Oxford Knee Score: Difference between revisions

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== Objective    ==
== Objective    ==
The Oxford Knee Score (OKS) has been developed and validated to measure pain and function after total knee replacement.  
The Oxford Knee Score (OKS) was developed in 1998 and validated to measure pain and function after total knee replacement<ref>Dawson J, Fitzpatrick R, Murray D, Carr A. [https://pdfs.semanticscholar.org/d5b2/584be94a90dc00a89272955bd7ef10e131bd.pdf Questionnaire on the perceptions of patients about total knee replacement surgery]. J. Bone Joint Surg 1998; 80-B:63-69. Accessed 15 January 2020.</ref>.  


== Intended Population  ==
== Intended Population  ==
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=== Questions ===
=== Questions ===
{| class="wikitable"
!Questions
!Scoring
|-
|
# How would you describe the pain you usually have from your knee?
|None
Very mild
Mild
Moderate
Severe
|-
|2.  Have you had any trouble with washing and drying yourself (all over) because of your knee?
|
|-
|3.  Have you had any trouble getting in and out of a car or using public transport because of your knee? (whichever you tend to use)
|
|-
|4.  For how long have you been able to walk before the pain from your knee becomes severe (with or without a stick)
|
|-
|5.  After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your knee?
|
|-
|6.  Have you been limping when walking, because of your knee?
|
|-
|7.  Could you kneel down and get up again afterwards?
|
|-
|8.
|
|-
|9.
|
|-
|10.
|
|-
|11.
|
|-
|12.
|
|}


=== Scoring ===
=== Scoring ===
When the OKS was originally developed, it was designed to be as simple as possible in order to promote use. The original scoring system was a 1-5
When the OKS was originally developed, it was designed to be as simple as possible in order to promote use. The original scoring system was a 1-5 where one represented the best outcome<ref name=":0">Oxford University Innovation. The Oxford Knee Score (OKS). 2016. Accessed online from https://innovation.ox.ac.uk/outcome-measures/oxford-knee-score-oks/ on 15 January 2020.</ref>. However, clinicians found this confusing in practice and adaptations began to appear so the original authors developed a new scoring system from 0-4 where four is the best outcome and total scores range from 0 (worst outcome) to 48 (best outcome)<ref name=":0" />.
 
If there are more than two missing answers, it is recommended that the overall score should not be calculated. In the event one or two questions are unanswered, it is recommended that clinicians put in a mean answer from the patient's other answer, If a question has more than one answer, the worst response i.e. smallest number is used for calculations<ref name=":0" />.


=== Equipment ===
=== Equipment ===
Pen and paper, or [http://www.orthopaedicscore.com/scorepages/oxford_knee_score.html online calculator].


== Reference  ==
== Reference  ==
[https://innovation.ox.ac.uk/outcome-measures/oxford-knee-score-oks/ The Oxford Knee Score]
Original article [https://pdfs.semanticscholar.org/d5b2/584be94a90dc00a89272955bd7ef10e131bd.pdf Dawson et al 1998]
 
Useful information on background and use of [https://innovation.ox.ac.uk/outcome-measures/oxford-knee-score-oks/ The Oxford Knee Score] by Oxford University


== Evidence  ==
== Evidence  ==

Revision as of 02:20, 15 January 2020

Original Editor - Lauren Lopez Top Contributors - Lauren Lopez, Gunilla Buitendag and Aminat Abolade
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Top Contributors - Lauren Lopez, Gunilla Buitendag and Aminat Abolade  

Objective[edit | edit source]

The Oxford Knee Score (OKS) was developed in 1998 and validated to measure pain and function after total knee replacement[1].

Intended Population[edit | edit source]

The OKS was originally developed and validated for use with individuals undergoing knee arthroplasty but has also been used to measure outcomes in pharmacological treatments, after osteotomies, following rehabilitation or with fractures[2].

Method of Use[edit | edit source]

The OKS is a patient reported outcome measure that consists of 12 questions on activities of daily living and how they are affected by pain.

Questions[edit | edit source]

Questions Scoring
  1. How would you describe the pain you usually have from your knee?
None

Very mild

Mild

Moderate

Severe

2. Have you had any trouble with washing and drying yourself (all over) because of your knee?
3. Have you had any trouble getting in and out of a car or using public transport because of your knee? (whichever you tend to use)
4. For how long have you been able to walk before the pain from your knee becomes severe (with or without a stick)
5. After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your knee?
6. Have you been limping when walking, because of your knee?
7. Could you kneel down and get up again afterwards?
8.
9.
10.
11.
12.

Scoring[edit | edit source]

When the OKS was originally developed, it was designed to be as simple as possible in order to promote use. The original scoring system was a 1-5 where one represented the best outcome[3]. However, clinicians found this confusing in practice and adaptations began to appear so the original authors developed a new scoring system from 0-4 where four is the best outcome and total scores range from 0 (worst outcome) to 48 (best outcome)[3].

If there are more than two missing answers, it is recommended that the overall score should not be calculated. In the event one or two questions are unanswered, it is recommended that clinicians put in a mean answer from the patient's other answer, If a question has more than one answer, the worst response i.e. smallest number is used for calculations[3].

Equipment[edit | edit source]

Pen and paper, or online calculator.

Reference[edit | edit source]

Original article Dawson et al 1998

Useful information on background and use of The Oxford Knee Score by Oxford University

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous[edit | edit source]

Links[edit | edit source]

References[edit | edit source]

  1. Dawson J, Fitzpatrick R, Murray D, Carr A. Questionnaire on the perceptions of patients about total knee replacement surgery. J. Bone Joint Surg 1998; 80-B:63-69. Accessed 15 January 2020.
  2. Murray D, Rogers K, Pandit H, Beard D, Carr A, Dawson, J. The use of the Oxford Hip and Knee Scores. The Journal of Bone and Joint Surgery. 2007. 89; 8: 1010-4. Accessed 2 December 2019.
  3. 3.0 3.1 3.2 Oxford University Innovation. The Oxford Knee Score (OKS). 2016. Accessed online from https://innovation.ox.ac.uk/outcome-measures/oxford-knee-score-oks/ on 15 January 2020.