ArticleJournal of patient-reported outcomes2023
The simplified Chinese version of the Knee Injury and Osteoarthritis Outcomes Score (KOOS) in individuals with knee osteoarthritis for mainland China: the study of reliability and validity.
Article in Journal of patient-reported outcomes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Are the Hip Disability and Osteoarthritis Outcome Score and Knee Injury and Osteoarthritis Outcome Score Measures Validated for Common Non-English Languages and Associated Cultures in the United States? A Systematic Review.The Journal of arthroplasty · 2026Pooled it
- Test-retest reliability and validity of movement-evoked pain in patients with knee osteoarthritis: a methodological study protocol.BMJ open · 2026Article
- Cross-cultural adaptation and psychometric properties of the Vietnamese version of the Lower Extremity Functional Scale (LEFS) in individuals with knee osteoarthritis.Journal of patient-reported outcomes · 2026Article
- Cross-cultural adaptation and psychometric validation of the first Arabic KOOS-12: a reliable tool for assessing knee outcomes in Arabic-speaking populations.Knee surgery & related research · 2026Article
- Real world evidence for glucosamine-chondroitin-calcium supplementation on joint pain.Frontiers in nutrition · 2026Article
- Cross-cultural adaptation and validation of the Vietnamese version of the Knee Injury and Osteoarthritis Outcome Score (KOOS) in patients with knee osteoarthritis.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- Article
- Knee osteoarthritis patients assessed during walking for ankle inversion movement discrimination sensitivity.Frontiers in bioengineering and biotechnology · 2024Article
- Cross-cultural adaptation and validation for central sensitization inventory: based on Chinese patients undergoing total knee arthroplasty for knee osteoarthritis.Journal of orthopaedic surgery and research · 2023Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Knee Injury and Osteoarthritis Outcomes Score (KOOS) is a free clinical tool commonly used to evaluate the symptoms and functional status of patients with knee injury. For people who speak Chinese, the Hong Kong Chinese and Singapore Chinese versions are preferred. However, variations in the Chinese language and culture are influenced by the country's geography. KOOS for Mainland China has not been reported. Therefore, the current study was to cross-culturally translate the original English version into a simplified Chinese version and to investigate its psychometric properties.
methodsThe simplified Chinese KOOS was obtained through forward-backward translation according to appropriate guidelines. A total of 158 individuals with knee osteoarthritis (KOA) were recruited from 13 hospitals in China to examine the psychometric properties. The test-retest questionnaire was performed at an interval of 5-7 days. Test-retest reliability and internal consistency were evaluated using the intraclass correlation coefficient (ICC) and Cronbach's alpha, respectively. The data of the first test were used to analyse the construct validity of the simplified Chinese KOOS and Chinese SF-36 through convergent and discriminant validity using Spearman's correlation coefficient.
resultsCross-cultural translation exhibited minor cultural differences, and the questionnaire was well understood by the patients. The data from 128 patients, used for the test-retest reliability study, showed good to excellent reliability, with an ICC of 0.808-0.976 for all KOOS subscales. The Cronbach's alpha for all subscales ranged from 0.757 to 0.970, indicating acceptable internal consistency. There was a low-to-high correlation between the five domains of the simplified Chinese version of the KOOS and all domains of the SF-36 in construct validity.
conclusionThe simplified Chinese KOOS demonstrated acceptable reliability and validity. In clinical practice and research, this version can help provide valuable information on health-related quality of life for Chinese individuals with KOA in mainland China.
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