Evidence map›Paper›PMID 41045295›Full record

ArticleAnnals of medicine2025

Crosscultural adaptation and validation of the simplified Chinese version of the new knee society scoring system.

Haodong Wu, Dongping Wan, Yishun Guo, Huanli Bao, Zhao Yang, Shuxin Yao, Chao Xu, Jianbing Ma

Abstract readValidation Study
In one paragraph

Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Haodong WuDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China.
Dongping WanThe First Affiliated Hospital, Guangxi University of Chinese Medicine, Nanning, China.
Yishun GuoDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China.
Huanli BaoDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China.
Zhao YangDepartment of orthopaedics, The First Affiliated Hospital of Air Force Military Medical University, Xi'an, China.
Shuxin YaoDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China.ORCID 0009-0001-1444-2569
Chao XuDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China.
Jianbing MaDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China.ORCID 0009-0009-0956-5319

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe 2011 Knee Society Score (new-KSS) describes symptom, satisfaction, expectation, and functional activities in patients undergoing total knee arthroplasty (TKA) and is widely recognized for assessing TKA outcomes. Before using this scale in non-English-speaking populations, it must be translated and culturally adapted to suit the specific demographic.

methodsThe new-KSS was translated and culturally adapted into the new-KSS-CV following international guidelines. Item modifications were informed by the Chinese TKA PROM (CTP), a Delphi expert consensus and cognitive interviews with Chinese TKA patients, aiming to reflect local cultural and activity patterns. The adapted scale was applied in a validation study with preoperative and one-year postoperative assessments. Reliability was assessed using intraclass correlation coefficient (ICC) and Cronbach's α. Construct validity was tested by comparing the new-KSS-CV with the Chinese versions of the WOMAC and SF-12. Responsiveness was determined by calculating the standardized response means (SRM).

resultsA total of 226 patients were included, with a mean age of 64.7 ± 5.7 years; 142 (62.8%) were female. All patients completed both preoperative and one-year postoperative assessments. Ceiling effects were observed preoperatively in the expectation dimension (40.7% of patients) and postoperatively in symptom (54.4%), functional (72.1%), and standard activities (19.0%) domains. The new-KSS-CV showed good to excellent test-retest reliability (ICC: 0.88-0.97) and internal consistency (Cronbach's α: 0.74-0.85). The total score correlated significantly and moderately negatively with WOMAC (r = -0.68,

conclusionThe new-KSS-CV is a reliable, valid, responsive, and consistent outcome measurement tool that can be used to evaluate the outcome of TKA in Chinese patients.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeAgedChinaCross-Cultural ComparisonDelphi TechniqueFemaleHumansKnee JointMaleMiddle AgedPatient SatisfactionReproducibility of ResultsSurveys and QuestionnairesTranslationsChinesecrosscultural adaptationnew-KSSTKAvalidation

Identifiers

PMID41045295
PMCPMC12498376

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