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WOMAC and SF-36: instruments for evaluating the health-related quality of life of elderly people with total hip arthroplasty. A descriptive study

Overview of attention for article published in Sao Paulo Medical Journal, August 2015
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Title
WOMAC and SF-36: instruments for evaluating the health-related quality of life of elderly people with total hip arthroplasty. A descriptive study
Published in
Sao Paulo Medical Journal, August 2015
DOI 10.1590/1516-3180.2014.8381508
Pubmed ID
Authors

Mariana Kátia Rampazo-Lacativa, Ariene Angelini dos Santos, Arlete Maria Valente Coimbra, Maria José D'Elboux

Abstract

Quality-of-life results have increasingly been evaluated among patients undergoing joint replacements. The objective of this study was to compare two assessment instruments for health-related quality of life (one generic and the other specific), among elderly patients undergoing total hip arthroplasty. Cross-sectional descriptive study in a reference hospital in the region of Campinas. The subjects were 88 elderly outpatients aged 60 years or over who underwent primary total hip arthroplasty. Two instruments for assessing health-related quality of life were applied: the generic Medical Study 36-item Short-Form Health Survey (SF-36) and the specific Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Cronbach's alpha and the ceiling and floor effects of the instruments were evaluated. The scores from both instruments showed that issues of a physical nature affected these elderly people's quality of life most. The pain and stiffness dimensions of WOMAC showed ceiling effects and only the functional capacity and pain dimensions of the SF-36 did not show the ceiling effect. The SF-36 presented floor effects in the dimensions of physical and emotional aspects. Cronbach's alpha was considered satisfactory in both instruments (α > 0.70). The floor and ceiling effects that were observed suggest that these instruments may present some limitations in detecting changes to the majority of the SF-36 dimensions, except for functional capacity and pain, and to the pain and stiffness dimensions of WOMAC, when applied to elderly people with total hip arthroplasty.

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The data shown below were compiled from readership statistics for 78 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
Brazil 1 1%
Unknown 76 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 16 21%
Student > Postgraduate 9 12%
Student > Bachelor 8 10%
Student > Doctoral Student 7 9%
Other 4 5%
Other 12 15%
Unknown 22 28%
Readers by discipline Count As %
Medicine and Dentistry 20 26%
Nursing and Health Professions 11 14%
Agricultural and Biological Sciences 4 5%
Psychology 3 4%
Sports and Recreations 3 4%
Other 13 17%
Unknown 24 31%