Comparison of the reliability, responsiveness, and construct validity of 4 different questionnaires for evaluating outcomes after total knee arthroplasty

J Arthroplasty. 2011 Sep;26(6):861-9. doi: 10.1016/j.arth.2010.07.027. Epub 2010 Nov 12.


The study aimed to compare the reliability, responsiveness and construct convergent validity of four questionnaires (Western Ontario and McMaster Universities Osteoarthritis Index, Activities of Daily Living of the Knee Outcome Survey, Oxford Knee Score, and the 12-item Short Form Health Survey) in total knee arthroplasty patients. Seventy-nine patients completed the questionnaires before surgery and 6 months later. The reliability was high for all instruments with intraclass correlation coefficients from 0.81 to 0.96 and SEMs from 6.6% to 28.3% of mean scores. The score changes after surgery were three- to five-fold the instruments' measurement error. The responsiveness was large for all instruments. In conclusion most of the selected instruments were reliable and responsive. It was not possible to clearly identify a "best" or "better" tool and hence all can be considered useful, with the reported psychometric properties serving to guide the choice of instrument for a given purpose.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Activities of Daily Living
  • Aged
  • Arthroplasty, Replacement, Knee*
  • Disability Evaluation
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis, Knee / surgery*
  • Psychometrics
  • Reproducibility of Results
  • Severity of Illness Index
  • Surveys and Questionnaires*
  • Treatment Outcome