Kirkley Alexandra, Griffin Sharon, Whelan Danny
Fowler Kennedy Sport Medicine Clinic, University of Western Ontario, London, Canada.
Clin J Sport Med. 2007 Sep;17(5):349-56. doi: 10.1097/JSM.0b013e31814c3e15.
To develop and validate a disease-specific, health-related quality of life (HRQOL) index for patients with meniscal pathology. Our hypothesis was that the Western Ontario Meniscal Evaluation Tool (WOMET) would provide adequate reliability, validity, and responsiveness in measuring HRQOL in patients with meniscal tears or who have undergone meniscal repair or resection.
Validation of a measurement tool.
A tertiary, university-affiliated, sport medicine clinic.
A methodological protocol based on that of Guyatt et al was used to develop the Western Ontario Meniscal Evaluation Tool (WOMET). Patients with meniscal symptomology and in whom magnetic resonance imaging had suggested meniscal pathology were selected from referrals to a sport medicine clinic. Using this cohort, the development of the WOMET proceeded through item generation, reduction, and instrument pretesting. A second cohort of postarthroscopy patients with confirmed meniscal pathology was used to assess the reliability of the WOMET and validate the instrument.
The final instrument has 16 items representing the domains of physical symptoms (nine items), sports/recreation/work/lifestyle (four items), and emotions (three items). It demonstrated adequate content and construct validity when compared with other measures. Test-retest reliability was assessed and was found to be high, with an intraclass correlation coefficient of 0.833. The new instrument was also found to be more responsive than other knee measurement tools when assessed in the same cohort.
The WOMET is a disease-specific tool designed to evaluate HRQOL in patients with meniscal pathology. It is therefore put forth as a validated measurement tool to be used in clinical trials evaluating treatments for meniscal pathology. It could also be used as a prospective outcome measure in research or in clinical practice.
开发并验证一种针对半月板病变患者的特定疾病健康相关生活质量（HRQOL）指数。我们的假设是，西安大略半月板评估工具（WOMET）在测量半月板撕裂患者或接受半月板修复或切除术患者的HRQOL时，将具有足够的可靠性、有效性和反应性。
测量工具的验证。
一家三级大学附属运动医学诊所。
基于Guyatt等人的方法学方案开发了西安大略半月板评估工具（WOMET）。从转诊至运动医学诊所的患者中，选择有半月板症状且磁共振成像提示半月板病变的患者。利用该队列，WOMET的开发过程包括条目生成、缩减和仪器预测试。另一组关节镜检查后确诊为半月板病变的患者用于评估WOMET的可靠性并验证该工具。
最终工具包含16个条目，代表身体症状（9个条目）、运动/娱乐/工作/生活方式（4个条目）和情绪（3个条目）等领域。与其他测量方法相比，它显示出足够的内容效度和结构效度。重测信度经评估发现较高，组内相关系数为0.833。在同一队列中进行评估时，还发现新工具比其他膝关节测量工具更具反应性。
WOMET是一种针对半月板病变患者设计的特定疾病工具，旨在评估其HRQOL。因此，它被作为一种经过验证的测量工具，用于评估半月板病变治疗方法的临床试验。它也可作为研究或临床实践中的前瞻性结局指标。
