Psychometrical properties of the Turkish translation of the New Knee Society Scoring System

Objective: To translate the New Knee Society Scoring System (KSS) into Turkish and to evaluate the psychometric properties of the translated questionnaire. Methods: This study was conducted on 66 knees of 43 pre-op patients who were scheduled for total knee arthroplasty (TKA) and 50 knees of 26 knee...

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Main Authors: Fatih Özden, Nazan Tuğay, Baki Umut Tuğay, Cem Yalın Kılınç
Format: Article
Language:English
Published: AVES 2019-05-01
Series:Acta Orthopaedica et Traumatologica Turcica
Online Access:http://www.sciencedirect.com/science/article/pii/S1017995X18300051
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author Fatih Özden
Nazan Tuğay
Baki Umut Tuğay
Cem Yalın Kılınç
author_facet Fatih Özden
Nazan Tuğay
Baki Umut Tuğay
Cem Yalın Kılınç
author_sort Fatih Özden
collection DOAJ
description Objective: To translate the New Knee Society Scoring System (KSS) into Turkish and to evaluate the psychometric properties of the translated questionnaire. Methods: This study was conducted on 66 knees of 43 pre-op patients who were scheduled for total knee arthroplasty (TKA) and 50 knees of 26 knee arthroplasty patients at least 6 months postoperatively. KSS was translated and culturally adapted according to the guidelines of Guillemin and Beaton. Demographic and clinical characteristics of the patients were recorded. Patients completed WOMAC, KOOS and SF-36 surveys along with the Turkish version of the new KSS. After the initial evaluation, patients were asked to refill the new KSS 1 week later. Internal consistency and reliability were tested using Cronbach's alpha coefficient and intraclass correlation coefficient (ICC). Validity was assessed by calculating the Spearman's correlation coefficient between the new KSS and WOMAC, KOOS and SF-36 scores. Results: The mean ages of the pre and post-operative groups were 67.16 ± 7.85 years and 71.65 ± 6.95 years respectively. The Cronbach's alpha coefficients of the new KSS calculated for symptoms (0.814), patient satisfaction (0.947), patient expectations (pre-op = 1.000, post-op = 0.997) and functional activities (0.864) were high. The ICC scores ranged between 0.790 and 0.951. The pain subscore of the new KSS and the pain subscores of the WOMAC (r = −0.720; p < 0.01), KOOS (r = 0.550; p < 0.01) and SF-36 (r = −0.434; p < 0.01) were highly correlated. Emotional role functioning (RH), mental health (MH) and social role functioning (SF) subscores of SF-36 showed no correlation with the all subscores of the new KSS (p > 0.05). No floor or ceiling effects in the new KSS scores were detected. Conclusion: It is concluded that the new KSS is a valid and reliable questionnaire which can be used in evaluating the pre and post-operative Turkish speaking TKA patients. Level of evidence: Level III Diagnostic Study. Keywords: Knee scoring, Reliability, Validity, Knee, Cultural adaptation, Total knee arthroplasty
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spelling doaj-art-bc6d28d03e1c4cd48d56ae92f63f652e2025-08-02T18:03:43ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2019-05-01533184188Psychometrical properties of the Turkish translation of the New Knee Society Scoring SystemFatih Özden0Nazan Tuğay1Baki Umut Tuğay2Cem Yalın Kılınç3Muğla Sıtkı Koçman University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Muğla, Turkey; Corresponding author. Muğla Sıtkı Koçman Universitesi, Sağlık Bilimleri Fakültesi, 48000, Muğla, Turkey. Tel: +905434334593.Muğla Sıtkı Koçman University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Muğla, TurkeyMuğla Sıtkı Koçman University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Muğla, TurkeyMuğla Sıtkı Koçman University, Faculty of Medicine, Department of Orthopedics and Traumatology, Muğla, TurkeyObjective: To translate the New Knee Society Scoring System (KSS) into Turkish and to evaluate the psychometric properties of the translated questionnaire. Methods: This study was conducted on 66 knees of 43 pre-op patients who were scheduled for total knee arthroplasty (TKA) and 50 knees of 26 knee arthroplasty patients at least 6 months postoperatively. KSS was translated and culturally adapted according to the guidelines of Guillemin and Beaton. Demographic and clinical characteristics of the patients were recorded. Patients completed WOMAC, KOOS and SF-36 surveys along with the Turkish version of the new KSS. After the initial evaluation, patients were asked to refill the new KSS 1 week later. Internal consistency and reliability were tested using Cronbach's alpha coefficient and intraclass correlation coefficient (ICC). Validity was assessed by calculating the Spearman's correlation coefficient between the new KSS and WOMAC, KOOS and SF-36 scores. Results: The mean ages of the pre and post-operative groups were 67.16 ± 7.85 years and 71.65 ± 6.95 years respectively. The Cronbach's alpha coefficients of the new KSS calculated for symptoms (0.814), patient satisfaction (0.947), patient expectations (pre-op = 1.000, post-op = 0.997) and functional activities (0.864) were high. The ICC scores ranged between 0.790 and 0.951. The pain subscore of the new KSS and the pain subscores of the WOMAC (r = −0.720; p < 0.01), KOOS (r = 0.550; p < 0.01) and SF-36 (r = −0.434; p < 0.01) were highly correlated. Emotional role functioning (RH), mental health (MH) and social role functioning (SF) subscores of SF-36 showed no correlation with the all subscores of the new KSS (p > 0.05). No floor or ceiling effects in the new KSS scores were detected. Conclusion: It is concluded that the new KSS is a valid and reliable questionnaire which can be used in evaluating the pre and post-operative Turkish speaking TKA patients. Level of evidence: Level III Diagnostic Study. Keywords: Knee scoring, Reliability, Validity, Knee, Cultural adaptation, Total knee arthroplastyhttp://www.sciencedirect.com/science/article/pii/S1017995X18300051
spellingShingle Fatih Özden
Nazan Tuğay
Baki Umut Tuğay
Cem Yalın Kılınç
Psychometrical properties of the Turkish translation of the New Knee Society Scoring System
Acta Orthopaedica et Traumatologica Turcica
title Psychometrical properties of the Turkish translation of the New Knee Society Scoring System
title_full Psychometrical properties of the Turkish translation of the New Knee Society Scoring System
title_fullStr Psychometrical properties of the Turkish translation of the New Knee Society Scoring System
title_full_unstemmed Psychometrical properties of the Turkish translation of the New Knee Society Scoring System
title_short Psychometrical properties of the Turkish translation of the New Knee Society Scoring System
title_sort psychometrical properties of the turkish translation of the new knee society scoring system
url http://www.sciencedirect.com/science/article/pii/S1017995X18300051
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AT bakiumuttugay psychometricalpropertiesoftheturkishtranslationofthenewkneesocietyscoringsystem
AT cemyalınkılınc psychometricalpropertiesoftheturkishtranslationofthenewkneesocietyscoringsystem