Short Form (SF‐36) in patients with osteoarthritis (OA) scheduled for total hip replacement.
Method
Twenty patients with a mean age at surgery of 72.6 years, with primary OA of the hip, were investigated preoperatively and at 3, 6, and 12 months postoperatively with the FAS, WOMAC, and SF‐36. The responsiveness was calculated as standardized response mean, effect size, and relative efficiency.
Results
The pain and function scores of WOMAC and SF‐36 showed greater responsiveness than FAS at 3 months. These differences remained at 6 and 12 months postoperatively. The differences between these 3 outcome measures were found to be similar using several methods for calculating responsiveness.
Conclusion
Self‐administered questionnaires like WOMAC and SF‐36 are more responsive measures of pain and function than range of motion, performance tests, and observer‐administered questions (FAS) following total hip replacement. |
doi_str_mv | 10.1002/1529-0131(200106)45:3<258::AID-ART258>3.0.CO;2-L |
format | Article |
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To compare the responsiveness of the Functional Assessment System (FAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Medical Outcomes Study 36‐item Short Form (SF‐36) in patients with osteoarthritis (OA) scheduled for total hip replacement.
Method
Twenty patients with a mean age at surgery of 72.6 years, with primary OA of the hip, were investigated preoperatively and at 3, 6, and 12 months postoperatively with the FAS, WOMAC, and SF‐36. The responsiveness was calculated as standardized response mean, effect size, and relative efficiency.
Results
The pain and function scores of WOMAC and SF‐36 showed greater responsiveness than FAS at 3 months. These differences remained at 6 and 12 months postoperatively. The differences between these 3 outcome measures were found to be similar using several methods for calculating responsiveness.
Conclusion
Self‐administered questionnaires like WOMAC and SF‐36 are more responsive measures of pain and function than range of motion, performance tests, and observer‐administered questions (FAS) following total hip replacement.</description><identifier>ISSN: 0004-3591</identifier><identifier>EISSN: 1529-0131</identifier><identifier>DOI: 10.1002/1529-0131(200106)45:3<258::AID-ART258>3.0.CO;2-L</identifier><identifier>PMID: 11409667</identifier><language>eng</language><publisher>New York: John Wiley & Sons, Inc</publisher><subject>Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip ; Female ; Functional Assessment System ; Hip - physiopathology ; Humans ; Male ; Middle Aged ; Pain ; Postoperative Complications ; Responsiveness ; SF‐36 ; Total hip replacement ; WOMAC</subject><ispartof>Arthritis and rheumatism, 2001-06, Vol.45 (3), p.258-262</ispartof><rights>Copyright © 2001 by the American College of Rheumatology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3568-c33a12088b59e548ffef6ca0ebeb805778ca12b2f15b66e4be92b7c6b9c75e863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F1529-0131%28200106%2945%3A3%3C258%3A%3AAID-ART258%3E3.0.CO%3B2-L$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F1529-0131%28200106%2945%3A3%3C258%3A%3AAID-ART258%3E3.0.CO%3B2-L$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11409667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nilsdotter, Anna‐K.</creatorcontrib><creatorcontrib>Roos, Ewa M.</creatorcontrib><creatorcontrib>Westerlund, Jonas P.</creatorcontrib><creatorcontrib>Roos, Harald P.</creatorcontrib><creatorcontrib>Lohmander, L. Stefan</creatorcontrib><title>Comparative responsiveness of measures of pain and function after total hip replacement</title><title>Arthritis and rheumatism</title><addtitle>Arthritis Rheum</addtitle><description>Objective
To compare the responsiveness of the Functional Assessment System (FAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Medical Outcomes Study 36‐item Short Form (SF‐36) in patients with osteoarthritis (OA) scheduled for total hip replacement.
Method
Twenty patients with a mean age at surgery of 72.6 years, with primary OA of the hip, were investigated preoperatively and at 3, 6, and 12 months postoperatively with the FAS, WOMAC, and SF‐36. The responsiveness was calculated as standardized response mean, effect size, and relative efficiency.
Results
The pain and function scores of WOMAC and SF‐36 showed greater responsiveness than FAS at 3 months. These differences remained at 6 and 12 months postoperatively. The differences between these 3 outcome measures were found to be similar using several methods for calculating responsiveness.
Conclusion
Self‐administered questionnaires like WOMAC and SF‐36 are more responsive measures of pain and function than range of motion, performance tests, and observer‐administered questions (FAS) following total hip replacement.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>Female</subject><subject>Functional Assessment System</subject><subject>Hip - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Postoperative Complications</subject><subject>Responsiveness</subject><subject>SF‐36</subject><subject>Total hip replacement</subject><subject>WOMAC</subject><issn>0004-3591</issn><issn>1529-0131</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkE2LFDEQhoMo7rj6F6RPooceK0knnR5FGNqvhYERXfFYJNkKtvTXdrqV_fdm6EEvXryk3qq8VS88jBkOWw4gXnIlqhy45M8FAAf9olA7-Voos9vtr97m-8_XSb-RW9jWx1ciP9xjmz8r99kGAIpcqopfsEcx_kitkEo-ZBecF1BpXW7Yt3roRjvZuflJ2URxHPqYZE8xZkPIOrJxSeOTHm3TZ7a_ycLS-7kZUhNmmrJ5mG2bfW_GtD-21lNH_fyYPQi2jfTkXC_Z1_fvruuP-eH44areH3IvlTbplZYLMMapilRhQqCgvQVy5AyosjQ-_TsRuHJaU-GoEq702lW-VGS0vGTP1rvjNNwuFGfsmuipbW1PwxKxhEoaqcpk_LQa_TTEOFHAcWo6O90hBzzBxhM5PJHDFTYWCiUmwIgJNq6w0wSwPqLAQzr59Jy9uI5u_h48002GL6vhV9PS3X8E_jPvPJG_ASfNmNA</recordid><startdate>200106</startdate><enddate>200106</enddate><creator>Nilsdotter, Anna‐K.</creator><creator>Roos, Ewa M.</creator><creator>Westerlund, Jonas P.</creator><creator>Roos, Harald P.</creator><creator>Lohmander, L. Stefan</creator><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200106</creationdate><title>Comparative responsiveness of measures of pain and function after total hip replacement</title><author>Nilsdotter, Anna‐K. ; Roos, Ewa M. ; Westerlund, Jonas P. ; Roos, Harald P. ; Lohmander, L. Stefan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3568-c33a12088b59e548ffef6ca0ebeb805778ca12b2f15b66e4be92b7c6b9c75e863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>Female</topic><topic>Functional Assessment System</topic><topic>Hip - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Postoperative Complications</topic><topic>Responsiveness</topic><topic>SF‐36</topic><topic>Total hip replacement</topic><topic>WOMAC</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nilsdotter, Anna‐K.</creatorcontrib><creatorcontrib>Roos, Ewa M.</creatorcontrib><creatorcontrib>Westerlund, Jonas P.</creatorcontrib><creatorcontrib>Roos, Harald P.</creatorcontrib><creatorcontrib>Lohmander, L. Stefan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis and rheumatism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nilsdotter, Anna‐K.</au><au>Roos, Ewa M.</au><au>Westerlund, Jonas P.</au><au>Roos, Harald P.</au><au>Lohmander, L. Stefan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative responsiveness of measures of pain and function after total hip replacement</atitle><jtitle>Arthritis and rheumatism</jtitle><addtitle>Arthritis Rheum</addtitle><date>2001-06</date><risdate>2001</risdate><volume>45</volume><issue>3</issue><spage>258</spage><epage>262</epage><pages>258-262</pages><issn>0004-3591</issn><eissn>1529-0131</eissn><abstract>Objective
To compare the responsiveness of the Functional Assessment System (FAS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Medical Outcomes Study 36‐item Short Form (SF‐36) in patients with osteoarthritis (OA) scheduled for total hip replacement.
Method
Twenty patients with a mean age at surgery of 72.6 years, with primary OA of the hip, were investigated preoperatively and at 3, 6, and 12 months postoperatively with the FAS, WOMAC, and SF‐36. The responsiveness was calculated as standardized response mean, effect size, and relative efficiency.
Results
The pain and function scores of WOMAC and SF‐36 showed greater responsiveness than FAS at 3 months. These differences remained at 6 and 12 months postoperatively. The differences between these 3 outcome measures were found to be similar using several methods for calculating responsiveness.
Conclusion
Self‐administered questionnaires like WOMAC and SF‐36 are more responsive measures of pain and function than range of motion, performance tests, and observer‐administered questions (FAS) following total hip replacement.</abstract><cop>New York</cop><pub>John Wiley & Sons, Inc</pub><pmid>11409667</pmid><doi>10.1002/1529-0131(200106)45:3<258::AID-ART258>3.0.CO;2-L</doi><tpages>5</tpages></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Hip Female Functional Assessment System Hip - physiopathology Humans Male Middle Aged Pain Postoperative Complications Responsiveness SF‐36 Total hip replacement WOMAC |
title | Comparative responsiveness of measures of pain and function after total hip replacement |
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