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187 Danish version of the western Ontario meniscal evaluation tool (WOMET): a crosscultural adaptation, test-retest reliability and responsiveness study
  1. Jon Martin Clementsen1,
  2. Søren T Skou2,
  3. Sascha Lohse Hansen2,
  4. Henrik Eshøj2,
  5. Carsten Møller Mølgaard3,
  6. Lone Ramer Mikkelsen4,
  7. Jonas B Thorlund2
  1. 1Elective Surgery Centre, Silkeborg Regional Hospital, Denmark
  2. 2Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark
  3. 3Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Denmark
  4. 4Elective Surgery Centre, Silkeborg Regional Hospital and Department of Clinical Medicine, Aarhus University, Denmark


Introduction The Western Ontario Meniscal Evaluation Tool (WOMET) is designed to evaluate Health Related Quality of Life (HRQOL) in patients with meniscal injuries. The purpose of this study was to translate and crossculturally adapt the WOMET for use in Danish and evaluate its reliability and responsiveness.

Materials and Methods The WOMET was forward and backward translated into Danish according to international guidelines. 60 patients (mean age 49 years (range 19–71 years), 57% females) with meniscal injury scheduled for arthroscopy meniscal surgery in the period from September 2017 to February 2018, were included in this study. The WOMET was completed at baseline, 3- and 6-months post-surgery. Additionally, test- retest reliability was assessed at 3-months in 55 patients with stable symptom state from test to retest. Responsiveness was assessed between the WOMET and The Knee injury and Osteoarthritis Outcome Score (KOOS4 – aggregate of 4 of 5 KOOS-subscales).

Results The Danish version of the WOMET was successfully translated and showed good face validity. Test-retest reliability was excellent, with Intra Class Correlation (ICC) of 0.88 (95%CI 0.84–0.92) for the total score. The Standard Error of Measurement (SEM) was 125 points and the Minimal Detectable Change (MDC) was 347 points (7.8% and 21.7% of the total score, respectively. The WOMET had good responsiveness with an effect size (ES) of 1.12 at 6 months post-surgery, which was comparable to the KOOS4 (ES 1.10).

Conclusion The Danish version of the WOMET is reliable and responsive for assessing health-related quality of life in patients with meniscal pathology.

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