1. J Stroke Cerebrovasc Dis. Sep-Oct;20(5) doi: /j. jstrokecerebrovasdis Epub Sep 2. Disabil Rehabil. Apr-Jun;15(2) Functional status in primary care: COOP/WONCA charts. Van Weel C(1). Author information: (1)University of. COOP/WONCA Functional Assessment Charts are widely in use in research and objective is to describe our experiences with COOP/WONCA Charts and to.

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COOP-WONCA charts: a suitable functional status screening instrument in acute low back pain?

A study woncw carried out to determine whether the charts are able to measure the degree of functional impairment associated with acute illness and the improvement in functional ability accompanying the process of recovery. The Medical Outcomes Trust Short Form 36 item inventory and wonva of this instrument have been widely used in primary care settings. Associated Data Supplementary Materials. To date the Charts have been published in the following languages: There are now six charts: Woncq Center for Biotechnology InformationU.

The preferred method of use of these charts is self administration. At follow up, strong correlations were found between general practitioners’ assessments of impairment, patients’ ratings of pain and patients’ ratings of recovery for all scales except for those measuring social activities and daily activities.

These measurements are particularly important in dealing with ageing and those with chronic problems. Several have been used in general practice settings. This may partly be a result of patients misunderstanding the instructions.

With any measure of functional status, cultural and womca issues need to be explored. A manual has been edited by the University of Groningen.

Functional status in primary care: COOP/WONCA charts.

The measurement of clinical pain intensity: Even with only one problem, functional status measures go beyond assessing problem status and wonac their relationship a particular ICPC code may not be straightforward.

Each chart consists of a lead sentence with five options for response. Measuring functional status in a population survey. An analysis of German routine data. General practitioners have found the charts easy to use within the consultation and helpful as measures of overall patient status and as outcomes of care.

However, one study has shown a correlation between self-assessment and provider assessment. A total of 95 patients presenting with acute low back pain were recruited from 15 single-handed general practices in northern Germany. It is suggested that patients consider their present complaints when rating their condition.

COOP-WONCA charts: a suitable functional status screening instrument in acute low back pain?

Ckop charts ask patients to use the timescale of the past two weeks when rating their condition. This article has been cited by other articles in PMC.

The average time for completion is less than five minutes. Similarly, the Duke Health Profile has been used successfully in North American settings In Europe, several other instruments have been used.

Do high prescribers diagnose differently? Use of the Charts. Of the six charts wocna the change in health chart proved to be a suitable scale for measuring short-term changes in functional ability among general practice patients with acute low back pain. Implicit in any definition of functional status is the importance of factors other than woncs in the health of patients.

Internationally, they have been found to have good face validity and clinical utility in general practice.

These drawings have enhanced the applicability of these Charts in settings where there is variability of literacy amongst the general practice patient population. Standardisation of test conditions and assessment of inter-rater reliability may improve the results for research projects. As a research instrument the test-retest reliability will always be an issue for indicators that are global and influenced by so many variables.

Functional status in primary care: COOP/WONCA charts.

Author information Copyright and License ciop Disclaimer. Baseline and follow-up measurements of the charts were compared and correlations of chart scores with patients’ measurements of pain intensity on a visual analogue scale, cooo practitioners’ ratings of impairment and patients’ measurements of recovery were analysed.

Functional status relates to the patient, not to the health problem, disease or episode of care. For some time general practitioners have recognised the integral importance of health promotion and the measurement of functional status in consultations. A Manual 27provides further information about the development and use of the charts, how to translate the charts, and a contact list wonfa further assistance, including authors of the various translations.

Functional status could be coded in this component with the addition of an extra digit. Instruments for measuring functional status.

When more than one chart is used it is recommended that they are administered in the following order: As the complexity and chronicity of medical problems increase, community medical practitioners will become more reliant on indicators of functioning as well as disease status to monitor their interventions and measure health outcomes.

For example, Rubric 28 of component one symptoms and complaints of all chapters of ICPC refers to limited function and disabilities. Appropriate translation is the first step. The functional status of patients.