MétaCan
Menu
Back to cohort
Record W2143724236 · doi:10.2106/jbjs.n.00542

Reliability, Validity, and Responsiveness of the Western Ontario and McMaster Universities Osteoarthritis Index for Elderly Patients with a Femoral Neck Fracture

2015· article· en· W2143724236 on OpenAlexaffabout
P.T.P.W. Burgers, Rudolf W. Poolman, Theodorus M. J. van Bakel, Wim E. Tuinebreijer, Stephanie M. Zielinski, Mohit Bhandari, P. Patka, Esther MM Van Lieshout, P.J. Devereaux, Gordon H Guyatt, Thomas A. Einhorn, Lehana Thabane, Emil H. Schemitsch, Kenneth J. Koval, Frede Frihagen, Kevin Tetsworth, Ernesto Guerra-Farfán, Stephen D. Walter, Sheila Sprague, Marilyn Swinton, Taryn Scott, Paula McKay, Kim Madden, Diane Heels‐Ansdell, Lisa Buckingham, Aravin Duraikannan, Heather Silva, Martin J. Heetveld, Robert Zura, Victoria Avram, Ajay Manjoo, Dale Williams, John Antoniou, Tim Ramsay, Earl R. Bogoch, Andrew Trenholm, Stephen Lyman, Madhu Mazumdar, Kevin J. Bozic, Mark Luborsky, Stuart B. Goodman, Susan Muray, Rob Korley, Richard Buckley, Paul Duffy, Shannon Puloski, Kimberly Carcary, Melissa Lorenzo, Michael D. McKee, Jeremy Hall, Aaron Nauth, Daniel B. Whelan, Timothy R. Daniels, James P. Waddell, Henry Ahn, Milena Vicente, Jennifer T. Hidy, Melanie MacNevin, Hans J. Kreder, Terry S. Axelrod, Richard Jenkinson, Markku Nousiainen, David Stephen, Veronica Wadey, Monica Kunz, Katrine Milner, Ria Cagaanan, Peter J. O’Brien, Piotr A. Blachut, Henry M. Broekhuyse, Pierre Guy, Kelly A. Lefaivre, Raman Johal, Irene Leung, Chad P. Coles, Ross Leighton, Craig Richardson, Michael Biddulph, Michael Groß, Michael Dunbar, J. David Amirault, David C. Alexander, Catherine Coady, Mark Glazebrook, David Johnston, William Oxner, Gerald Reardon, Ivan Wong, Kelly Trask, Shelley MacDonald, Andrew Furey, Craig Stone, Minnie Parsons, Trevor Stone, Mauri Zomar, Robert G. McCormack, Kelly Apostle, Dory Boyer, Farhad Moola, Bertrand Perey, Darius G. Viskontas, Karyn Moon, Raely Moon, Y. Laflamme, Benoit Benoit, Pierre Ranger, Michel Malo, Julio Fernandes, Karine Tardif, Julie Fournier, Pascal‐André Vendittoli, Vincent Massé, Alain Roy, Martin Lavigne, Daniel Lusignan, Craig A. Davis, Philip A. Stull, Stewart Weinerman, Peter Weingarten, S. Lindenbaum, Michael Hewitt, Rebecca Danielwicz, Janell K Baker, Michael A. Mont, Donald E Delanois, Bhaveen H. Kapadia, Kimona Issa, Marylou Mullen, Andrew Sems, Barb Foreman, Javad Parvizi, Tiffany H. Morrison, Courtland G. Lewis, Paul Tornetta, William R. Creevy, Michelle J Lespasio, Hope Carlisle, Andrew Marcantonio, Michaël Kain, Lawrence M. Specht, John F. Tilzey, John Garfi, Samir Mehta, John L. Esterhai, Jaimo Ahn, Derek J. Donegan, Annamarie D. Horan, Kelly A. McGinnis, James R. Roberson, Thomas Bradbury, Greg A. Erens, Kyle Webb, Brian Mullis, K. Shively, Andrew Parr, Janos P. Ertl, Ripley Worman, Mark Webster, Judd E. Cummings, Valda Frizzell, Molly Moore, Clifford B. Jones, James R. Ringler, Debra L. Sietsema, Jane E. Walker, Enes Kanlić, Amr Abdelgawad, Juan Shunia, Charles J. DePaolo, Susan Sutherland, Rachel Alosky, Robert Zura, Maria Manson, Gregg Strathy, Kathleen Peter, Paul D. R. Johnson, Meaghan Morton, James Shaer, Tyson Schrickel, Barbara M. Hileman, Marina C. Hanes, Elisha A. Chance, Eva Heinrich, David Dodgin, Michele LaBadie, David P. Zamorano, Martin C. Tynan, Ran Schwarzkopf, John A. Scolaro, Ranjan Gupta, S. Samuel Bederman, Nitin Bhatia, Bang H. Hoang, Douglas Kiester, Neil Jones, Gregory Rafijah, Damon Alavekios, Jason Lee, Akshay Mehta, Tom Chao, Vincent Colin, Stephen Keun Heng, Gregory J. Lopez, Samuel Galle, Sohrab Pahlavan, Duy L. Phan, Minal Tapadia, Christopher Bui, Nickul S. Jain, Tyler M. Moore, Nathan M. Moroski, Deeba Pourmand, Erik N. Kubiak, Jeremy M. Gililland, David L. Rothberg, Christopher L. Peters, Christopher E. Pelt, Ami Stuart, Kirby Corbey, Franklin D. Shuler, James P. R. Day, Tigran Garabekyan, Felix Cheung, Ali Oliashirazi, Jonathon Salava, Linda Morgan, Timothy Wilson-Byrne, Mary Beth Cordle, L. Elmans, Joost A.A.M. van den Hout, Adrianus JP Joosten, Ad FA van Beurden, Stefan B T Bolder, Denise Eygendaal, Adrianus F.C.M. Moonen, Rutger C. I. van Geenen, Eric Hoebink, Robert Wagenmakers, Wouter van Helden, Hans-Peter W. van Jonbergen, W.H. Roerdink, Joost M. Reuver, Alexander F.W. Barnaart, Elvira R. Flikweert, Rover Krips, J. Bernard Mullers, Hans Schüller, Mark L. M. Falke, Frans J Kurek, Adrianus CH Slingerland, J.P. van Dijk, Wouter H van Helden, Hugo W. Bolhuis, Pieter H.J. Bullens, Mike Hogervorst, Karin E. de Kroon, Rob H Jansen, Eric E. J. Raven, W. P. J. Fontijne, Saskia C Wiersma, Bastiaan Boetes, Edgar J. T. Ten Holder, Huub J. L. van der Heide, Jochem Nagels, Enrike H.M.J. van der Linden-van der Zwaag, Stefan B. Keizer, Jan-Willem Swen, Peter HC den Hollander, Bregje J.W. Thomassen, Willem Jan Kleyn Molekamp, Frank R. A. J. de Meulemeester, A. E. B. Kleipool, Robert Haverlag, M. P. Simons, Eduard L.A.R. Mutsaerts, R. Kooijman, R. R. Postema, R.J. Bleker, Harald IH Lampe, Lein Schuman, John Cheung, Frank van Bommel, W. P. C. A. Winia, Daniël Haverkamp, Harm van der Vis, Peter A. Nolte, Michel PJ van den Bekerom, Tjitte de Jong, Arthur van Noort, Diederik A. Vergroesen, Bernard G. Schutte, Harm M van der Vis, Lijkele Beimers, Jasper de Vries, A.W. Zürcher, G. H. R. Albers, Maarten V. Rademakers, Stefan J. M. Breugem, Ibo van der Haven, Pieter Jan Damen, Gythe H. Bulstra, Martin Campo, Susan Liew, Harvinder Bedi, Ashley Carr, Steve Csongvay, Craig Donohue, S.G. Doig, Elton Edwards, Max Esser, Richard Freeman, Andrew D. Gong, Doug Li, Russell Miller, Lu Ton, Otis Wang, Ian Young, Adam S. Dowrick, Zoe Murdoch, Claire Sage, Richard A. Page, David Bainbridge, Richard Angliss, Ben Miller, Andrew Thomson, Graeme Brown, Simon Williams, Kevin H. Eng, David E. Bowyer, John Skelley, Chatar Goyal, Sally Beattie, Enrique Guerado, Encarnación Cruz, Juan Ramón Cano, Miguel Angel Froufe, Samer Al-dirra, Cristina Martínez, Francisco José Tarazona Santabalbina, Jordi Teixidor-Serra, Jordi Tomàs Hernández, Vicente Molero García, Sergi Barrera, Míriam Garrido, Lars Nordsletten, John Clarke-Jenssen, Geir Aasmund Hjorthaug, Anne Christine Brekke, Elise Berg Vesterhus, Ingunn Skaugrud, Pradeep Tripathi, Sandesh Katiyar, Preksha Shukla, M.F. Swiontkowski, Gordon Guyatt, Kyle J. Jeray, Helena Viveiros, Victoria Truong, Kaitlin Koo, Qi Zhou, Deborah Maddock, Nicole Simunovic, Julie Agel, Amar Rangan, Birgit Hanusch, Lucksy Kottam, Rachel Clarkson, Gregory J. Della Rocca, Gerard P. Slobogean, Jeffrey L. Katz, Brenda W. Gillespie, Gail A. Greendale, Curtis W. Hartman, Craig D. Rubin, H. Michael Lemke, Amber Oatt, Robert Korley, Kelly Johnston, James Powell, David Sanders, Abdel‐Rahman Lawendy, Christina Tieszer, John Murnaghan, Diane Nam, Albert Yee, Lisa M. Wild, Ryan Khan, Cathy Coady, David Amirault, Glen Richardson, Gwen Dobbin, Ryan T. Bicknell, Jeff Yach, Davide Bardana, Gavin Wood, Mark Harrison, David Yen, Sue Lambert, Fiona Howells, Angela Ward, Paul Zalzal, Heather Brien, V. Naumetz, Brad Weening, Eugene K. Wai, Steve Papp, Wade Gofton, Stephen Kingwell, Garth Johnson, Joseph T. O’Neil, Darren M. Roffey, Vivian Borsella, Todd Oliver, Terrence J. Endres, Samuel G. Agnew, J. Scott Broderick, D.R. Goetz, Thomas B. Pace, Thomas M. Schaller, Scott E. Porter, Stephanie L. Tanner, Rebecca G. Snider, L.A. Nastoff, Shea A. Bielby, Julie A. Switzer, Peter A. Cole, Sarah Anderson, Paul M. Lafferty, Mengnai Li, Thuan V. Ly, Scott B. Marston, A.L. Foley, Sandy Vang, David M. Wright, Michael SH Kain, Richard Iorio, M.J. Lobo, Heather A. Vallier, Andrea J. Dolenc, Chalitha Robinson, Michael J. Prayson, Richard T. Laughlin, L. Joseph Rubino, Jedediah H. May, Geoffrey Ryan Rieser, Liz Dulaney-Cripe, Chris Gayton, John T. Gorczyca, Jonathan M. Gross, Catherine A. Humphrey, Stephen L. Kates, Krista L. Noble, Allison W. McIntyre, Kaili Pecorella, Stephen Lindenbaum, John Schwappach, T. Rutherford, Heike Newman, Shane Lieberman, Erin Finn, Kristin Robbins, Meghan Hurley, Lindsey Lyle, Khalis Mitchell, Kieran Browner, E. Whatley, Christina Reeves, Lisa K. Cannada, David E. Karges, Leslie Hill, Christine A Kaminski, Brynn N Kowalski, Jonathan P. Keeve, Christopher G. Anderson, Michael D. McDonald, J.M. Hoffman, Ivan S. Tarkin, Peter A. Siska, Gary S. Gruen, Andrew R. Evans, Dana J. Farrell, James J. Irrgang, Arlene Luther, William W. Cross, Joseph R. Cass, S.A. Sems, Michael E. Torchia, Tyson L. Scrabeck, Mark Jenkins, Jules Dumais, Amanda W. Romero, Carlos Sagebien, Mark S. Butler, James T. Monica, Patricia Seuffert, Joseph R. Hsu, James R. Ficke, Michael Charlton, Matthew A. Napierala, Mary D. Fan, Chadi Tannoury, Michael T. Archdeacon, Ryan Finnan, Toan Le, John D. Wyrick, Shelley Hess, Michael Brennan, Robert A. Probe, Evelyn Kile, Lydia Clipper, Michelle Yu, Katie Erwin, Daniel S. Horwitz, Kent Strohecker, Teresa K. Swenson, Andrew H. Schmidt, Jerald R. Westberg, Kamran Aurang, Gary L. Zohman, Brett Peterson, Roger B. Huff, Joseph R. Baele, Timothy G. Weber, Matt Edison, J. Andrew Parr, M.M. Moore, Erin Tobias, Emily J. Thomas, Leslie E. Shell, Lynne C. Hampton, Stephanie A. Shepard, Tracy Nanney, Claudine Cuento, Robert V. Cantu, Eric R. Henderson, L.S. Eickhoff, E. Mark Hammerberg, Philip F. Stahel, David J. Hak, Cyril Mauffrey, Douglas R. Gibula, Hannah Gissel, Corey Henderson, Deanna Lawson, Brett D. Crist, Yvonne M. Murtha, Linda K. Anderson, Colleen Linehan, Lindsey Pilling, Raymond J. Sullivan, Elizabeth Roper, William T. Obremskey, Philip J. Kregor, Justin E. Richards, Kenya Stringfellow, Michael Dohm, Abby Zellar, M. J. M. Segers, Jacco A. C. Zijl, Bart A.N. Verhoeven, Anke B. Smits, Jean Paul PM de Vries, Bram Fioole, H. van der Hoeven, E. Theunissen, T. S. de Vries Reilingh, Lonneke Govaert, Philippe Wittich, Maurits de Brauw, J. Wille, P. M. N. Y. H. Go, Ewan Ritchie, Ronald N. Wessel, Eric R. Hammacher, G.A. Visser, Heyn Stockmann, R. Silvis, J.P. Snellen, Bram Rijbroek, Joris J. Scheepers, Erik G.J. Vermeulen, Michiel P. C. Siroen, Ronald J.C.L.M. Vuylsteke, H. L. F. Brom, Herman Rijna, Piet AR de Rijcke, Cees L. Koppert, S.E. Buijk, R.P. Groenendijk, I. Dawson, Geert W. M. Tetteroo, M.M.M. Bruijninckx, Pascal G. Doornebosch, Eelco JR de Graaf, Maarten van der Elst, Carmen C. van der Pol, M. van’t Riet, Tom M. Karsten, Mark R. de Vries, Laurents P. S. Stassen, Niels W. L. Schep, GUNTHER SCHMIDT, William H. Hoffman, F.H.W.M. van der Heijden, W. Jaap Willems, Cor P. van der Hart, Kahn Turckan, Sebastiaan Festen, Frank de Nies, N.J.M. Out, Jan Bosma, Albert van Kampen, J. Biert, A.B. van Vugt, Michael J. Edwards, Taco J. Blokhuis, Jan Paul M. Frölke, Leo M. G. Geeraedts, J.W.M. Gardeniers, Edward Tan, L.M.S.J. Poelhekke, M.C. de Waal Malefijt, Bart Schreurs, Gert R. Roukema, H.A. Josaputra, Paul M. Keller, Peter D. de Rooij, H. Kuiken, H. Boxma, Berry I. Cleffken, Ronald S. L. Liem, Steven J. Rhemrev, C.H.R. Bosman, Alexander de Mol van Otterloo, J. M. Hoogendoorn, A.C. de Vries, Sven AG Meylaerts, M.H.J. Verhofstad, Joost M. Meijer, Teun van Egmond, Igor van der Brand, Martin G. Eversdijk, Rolf W. Peters, Dennis Den Hartog, Oscar JF van Waes, P.P. Oprel, Ronald A.W. Verhagen, G.H. Robert Albers, R. K. J. Simmermacher, Jeroen van Mulken, Karlijn J. P. van Wessem, Steven M. van Gaalen, Luke P. H. Leenen, M.W.G.A. Bronkhorst, Onno R. Guicherit, J. Carel Goslings, Kees Jan Ponsen, M. Bhatia, Vinod Arora, Vivek Tyagi, Ajay Gupta, Neeraj Jain, Farah Khan, Ateet B Sharma, Amir Sanghavi, Mittal Trivedi, Anil Rai, Subash, Vineet Yadav, Sanjay K. Singh, A.S. Prasad, Vimlesh Mishra, D. C. Sundaresh, Angshuman Khanna, Joe Joseph Cherian, D.J. Olakkengil, Gaurav Sharma, Akhil Dadi, Naveen Palla, Utsav Ganguly, Janakiraman Rajakumar, Peter Hull, Sophie Lewis, Simone Evans, Rajesh Nanda, R Logishetty, Sanjeev Anand, Carol Bowler, Andrew Jennings, G.S.J. Chuter, Glynis Rose, Gillian Horner, Callum Clark, Kate Eke, Mike Reed, Chris Herriott, Christine Dobb, H. Curry, Greg Etherington, Arvind Kumar Jain, Afshin Kamali Moaveni, Matthias Russ, Geoff Donald, Patrick Weinrauch, Paul Pincus, S. Steven Yang, Brett Halliday, Trevor Gervais, Michael Holt, Annette Flynn, Marinis Pirpiris, David Love, Andrew Bucknill, Richard Farrugia, Torben Ianssen, Asgeir Amundsen, Jan Egil Brattgjerd, Tor Borch, Berthe Bøe, Bernhard Flatøy, Sondre Hasselund, Knut Jørgen Haug, Kim Hemlock, Tor Magne Hoseth, Geir Jomaas, Thomas Kibsgård, Tarjei Lona, Gilbert Moatshe, Oliver Müller, Marius Molund, Tor Nicolaisen, Fredrik Nilsen, Jonas Rydinge, Morten Smedsrud, Are Haukåen Stødle, Axel Trommer, Stein Ugland, Anders Karlsten, Guri Ranum Ekås, Hans‐Christoph Pape, Matthias Knobe, Roman Pfeifer

Bibliographic record

VenueJournal of Bone and Joint Surgery · 2015
Typearticle
Languageen
FieldMedicine
TopicHip and Femur Fractures
Canadian institutionsMcMaster University
Fundersnot available
KeywordsWOMACMedicineCronbach's alphaOsteoarthritisFemoral neckPhysical therapyConstruct validityQuality of life (healthcare)OsteoporosisSurgeryInternal medicinePsychometricsPatient satisfaction

Abstract

fetched live from OpenAlex

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.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.011
Threshold uncertainty score0.251

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.026
GPT teacher head0.234
Teacher spread0.208 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations20
Published2015
Admission routes2
Has abstractyes

Explore more

Same venueJournal of Bone and Joint SurgerySame topicHip and Femur FracturesFrench-language works237,207