Schooling of the patients and clinical application of questionnaires in osteoarthitis

Gustavo Constantino De Campos, Marcelo Tomio Kohara, Marcia Uchoa Rezende, Olga Fugiko Magashima Santana, Merilu Marins Moreira, Olavo Pires De Camargo, Gustavo Constantino De Campos, Marcelo Tomio Kohara, Marcia Uchoa Rezende, Olga Fugiko Magashima Santana, Merilu Marins Moreira, Olavo Pires De Camargo

Abstract

Objective: To evaluate the consistency of the questionnaires (WOMAC, Lequesne, VAS, SF 36-PCS and SF 36-MCS) when applied in patients with osteoarthritis of the knees (KOA) verifying if age and level of education interfere with the completion of the questionnaires.

Method: One hundred and two patients with KOA answered WOMAC, LESQUESNE, VAS and SF-36 questionnaires and provided data correlated with age and education. The internal consistency of the WOMAC questionnaire was verified with Cronbach's alpha. Pearson's correlations between the questionnaires, age and educational level was performed.

Results: Mean age was 65 years old. Schooling averaged 7.94 years; WOMAC 47.95; VAS 63.57; Lequesne 12.29; PCS and MCS 31.91 43.68. Cronbach's alpha for WOMAC 0.9. Education did not affect WOMAC response (r=-0.182, p = 0.067) and MCS (r=0.021 / p=0.835), but showed weak but significant correlation with VAS (r=-0.264 / p=0.007), Lequesne (r=0.277, p=0.005) and PCS (r=0.309/ p=0.002). Age showed significant direct correlation only with PCS (r=0.205, p=0.039).

Conclusion: The level of education does not interfere with the completion of WOMAC but may interfere with completing VAS, Lequesne and physical component of SF-36. Level of Evidence II, Retrospective Study.

Keywords: Knee joint; Osteoarthritis; Questionnaires.

Conflict of interest statement

All the authors declare that there is no potential conflict of interest referring to this article.

Figures

Figure 1. Scatter diagram between education and…
Figure 1. Scatter diagram between education and total WOMAC.
Figure 2. Scatter diagram between education and…
Figure 2. Scatter diagram between education and VAS.
Figure 3. Scatter diagram between education and…
Figure 3. Scatter diagram between education and Lequesne.
Figure 4. Scatter diagram between education and…
Figure 4. Scatter diagram between education and PCS.
Figure 5. Scatter diagram between education and…
Figure 5. Scatter diagram between education and MCS.

References

    1. Lassere MN. A users guide to measurement in medicine. Osteoarthritis Cartilage. 2006;14(Suppl A):A10–A13.
    1. Howe TE, Dawson LJ, Syme G, Duncan L, Reid J. Evaluation of outcome measures for use in clinical practice for adults with musculoskeletal conditions of the knee: a systematic review. Man Ther. 2012;17(2):100–118.
    1. Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II. Arthritis Rheum. 2008;58(1):26–35.
    1. Dillon CF, Rasch EK, Gu Q, Hirsch R. Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-94. J Rheumatol. 2006;33(11):2271–2279.
    1. Bitton R. The economic burden of osteoarthritis. Am J Manag Care. 2009;15(8 Suppl):S230–S235.
    1. Rezende MU, Campos GC, Pailo AF. Current concepts in osteoarthritis. Acta Ortop Bras. 2013;21(2):120–122.
    1. Le TK, Montejano LB, Cao Z, Zhao Y, Ang D. Health care costs in US patients with and without a diagnosis of osteoarthritis. J Pain Res. 2012;5:23–30.
    1. Tsai PF, Tak S. Disease-specific pain measures for osteoarthritis of the knee or hip. Geriatr Nurs. 2003;24(2):106–109.
    1. Brooks P, Hochberg M. Outcome measures and classification criteria for the rheumatic diseases. A compilation of data from OMERACT (Outcome Measures for Arthritis Clinical Trials), ILAR (International League of Associations for Rheumatology), regional leagues and other groups. Rheumatology (Oxford) 2001;40(8):896–906.
    1. Tugwell P, Boers M. OMERACT conference on outcome measures in rheumatoid arthritis clinical trials: introduction. J Rheumatol. 1993;20(3):528–530.
    1. Fernandes MI. Tradução e validação do questionário de qualidade de vida específico para osteoartrose WOMAC (Western Ontario McMaster Universities) para a língua portuguesa. São Paulo: Universidade Federal de São Paulo; 2003.
    1. Marx FC, Oliveira LM, Bellini CG, Ribeiro MCC. Tradução e validação cultural do questionário algofuncional de Lequesne para osteoartrite de joelhos e quadris para a língua portuguesa. Rev Bras Reumatol. 2006;46(4):253–260.
    1. Ciconelli RM. Translation and validation of the Portuguese of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) São Paulo: Federal University of São Paulo; 1997.
    1. Rezende MU, de Campos GC, Pailo AF, Frucchi R, Pasqualin T, Camargo OP. PARQVE-Project Arthritis Recovering Quality of Life by Means of Education Short-term Outcome in a Randomized Clinical Trial. J Arthritis. 2013;2(2):113–113.
    1. Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986;29(8):1039–1049.
    1. Kirkwood BR, Sterne JAC. Essential medical statistics. 2nd. Oxford: Blackwell Science; 2006.
    1. Faden R, Leplége A. Assessing quality of life. Moral implications for clinical practice. Med Care. 1992;30(Suppl 5):MS 166–MS 175.
    1. Guyatt GH, Feeney DH, Patrick DL. Measuring health- related quality of life. Ann Intern Med. 1993;118(8):622–629.
    1. Guillamin F. Cross-cultural adaptation and validation of health status measures. Scand J Rheumatol. 1995;24(2):61–63.
    1. Roos EM, Roos HP, Lohmander LS. WOMAC osteoarthritis index - additional dimensions for use in subjects with post-traumatic osteoarthritis of the knee Western Ontario and MacMaster Universities. Osteoarthritis Cartilage. 1999;7(2):216–221.
    1. Roos EM, Toksvig-Larsen S. Knee injury and osteoarthritis outcome score (KOOS) - validation and comparison to the WOMAC in total knee replacement. Health Qual Life Outcomes. 2003;1:17–17.

Source: PubMed

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