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Published in: Health and Quality of Life Outcomes 1/2003

Open Access 01-12-2003 | Review

The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis

Authors: Ewa M Roos, L Stefan Lohmander

Published in: Health and Quality of Life Outcomes | Issue 1/2003

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Abstract

The Knee injury and Osteoarthritis Outcome Score (KOOS) was developed as an extension of the WOMAC Osteoarthritis Index with the purpose of evaluating short-term and long-term symptoms and function in subjects with knee injury and osteoarthritis. The KOOS holds five separately scored subscales: Pain, other Symptoms, Function in daily living (ADL), Function in Sport and Recreation (Sport/Rec), and knee-related Quality of Life (QOL). The KOOS has been validated for several orthopaedic interventions such as anterior cruciate ligament reconstruction, meniscectomy and total knee replacement. In addition the instrument has been used to evaluate physical therapy, nutritional supplementation and glucosamine supplementation. The effect size is generally largest for the subscale QOL followed by the subscale Pain. The KOOS is a valid, reliable and responsive self-administered instrument that can be used for short-term and long-term follow-up of several types of knee injury including osteoarthritis. The measure is relatively new and further use of the instrument will add knowledge and suggest areas that need to be further explored and improved.
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Literature
1.
go back to reference Tegner Y, Lysholm J: Rating systems in the evaluation of knee ligament injuries. Clin Orthop 1985, 43–49. Tegner Y, Lysholm J: Rating systems in the evaluation of knee ligament injuries. Clin Orthop 1985, 43–49.
2.
go back to reference Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW: Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988, 15: 1833–1840.PubMed Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW: Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988, 15: 1833–1840.PubMed
3.
go back to reference Flandry F, Hunt JP, Terry GC, Hughston JC: Analysis of subjective knee complaints using visual analog scales. Am J Sports Med 1991, 19: 112–118.PubMedCrossRef Flandry F, Hunt JP, Terry GC, Hughston JC: Analysis of subjective knee complaints using visual analog scales. Am J Sports Med 1991, 19: 112–118.PubMedCrossRef
4.
go back to reference Mohtadi N: Development and validation of the quality of life outcome measure (questionnaire) for chronic anterior cruciate ligament deficiency. Am J Sports Med 1998, 26: 350–359.PubMed Mohtadi N: Development and validation of the quality of life outcome measure (questionnaire) for chronic anterior cruciate ligament deficiency. Am J Sports Med 1998, 26: 350–359.PubMed
5.
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.PubMedCrossRef 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.PubMedCrossRef
6.
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: 439–448.PubMedCrossRef 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: 439–448.PubMedCrossRef
7.
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: 216–221. 10.1053/joca.1998.0153PubMedCrossRef 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: 216–221. 10.1053/joca.1998.0153PubMedCrossRef
8.
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. 10.1186/1477-7525-1-17PubMedCentralPubMedCrossRef 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. 10.1186/1477-7525-1-17PubMedCentralPubMedCrossRef
9.
go back to reference Ware J. E., Jr., Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992, 30: 473–483.PubMedCrossRef Ware J. E., Jr., Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992, 30: 473–483.PubMedCrossRef
10.
go back to reference Kessler S, Lang S, Puhl W, Stove J: [The knee injury and osteoarthritis outcome score - a multifunctional questionnaire to measure outcome in knee arthroplasty]. Z Orthop Ihre Grenzgeb 2003, 141: 277–282. 10.1055/s-2003-38658PubMedCrossRef Kessler S, Lang S, Puhl W, Stove J: [The knee injury and osteoarthritis outcome score - a multifunctional questionnaire to measure outcome in knee arthroplasty]. Z Orthop Ihre Grenzgeb 2003, 141: 277–282. 10.1055/s-2003-38658PubMedCrossRef
11.
go back to reference Roos EM, Brandsson S, Karlsson J: Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot Ankle Int 2001, 22: 788–794.PubMed Roos EM, Brandsson S, Karlsson J: Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot Ankle Int 2001, 22: 788–794.PubMed
12.
go back to reference Nilsdotter AK, Lohmander SL, Klassbo M, Roos EM: Hip Disability and Osteoarthritis Outcome Score (HOOS) - Validity and responsiveness in total hip replacement. BMC Musculoskelet Disord 2003, 4: 10. 10.1186/1471-2474-4-10PubMedCentralPubMedCrossRef Nilsdotter AK, Lohmander SL, Klassbo M, Roos EM: Hip Disability and Osteoarthritis Outcome Score (HOOS) - Validity and responsiveness in total hip replacement. BMC Musculoskelet Disord 2003, 4: 10. 10.1186/1471-2474-4-10PubMedCentralPubMedCrossRef
13.
go back to reference Bremander AB, Petersson IF, Roos EM: Validation of the Rheumatoid and Arthritis Outcome Score (RAOS) for the lower extremity. Health Qual Life Outcomes 2003, 1: 55. 10.1186/1477-7525-1-55PubMedCentralPubMedCrossRef Bremander AB, Petersson IF, Roos EM: Validation of the Rheumatoid and Arthritis Outcome Score (RAOS) for the lower extremity. Health Qual Life Outcomes 2003, 1: 55. 10.1186/1477-7525-1-55PubMedCentralPubMedCrossRef
14.
go back to reference Nau T, Lavoie P, Duval N: A new generation of artificial ligaments in reconstruction of the anterior cruciate ligament. Two-year follow-up of a randomised trial. J Bone Joint Surg Br 2002, 84: 356–360. 10.1302/0301-620X.84B3.12400PubMedCrossRef Nau T, Lavoie P, Duval N: A new generation of artificial ligaments in reconstruction of the anterior cruciate ligament. Two-year follow-up of a randomised trial. J Bone Joint Surg Br 2002, 84: 356–360. 10.1302/0301-620X.84B3.12400PubMedCrossRef
15.
go back to reference Braham R, Dawson B, Goodman C: The effect of glucosamine supplementation on people experiencing regular knee pain. Br J Sports Med 2003, 37: 45–49. 10.1136/bjsm.37.1.45PubMedCentralPubMedCrossRef Braham R, Dawson B, Goodman C: The effect of glucosamine supplementation on people experiencing regular knee pain. Br J Sports Med 2003, 37: 45–49. 10.1136/bjsm.37.1.45PubMedCentralPubMedCrossRef
16.
go back to reference Colker CM, Swain M, Lynch L, Gingerich DA: Effects of a milk-based bioactive micronutrient beverage on pain symptoms and activity of adults with osteoarthritis: a double-blind, placebo-controlled clinical evaluation. Nutrition 2002, 18: 388–392. 10.1016/S0899-9007(01)00800-0PubMedCrossRef Colker CM, Swain M, Lynch L, Gingerich DA: Effects of a milk-based bioactive micronutrient beverage on pain symptoms and activity of adults with osteoarthritis: a double-blind, placebo-controlled clinical evaluation. Nutrition 2002, 18: 388–392. 10.1016/S0899-9007(01)00800-0PubMedCrossRef
17.
go back to reference Ask S, Lindmark B, Johansson A: [Evaluation of the use of continuous passive motion (CPM) in rehabilitation following total knee replacement]. Nordisk Fysioterapi 2003, 7: 29–39. Ask S, Lindmark B, Johansson A: [Evaluation of the use of continuous passive motion (CPM) in rehabilitation following total knee replacement]. Nordisk Fysioterapi 2003, 7: 29–39.
18.
go back to reference Ehrich EW, Davies GM, Watson DJ, Bolognese JA, Seidenberg BC, Bellamy N: Minimal perceptible clinical improvement with the Western Ontario and McMaster Universities osteoarthritis index questionnaire and global assessments in patients with osteoarthritis. J Rheumatol 2000, 27: 2635–2641.PubMed Ehrich EW, Davies GM, Watson DJ, Bolognese JA, Seidenberg BC, Bellamy N: Minimal perceptible clinical improvement with the Western Ontario and McMaster Universities osteoarthritis index questionnaire and global assessments in patients with osteoarthritis. J Rheumatol 2000, 27: 2635–2641.PubMed
19.
go back to reference Ostenberg A, Roos E, Ekdahl C, Roos H: Physical capacity in female soccer players -does age make a difference? Advances in Physiotherapy 2000, 2: 39–48. 10.1080/140381900443427CrossRef Ostenberg A, Roos E, Ekdahl C, Roos H: Physical capacity in female soccer players -does age make a difference? Advances in Physiotherapy 2000, 2: 39–48. 10.1080/140381900443427CrossRef
20.
go back to reference Roos H, Lauren M, Adalberth T, Roos EM, Jonsson K, Lohmander LS: Knee osteoarthritis after meniscectomy: prevalence of radiographic changes after twenty-one years, compared with matched controls. Arthritis Rheum 1998, 41: 687–693. Publisher Full Text 10.1002/1529-0131(199804)41:4%3C;687::AID-ART16%3E;3.0.CO;2-2PubMedCrossRef Roos H, Lauren M, Adalberth T, Roos EM, Jonsson K, Lohmander LS: Knee osteoarthritis after meniscectomy: prevalence of radiographic changes after twenty-one years, compared with matched controls. Arthritis Rheum 1998, 41: 687–693. Publisher Full Text 10.1002/1529-0131(199804)41:4%3C;687::AID-ART16%3E;3.0.CO;2-2PubMedCrossRef
21.
go back to reference Lohmander LS, Roos H: Knee ligament injury, surgery and osteoarthrosis. Truth or consequences? Acta Orthop Scand 1994, 65: 605–609.PubMedCrossRef Lohmander LS, Roos H: Knee ligament injury, surgery and osteoarthrosis. Truth or consequences? Acta Orthop Scand 1994, 65: 605–609.PubMedCrossRef
22.
go back to reference Englund M, Roos EM, Lohmander LS: Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: a sixteen-year followup of meniscectomy with matched controls. Arthritis Rheum 2003, 48: 2178–2187. 10.1002/art.11088PubMedCrossRef Englund M, Roos EM, Lohmander LS: Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: a sixteen-year followup of meniscectomy with matched controls. Arthritis Rheum 2003, 48: 2178–2187. 10.1002/art.11088PubMedCrossRef
23.
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 2003., In press: 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 2003., In press:
Metadata
Title
The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis
Authors
Ewa M Roos
L Stefan Lohmander
Publication date
01-12-2003
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2003
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-1-64

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