The accuracy of assessing total hip arthroplasty outcomes: a prospective correlation study of walking ability and 2 validated measurement devices

J Arthroplasty. 2000 Feb;15(2):200-4. doi: 10.1016/s0883-5403(00)90242-0.

Abstract

The Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and the SF-36 are used to assess subjective outcome after total hip arthroplasty (THA). Although these indices have been validated, neither the WOMAC nor the SF-36 has been tested for accuracy against objective data in this clinical setting. Thirty osteoarthritic patients undergoing elective primary THA were subjectively evaluated preoperatively and 1 year postoperatively with the WOMAC and the SF-36 and objectively evaluated at the same interval with basic stride analysis and the 6-minute walk test. Correlation analysis of the subjective and objective data (both perioperative improvement and postoperative absolute scores) yielded Pearson coefficients of r = 0.50-0.81. This work demonstrates a sound statistical relationship between walking ability and the functional aspects of the WOMAC and the SF-36, supporting the use of these instruments in assessing the functional outcome after THA.

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Hip*
  • Gait
  • Health Status Indicators
  • Humans
  • Osteoarthritis, Hip / surgery
  • Outcome Assessment, Health Care / methods*
  • Prospective Studies
  • Quality of Life
  • Walking*