Pain assessment in osteoarthritis: Experience with the WOMAC osteoarthritis index

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      All cases were performed using the same surgical technique and postoperative rehabilitation protocol. All participants were administered a preoperative survey consisting of the following outcome-measuring tools: (1) visual analog scale used to measure overall pain level, (2) the Veterans Rand 12-Item Health Survey (VR-12 Physical and VR-12 Mental),24 a standard self-reported global health measure tool that is used to assess a patient’s overall perspective of their health, (3) the Marx Activity Scale,25 (4) Knee Injury and Osteoarthritis Outcome Score26-28 (KOOS) Pain, (5) KOOS symptoms, (6) KOOS Activity of Daily Living (ADL), (7) KOOS Sports and Recreation, (8) KOOS Quality of Life, and (9) Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).29,30 The same outcome measures were reassessed at 3 months, 6 months, 1 year, and 2 years’ postoperatively.

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    From the University of Western Ontario and the Division of Rheumatology, Victoria Hospital, London, Ontario.

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