Population-based normative values for the Western Ontario and McMaster (WOMAC) Osteoarthritis Index: part I

Semin Arthritis Rheum. 2011 Oct;41(2):139-48. doi: 10.1016/j.semarthrit.2011.03.002. Epub 2011 May 5.

Abstract

Objectives: To develop population-based age- and gender-specific normative values for the pain, stiffness, and physical function subscales of the WOMAC Index for benchmarking applications.

Methods: A scannable survey questionnaire capable of capturing WOMAC Index data and demographic information was developed, pretested, and distributed to a stratified random sample of 36,000 members of the Australian general public generated by the Australian Electoral Commission.

Results: Age- and gender-specific WOMAC normative values were estimated based on approximately 7300 subjects. Age-related differences were noted in all 3 WOMAC subscales. In general, pain, stiffness, and difficulty with physical function percentiles increased with age.

Conclusions: WOMAC normative values provide opportunity for benchmarking the health status of individuals with hip and knee osteoarthritis against their age- and gender-matched peers in the general population. These normative values provide unique opportunities for using the WOMAC Index in benchmarking applications in both clinical practice and research.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Australia
  • Female
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis / diagnosis
  • Osteoarthritis / physiopathology*
  • Pain / diagnosis
  • Pain / physiopathology*
  • Pain Measurement
  • Reference Values
  • Severity of Illness Index
  • Surveys and Questionnaires