Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2006

Open Access 01-12-2006 | Research article

Knee complaints vary with age and gender in the adult population. Population-based reference data for the Knee injury and Osteoarthritis Outcome Score (KOOS)

Authors: Przemyslaw T Paradowski, Stefan Bergman, Anne Sundén-Lundius, L Stefan Lohmander, Ewa M Roos

Published in: BMC Musculoskeletal Disorders | Issue 1/2006

Login to get access

Abstract

Background

Self-reported knee complaints may vary with age and gender. Reference data from the adult population would help to better interpret the outcome of interventions due to knee complaints. The objectives of the present study were to describe the variation of self-reported knee pain, function and quality of life with age and gender in the adult population and to establish population-based reference data for the Knee injury and Osteoarthritis Outcome Score (KOOS).

Methods

Population-based cohort retrieved from the national population register. The knee-specific Knee injury and Osteoarthritis Outcome Score (KOOS) was mailed to 840 subjects aged 18–84 yrs.

Results

68% response rate. Women in the age group 55–74 reported more knee-related complaints in all the KOOS subscales than age-matched men. The differences were significant for the subscales Pain (p = 0.027), Symptoms (p = 0.003) and ADL function (p = 0.046).
In men, worse ADL and Sport and Recreation function was seen in the oldest age group 75–84 years compared to the younger age groups (p < 0.030). In women, worse Pain (p < 0.007), ADL (p < 0.030), Sport and Recreation (p < 0.001) and QOL (p < 0.002) were seen already in the age group 55–74 compared to the younger age groups.

Conclusion

We found pain and other symptoms, physical function, and knee-related quality of life to vary with age and gender implying the use of age- and gender matched reference values for improved understanding of the outcome after interventions due to knee injury and knee OA.
Appendix
Available only for authorised users
Literature
1.
go back to reference Altman R, Brandt K, Hochberg M, Moskowitz R, Bellamy N, Bloch DA, Buckwalter J, Dougados M, Ehrlich G, Lequesne M, Lohmander S, Murphy WA, Rosario-Jansen T, Schwartz B, Trippel S: Design and conduct of clinical trials in patients with osteoarthritis: recommendations from a task force of the Osteoarthritis Research Society. Results from a workshop. Osteoarthritis Cartilage. 1996, 4: 217-43. 10.1016/S1063-4584(05)80101-3.CrossRefPubMed Altman R, Brandt K, Hochberg M, Moskowitz R, Bellamy N, Bloch DA, Buckwalter J, Dougados M, Ehrlich G, Lequesne M, Lohmander S, Murphy WA, Rosario-Jansen T, Schwartz B, Trippel S: Design and conduct of clinical trials in patients with osteoarthritis: recommendations from a task force of the Osteoarthritis Research Society. Results from a workshop. Osteoarthritis Cartilage. 1996, 4: 217-43. 10.1016/S1063-4584(05)80101-3.CrossRefPubMed
2.
go back to reference Bellamy N, Kirwan J, Boers M, Brooks P, Strand V, Tugwell P, Altman R, Brandt K, Dougados M, Lequesne M: Recommendations for a core set of outcome measures for future phase III clinical trials in knee, hip, and hand osteoarthritis. Consensus development at OMERACT III. J Rheumatol. 1997, 24: 799-802.PubMed Bellamy N, Kirwan J, Boers M, Brooks P, Strand V, Tugwell P, Altman R, Brandt K, Dougados M, Lequesne M: Recommendations for a core set of outcome measures for future phase III clinical trials in knee, hip, and hand osteoarthritis. Consensus development at OMERACT III. J Rheumatol. 1997, 24: 799-802.PubMed
3.
go back to reference Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD: Knee Injury and Osteoarthritis Outcome Score (KOOS)–development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998, 28: 88-96.CrossRefPubMed Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD: Knee Injury and Osteoarthritis Outcome Score (KOOS)–development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998, 28: 88-96.CrossRefPubMed
4.
go back to reference Roos EM, Roos HP, Ekdahl C, Lohmander LS: Knee injury and Osteoarthritis Outcome Score (KOOS)–validation of a Swedish version. Scand J Med Sci Sports. 1998, 8: 439-48.CrossRefPubMed Roos EM, Roos HP, Ekdahl C, Lohmander LS: Knee injury and Osteoarthritis Outcome Score (KOOS)–validation of a Swedish version. Scand J Med Sci Sports. 1998, 8: 439-48.CrossRefPubMed
5.
go back to reference 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: 17-10.1186/1477-7525-1-17.CrossRefPubMedPubMedCentral 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: 17-10.1186/1477-7525-1-17.CrossRefPubMedPubMedCentral
6.
go back to reference Demirdjian AM, Petrie SG, Guanche CA, Thomas KA: The outcomes of two knee scoring questionnaires in a normal population. Am J Sports Med. 1998, 26: 46-51.PubMed Demirdjian AM, Petrie SG, Guanche CA, Thomas KA: The outcomes of two knee scoring questionnaires in a normal population. Am J Sports Med. 1998, 26: 46-51.PubMed
7.
go back to reference Jinks C, Jordan K, Croft P: Measuring the population impact of knee pain and disability with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Pain. 2002, 100: 55-64. 10.1016/S0304-3959(02)00239-7.CrossRefPubMed Jinks C, Jordan K, Croft P: Measuring the population impact of knee pain and disability with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Pain. 2002, 100: 55-64. 10.1016/S0304-3959(02)00239-7.CrossRefPubMed
8.
go back to reference Bremner-Smith AT, Ewings P, Weale AE: Knee scores in a 'normal' elderly population. Knee. 2004, 11: 279-82. 10.1016/j.knee.2003.06.001.CrossRefPubMed Bremner-Smith AT, Ewings P, Weale AE: Knee scores in a 'normal' elderly population. Knee. 2004, 11: 279-82. 10.1016/j.knee.2003.06.001.CrossRefPubMed
9.
go back to reference Jinks C, Jordan K, Ong BN, Croft P: A brief screening tool for knee pain in primary care (KNEST). 2. Results from a survey in the general population aged 50 and over. Rheumatology (Oxford). 2004, 43: 55-61. 10.1093/rheumatology/keg438.CrossRef Jinks C, Jordan K, Ong BN, Croft P: A brief screening tool for knee pain in primary care (KNEST). 2. Results from a survey in the general population aged 50 and over. Rheumatology (Oxford). 2004, 43: 55-61. 10.1093/rheumatology/keg438.CrossRef
10.
go back to reference Bellamy N, Buchanan W, Goldsmith CH: Validation study of WOMAC: A health status instrument for measuring clinically important patient-relevant outcomes following total hip or knee arthroplasty in osteoarthritis. Orthop Rheumatol. 1988, 1: 95-108. Bellamy N, Buchanan W, Goldsmith CH: Validation study of WOMAC: A health status instrument for measuring clinically important patient-relevant outcomes following total hip or knee arthroplasty in osteoarthritis. Orthop Rheumatol. 1988, 1: 95-108.
11.
go back to reference Garratt AM, Brealey S, Gillespie WJ: Patient-assessed health instruments for the knee: a structured review. Rheumatology (Oxford). 2004, 43: 1414-23. 10.1093/rheumatology/keh362.CrossRef Garratt AM, Brealey S, Gillespie WJ: Patient-assessed health instruments for the knee: a structured review. Rheumatology (Oxford). 2004, 43: 1414-23. 10.1093/rheumatology/keh362.CrossRef
13.
go back to reference Picavet HS, Schouten JS: Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain. 2003, 102: 167-78. 10.1016/s0304-3959(02)00372-x.CrossRefPubMed Picavet HS, Schouten JS: Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain. 2003, 102: 167-78. 10.1016/s0304-3959(02)00372-x.CrossRefPubMed
14.
go back to reference Brinker MR, Lund PJ, Barrack RL: Demographic biases of scoring instruments for the results of total knee arthroplasty. J Bone Joint Surg Am. 1997, 79: 858-65.PubMed Brinker MR, Lund PJ, Barrack RL: Demographic biases of scoring instruments for the results of total knee arthroplasty. J Bone Joint Surg Am. 1997, 79: 858-65.PubMed
15.
go back to reference Ritter MA, Thong AE, Davis KE, Berend ME, Meding JB, Faris PM: Long-term deterioration of joint evaluation scores. J Bone Joint Surg Br. 2004, 86: 438-42. 10.1302/0301-620X.86B3.14243.CrossRefPubMed Ritter MA, Thong AE, Davis KE, Berend ME, Meding JB, Faris PM: Long-term deterioration of joint evaluation scores. J Bone Joint Surg Br. 2004, 86: 438-42. 10.1302/0301-620X.86B3.14243.CrossRefPubMed
16.
go back to reference Roos EM, Roos HP, Ryd L, Lohmander LS: Substantial disability 3 months after arthroscopic partial meniscectomy: A prospective study of patient-relevant outcomes. Arthroscopy. 2000, 16: 619-26.CrossRefPubMed Roos EM, Roos HP, Ryd L, Lohmander LS: Substantial disability 3 months after arthroscopic partial meniscectomy: A prospective study of patient-relevant outcomes. Arthroscopy. 2000, 16: 619-26.CrossRefPubMed
17.
go back to reference W-Dahl A, Toksvig-Larsen S, Roos EM: A 2-year prospective study of patient-relevant outcomes in patients operated on for knee osteoarthritis with tibial osteotomy. BMC Musculoskelet Disord. 2005, 6: 18-10.1186/1471-2474-6-18.CrossRefPubMedPubMedCentral W-Dahl A, Toksvig-Larsen S, Roos EM: A 2-year prospective study of patient-relevant outcomes in patients operated on for knee osteoarthritis with tibial osteotomy. BMC Musculoskelet Disord. 2005, 6: 18-10.1186/1471-2474-6-18.CrossRefPubMedPubMedCentral
18.
go back to reference von Porat A, Roos EM, Roos H: High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players – A study of radiographic and patient-relevant outcomes. Ann Rheum Dis. 2004, 63: 269-73. 10.1136/ard.2003.008136.CrossRefPubMedPubMedCentral von Porat A, Roos EM, Roos H: High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players – A study of radiographic and patient-relevant outcomes. Ann Rheum Dis. 2004, 63: 269-73. 10.1136/ard.2003.008136.CrossRefPubMedPubMedCentral
19.
go back to reference 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: 216-21. 10.1053/joca.1998.0153.CrossRefPubMed 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: 216-21. 10.1053/joca.1998.0153.CrossRefPubMed
21.
go back to reference Felson DT, Nevitt MC: Estrogen and osteoarthritis: how do we explain conflicting study results?. Prev Med. 1999, 28: 445-8. 10.1006/pmed.1999.0491.CrossRefPubMed Felson DT, Nevitt MC: Estrogen and osteoarthritis: how do we explain conflicting study results?. Prev Med. 1999, 28: 445-8. 10.1006/pmed.1999.0491.CrossRefPubMed
22.
go back to reference Fillingim RB: Sex, gender, and pain: women and men really are different. Curr Rev Pain. 2000, 4: 24-30.CrossRefPubMed Fillingim RB: Sex, gender, and pain: women and men really are different. Curr Rev Pain. 2000, 4: 24-30.CrossRefPubMed
23.
go back to reference McKinlay SM, Bifano NL, McKinlay JB: Smoking and age at menopause in women. Ann Intern Med. 1985, 103: 350-356.CrossRefPubMed McKinlay SM, Bifano NL, McKinlay JB: Smoking and age at menopause in women. Ann Intern Med. 1985, 103: 350-356.CrossRefPubMed
24.
go back to reference Thomas E, Peat G, Harris L, Wilkie R, Croft PR: The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain. 2004, 110: 361-8. 10.1016/j.pain.2004.04.017.CrossRefPubMed Thomas E, Peat G, Harris L, Wilkie R, Croft PR: The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain. 2004, 110: 361-8. 10.1016/j.pain.2004.04.017.CrossRefPubMed
25.
go back to reference Bergman S, Herrstrom P, Hogstrom K, Petersson IF, Svensson B, Jacobsson LT: Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study. J Rheumatol. 2001, 28: 1369-77.PubMed Bergman S, Herrstrom P, Hogstrom K, Petersson IF, Svensson B, Jacobsson LT: Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study. J Rheumatol. 2001, 28: 1369-77.PubMed
26.
go back to reference Robertsson O, Dunbar M, Pehrsson T, Knutson K, Lidgren L: Patient satisfaction after knee arthroplasty: a report on 27,372 knees operated on between 1981 and 1995 in Sweden. Acta Orthop Scand. 2000, 71: 262-7. 10.1080/000164700317411852.CrossRefPubMed Robertsson O, Dunbar M, Pehrsson T, Knutson K, Lidgren L: Patient satisfaction after knee arthroplasty: a report on 27,372 knees operated on between 1981 and 1995 in Sweden. Acta Orthop Scand. 2000, 71: 262-7. 10.1080/000164700317411852.CrossRefPubMed
28.
go back to reference Croft P, Lewis M, Wynn Jones C, Coggon D, Cooper C: Health status in patients awaiting hip replacement for osteoarthritis. Rheumatology (Oxford). 2002, 41: 1001-7. 10.1093/rheumatology/41.9.1001.CrossRef Croft P, Lewis M, Wynn Jones C, Coggon D, Cooper C: Health status in patients awaiting hip replacement for osteoarthritis. Rheumatology (Oxford). 2002, 41: 1001-7. 10.1093/rheumatology/41.9.1001.CrossRef
29.
go back to reference Baker P, Reading I, Cooper C, Coggon D: Knee disorders in the general population and their relation to occupation. Occup Environ Med. 2003, 60: 794-7. 10.1136/oem.60.10.794.CrossRefPubMedPubMedCentral Baker P, Reading I, Cooper C, Coggon D: Knee disorders in the general population and their relation to occupation. Occup Environ Med. 2003, 60: 794-7. 10.1136/oem.60.10.794.CrossRefPubMedPubMedCentral
30.
go back to reference Sullivan M, Karlsson J: SF-36 Hälsoenkät: Swedish Manual and Interpretation Guide. 1994, Gothenburg, Sweden: Health Care Unit, Sahlgrenska Hospital Sullivan M, Karlsson J: SF-36 Hälsoenkät: Swedish Manual and Interpretation Guide. 1994, Gothenburg, Sweden: Health Care Unit, Sahlgrenska Hospital
Metadata
Title
Knee complaints vary with age and gender in the adult population. Population-based reference data for the Knee injury and Osteoarthritis Outcome Score (KOOS)
Authors
Przemyslaw T Paradowski
Stefan Bergman
Anne Sundén-Lundius
L Stefan Lohmander
Ewa M Roos
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2006
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-7-38

Other articles of this Issue 1/2006

BMC Musculoskeletal Disorders 1/2006 Go to the issue