OrthopedicsIntermediate

WOMAC Osteoarthritis Index

Measures pain, stiffness, and physical disability in hip and knee osteoarthritis.

Clinical Parameters

24 Variables

Awaiting Clinical Parameters

Configure the patient variables on the left and select Calculate Result to generate the clinical score and stratification.

Verified 2026 GuidelinesInstant Calculation
Jump to Formula & Clinical Protocol ↓
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High Yield Prometric TopicOrthopedics & Rheumatology

Tested on Gulf Medical Boards (DHA, SMLE, MOH & HAAD)

Clinical calculations and diagnostic scoring systems like WOMAC Osteoarthritis Index frequently appear on Prometric exams. Master high-yield clinical vignettes with instant AI-powered pathophysiology rationales.

Clinical Significance & Diagnostic Standard
2026 Clinical Reference

What is the WOMAC Osteoarthritis Index?

📋Clinical Summary & Definition Capsule

The WOMAC Osteoarthritis Index is an evidence-based clinical decision rule engineered to quantify diagnostic probability, stratify clinical severity, and guide therapeutic decision-making in orthopedics & rheumatology practice. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is a tri-dimensional health status instrument widely used in orthopedics and rheumatology to assess hip and knee osteoarthritis outcomes before and after pharmacotherapy or joint replacement surgery. Clinical scoring tools like WOMAC Osteoarthritis Index are essential in acute and outpatient management, enabling clinicians to objectively differentiate between low-risk candidates suitable for conservative therapy and high-risk patients requiring urgent interventions. Verified against current 2026 clinical standards, this tool is extensively tested on Gulf health authority licensing exams including DHA (Dubai), SMLE (Saudi Arabia), MOH, HAAD/DOH (Abu Dhabi), OMSB (Oman), and QCHP (Qatar).

💡Clinical Pearls & Diagnostic Utility

The international gold standard outcome metric for assessing clinical response to total joint replacement (TKR/THR) and osteoarthritis clinical trials.

Mathematical Formulation

Formula & Calculation Parameters

The mathematical equation and clinical variables required to calculate WOMAC Osteoarthritis Index:

WOMAC Score = Pain (5 items × 0-4) + Stiffness (2 items × 0-4) + Physical Function (17 items × 0-4). Maximum = 96 points.
Risk Stratification

Score Interpretation & Clinical Stratification

Score RangeClinical InterpretationRisk Tier
≤ 20Mild Osteoarthritis Impairment (0 - 20 pts)green
21 – 50Moderate Osteoarthritis Impairment (21 - 50 pts)yellow
51 – 75Severe Osteoarthritis Impairment (51 - 75 pts)orange
≥ 76Extreme Osteoarthritis Impairment (76 - 96 pts)red
Clinical Limitations & Contraindications

When to Exercise Caution

Self-reported; patients with bilateral disease may have difficulty distinguishing disability between limbs.

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Medical Review & Guidelines Compliance
MD

Clinical Review Board

Dr. Muhammad Nouman, MBBS

Capital Medical University | PMDC Reg No: 117744-P

Clinical Audit Status

✓ Verified for 2026 Guidelines

Last updated: 2026-08-07

Peer-Reviewed Medical Literature

  • Bellamy N, et al. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15(12):1833-1840.
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