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Knee Outcome Measurements: Knee injury and Osteoarthritis Outcome Score (KOOS)

outcome measures Jun 22, 2023
Knee injury and Osteoarthritis Outcome Score (KOOS)

The Knee injury and Osteoarthritis Outcome Score (KOOS) is a self-reported questionnaire that assesses the patient's perception of their knee function and related quality of life. It was developed to evaluate knee injuries, particularly knee osteoarthritis, but it can also be used to assess knee function in a wide range of conditions. The KOOS questionnaire includes 42 items divided into five subscales: Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport/Rec), and knee-related Quality of life (QOL). The patient is asked to rate the severity of each symptom or function limitation on a 5-point Likert scale, with higher scores indicating better function or fewer symptoms.

The KOOS questionnaire can be used in both clinical and research settings to evaluate the effectiveness of interventions, track changes in knee function over time, and compare the outcomes of different treatments. It can be used for patients with knee injuries, osteoarthritis, and other knee conditions.

The interpretation of the Knee injury and Osteoarthritis Outcome Score (KOOS) results depends on the purpose of the assessment, the individual patient's condition, and the severity of their symptoms. In general, higher scores indicate better knee function and quality of life, while lower scores indicate worse knee function and quality of life. There are no universally accepted "normal" results for the KOOS, as scores can vary widely depending on the patient's condition and the severity of their symptoms. However, healthcare professionals may use a change of at least 10-20 points in a specific subscale as a clinically meaningful improvement in the patient's condition.

 

References:

  1. Roos EM, Lohmander LS. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health and quality of life outcomes. 2003 Dec;1(1):64.
  2. Collins NJ, Misra D, Felson DT, Crossley KM, Roos EM. Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS). Arthritis care & research. 2011 Nov;63(S11):S208-28.
  3. Collins NJ, Roos EM. Patient-reported outcomes for total hip and knee arthroplasty: commonly used instruments and attributes of a “good” measure. Clinical orthopaedics and related research®. 2011 Feb 1;469(2):459-66.
  4. Kvien TK, Heiberg T, Hagen KB. Minimal clinically important improvement/difference (MCII/MCID) and patient acceptable symptom state (PASS): what do these concepts mean?. Annals of the rheumatic diseases. 2007 Mar 1;66(suppl 3):iii40-1.
  5. Losina E, Collins JE, Wright EA, Michl GL, Donnell-Fink LA, Jones MH, Levy BA, Mandl LA, Katz JN. Postoperative care navigation for total knee arthroplasty patients: protocol for a randomized controlled trial. BMC musculoskeletal disorders. 2018 Dec;19(1):183.

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