Can the western Ontario and McMaster Universities (WOMAC) osteoarthritis index be used to evaluate different hip joints in the same patient?
Can the western Ontario and McMaster Universities (WOMAC) osteoarthritis index be used to evaluate different hip joints in the same patient?
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DOI：
10.1016/s0883-5403(96)80184-7
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发表时间：
1996-10-01
影响因子：
3.5
通讯作者：
Harris, WH
中科院分区：
文献类型：
--
作者：
McGrory, BJ;Harris, WH
西安大略和麦克马斯特大学（WOMAC）骨关节炎指数最初设计用于下肢骨关节炎患者的疾病特异性评价（1988年），但尚未对同一患者同时评价多个关节进行验证。33例双侧全髋关节置换术患者回答了一份包含WOMAC骨关节炎指数和Harris髋关节评分（HHS）（1969）的问卷，HHS是一种关节特异性健康状况指标，旨在评价双侧髋关节置换术。髋关节之间的评分差异与HSS和WOMAC总分（P = .0001）、HHS疼痛和WOMAC疼痛分项评分（P = .0001）以及HHS功能和WOMAC身体功能分项评分（P = .0001）高度相关。WOMAC僵硬度和HHS活动度无显著相关性（P = 0.1308）。在23例患者（70%）中，两种评分均对髋关节进行了分级，具有相同的比较结果。当比较结果不同时，平均差异小于3分（100分）。这些结果表明，双侧髋关节置换术患者可以在相同时间将WOMAC骨关节炎指数问题应用于单个髋关节，与关节特异性HHS问题一样有效。
The Western Ontario and McMaster Universities (WOMAC) osteoarthritis index was originally designed for disease-specific evaluation of patients with lower extremity osteoarthritis (1988), but has not bren validated for evaluation of more than one joint at the same time in the same patient. Thirty-three patients with bilateral total hip arthroplasties answered a questionnaire containing both the WOMAC osteoarthritis index and the Harris hip score (HHS) (1969), a joint-specific health status measure that was designed to include evaluation of bilateral hip arthroplasty. Differences in scores between hips were highly correlated for HSS and WOMAC total score (P = .0001), HHS pain and WOMAC pain subscores (P = .0001), and HHS function and WOMAC physical function subscores (P = .0001). WOMAC stiffness and HHS range oi motion were not significantly correlated (P = .1308). In 23 patients (70%), both scores graded the hips with the same comparative outcome. When comparative outcomes were different, the average difference was less than 3 points (of 100 possible points). These results demonstrate that patients with bilateral hip arthroplasty can apply the WOMAC osteoarthritis index questions to individual hips at the same lime as effectively as the joint-specific HHS questions.