The Western Ontario Meniscal Evaluation Tool Translated Into Italian Is a Reliable, Precise, and Responsive Patient-Reported Outcome Measure for Arthroscopic Meniscal Surgery
Purpose: To translate and culturally adapt the Western Ontario Meniscal Evaluation Tool (WOMET) into Italian to examine its reliability, measurement precision, and responsiveness in patients undergoing arthroscopic meniscal surgery. Methods: Patients with magnetic resonance imaging–confirmed menisca...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X25000410 |
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| author | Michelangelo Palco, M.D. Gabriele Giuca, M.D. Giorgio Gasparini, M.D. Roberto Simonetta, M.D. Danilo Leonetti, M.D. Filippo Familiari, M.D. |
| author_facet | Michelangelo Palco, M.D. Gabriele Giuca, M.D. Giorgio Gasparini, M.D. Roberto Simonetta, M.D. Danilo Leonetti, M.D. Filippo Familiari, M.D. |
| author_sort | Michelangelo Palco, M.D. |
| collection | DOAJ |
| description | Purpose: To translate and culturally adapt the Western Ontario Meniscal Evaluation Tool (WOMET) into Italian to examine its reliability, measurement precision, and responsiveness in patients undergoing arthroscopic meniscal surgery. Methods: Patients with magnetic resonance imaging–confirmed meniscal injuries completed the Italian WOMET at baseline and again at 3 and 6 months postoperatively. The translation followed established guidelines for cross-cultural adaptation, including forward-backward translation and cognitive debriefing. Test-retest reliability was assessed using the intraclass correlation coefficient, and measurement precision was evaluated by calculating the standard error of measurement and the minimal detectable change. Responsiveness was measured via the standardized response mean. The Knee Injury and Osteoarthritis Outcome Score 4 questionnaire was administered for comparison. Results: A total of 97 patients (mean age, 38 years; age range, 22-58 years) were included. The Italian WOMET showed excellent test-retest reliability (intraclass correlation coefficient, 0.87). The standard error of measurement was 109.68 points, and the minimal detectable change was 307 points, indicating a high level of precision for detecting true clinical changes. The standardized response means were 1.94 at 3 months and 2.44 at 6 months, indicating strong responsiveness. A high correlation (r = 0.85, P < .001) with the Knee Injury and Osteoarthritis Outcome Score 4 supported concurrent validity. Conclusions: The Italian WOMET is a reliable, precise, and highly responsive patient-reported outcome measure for assessing health-related quality of life in patients undergoing arthroscopic meniscal surgery. Clinical Relevance: Given the increasing prevalence of meniscal injuries in Italy and the need for culturally relevant diagnostic tools, the validation of the WOMET in Italian is important for patients, health care providers, and scientists. |
| format | Article |
| id | doaj-art-899220c62f9c40d6b389ca092af97c7e |
| institution | Kabale University |
| issn | 2666-061X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj-art-899220c62f9c40d6b389ca092af97c7e2025-08-20T03:24:08ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2025-06-017310111510.1016/j.asmr.2025.101115The Western Ontario Meniscal Evaluation Tool Translated Into Italian Is a Reliable, Precise, and Responsive Patient-Reported Outcome Measure for Arthroscopic Meniscal SurgeryMichelangelo Palco, M.D.0Gabriele Giuca, M.D.1Giorgio Gasparini, M.D.2Roberto Simonetta, M.D.3Danilo Leonetti, M.D.4Filippo Familiari, M.D.5Department of Orthopaedic and Trauma Surgery, Casa di Cura Caminiti, Villa San Giovanni, ItalySection of Orthopaedics and Traumatology, Department of Biomedical Sciences and Morphological and Functional Images, University of Messina, Messina, Italy; Address correspondence to Gabriele Giuca, M.D., Section of Orthopaedics and Traumatology, Department of Biomedical Sciences and Morphological and Functional Images, University of Messina, 98122 Messina (ME), Italy.Department of Orthopaedic and Trauma Surgery and Research Center on Musculoskeletal Health, Magna Graecia University, Catanzaro, ItalyDepartment of Orthopaedic and Trauma Surgery, Casa di Cura Caminiti, Villa San Giovanni, ItalySection of Orthopaedics and Traumatology, Department of Biomedical Sciences and Morphological and Functional Images, University of Messina, Messina, ItalyDepartment of Orthopaedic and Trauma Surgery and Research Center on Musculoskeletal Health, Magna Graecia University, Catanzaro, ItalyPurpose: To translate and culturally adapt the Western Ontario Meniscal Evaluation Tool (WOMET) into Italian to examine its reliability, measurement precision, and responsiveness in patients undergoing arthroscopic meniscal surgery. Methods: Patients with magnetic resonance imaging–confirmed meniscal injuries completed the Italian WOMET at baseline and again at 3 and 6 months postoperatively. The translation followed established guidelines for cross-cultural adaptation, including forward-backward translation and cognitive debriefing. Test-retest reliability was assessed using the intraclass correlation coefficient, and measurement precision was evaluated by calculating the standard error of measurement and the minimal detectable change. Responsiveness was measured via the standardized response mean. The Knee Injury and Osteoarthritis Outcome Score 4 questionnaire was administered for comparison. Results: A total of 97 patients (mean age, 38 years; age range, 22-58 years) were included. The Italian WOMET showed excellent test-retest reliability (intraclass correlation coefficient, 0.87). The standard error of measurement was 109.68 points, and the minimal detectable change was 307 points, indicating a high level of precision for detecting true clinical changes. The standardized response means were 1.94 at 3 months and 2.44 at 6 months, indicating strong responsiveness. A high correlation (r = 0.85, P < .001) with the Knee Injury and Osteoarthritis Outcome Score 4 supported concurrent validity. Conclusions: The Italian WOMET is a reliable, precise, and highly responsive patient-reported outcome measure for assessing health-related quality of life in patients undergoing arthroscopic meniscal surgery. Clinical Relevance: Given the increasing prevalence of meniscal injuries in Italy and the need for culturally relevant diagnostic tools, the validation of the WOMET in Italian is important for patients, health care providers, and scientists.http://www.sciencedirect.com/science/article/pii/S2666061X25000410 |
| spellingShingle | Michelangelo Palco, M.D. Gabriele Giuca, M.D. Giorgio Gasparini, M.D. Roberto Simonetta, M.D. Danilo Leonetti, M.D. Filippo Familiari, M.D. The Western Ontario Meniscal Evaluation Tool Translated Into Italian Is a Reliable, Precise, and Responsive Patient-Reported Outcome Measure for Arthroscopic Meniscal Surgery Arthroscopy, Sports Medicine, and Rehabilitation |
| title | The Western Ontario Meniscal Evaluation Tool Translated Into Italian Is a Reliable, Precise, and Responsive Patient-Reported Outcome Measure for Arthroscopic Meniscal Surgery |
| title_full | The Western Ontario Meniscal Evaluation Tool Translated Into Italian Is a Reliable, Precise, and Responsive Patient-Reported Outcome Measure for Arthroscopic Meniscal Surgery |
| title_fullStr | The Western Ontario Meniscal Evaluation Tool Translated Into Italian Is a Reliable, Precise, and Responsive Patient-Reported Outcome Measure for Arthroscopic Meniscal Surgery |
| title_full_unstemmed | The Western Ontario Meniscal Evaluation Tool Translated Into Italian Is a Reliable, Precise, and Responsive Patient-Reported Outcome Measure for Arthroscopic Meniscal Surgery |
| title_short | The Western Ontario Meniscal Evaluation Tool Translated Into Italian Is a Reliable, Precise, and Responsive Patient-Reported Outcome Measure for Arthroscopic Meniscal Surgery |
| title_sort | western ontario meniscal evaluation tool translated into italian is a reliable precise and responsive patient reported outcome measure for arthroscopic meniscal surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X25000410 |
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