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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Support Center Support Center. Several have been used in general practice settings. Only the chart measuring change in health revealed a deterioration in functional ability associated with the onset of pain and an improvement in functional status at follow up.

Do high prescribers diagnose differently? ICPC-2 edited rubrics by rubrics in 22 languages and Q-Codes in 10 languages with multiterminological mappings. Baseline and follow-up measurements of the charts were compared and correlations of chart scores with patients’ measurements of copo intensity on a visual analogue scale, general practitioners’ ratings of impairment and patients’ measurements of recovery were analysed. Several studies have looked at these issues. Functional status relates to the patient, not to the health problem, disease or episode of care.

National Center for Biotechnology InformationU. Author information Copyright and License information Disclaimer. An analysis of German routine data. Some of these instruments were designed for research not clinical purposes, for example, the Sickness Impact Profile. Implicit in any definition of functional status is the importance of factors other than disease in wocna health of patients. Standardisation of test conditions and assessment of inter-rater reliability may improve the results for research projects.

Even with only one problem, functional status measures go beyond assessing problem status winca therefore their relationship a particular ICPC code may not be straightforward.

Prescribing antibiotics for respiratory tract infections in primary care: Appropriate translation is the first step. Open in a separate window. However since functional status relates to the patient as a whole and not to the health problem, the relationship becomes difficult to interpret when there is more than one active problem, because co-morbidity complicates the interpretation.


How can it be measured in physicians’ offices? It is suggested that patients consider their present complaints when rating their condition. Use of the Charts.

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

When the charts are used in new cultural settings, it is important to establish that the concepts measured are appropriate and specific to that environment. There are a plethora woncaa indicators currently available. Of the six charts only 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.

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.

Br J Gen Pract. The woncq status of patients. This may partly be a result of patients misunderstanding the instructions. PloS one, 12 12e For example, hypertension and diabetes in one patient can both impact on functional status, but their relative importance and effects cannot be determined from routine recording. Instruments for measuring functional status.

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

A manual has been edited by the University of Groningen. Internationally, they have been found to have good face validity and clinical utility in general practice.

With any measure of functional status, cultural and context issues need to be explored. For example, Rubric 28 of component one symptoms and complaints of all chapters of ICPC refers to limited function and disabilities.

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Version in French updated in the spring of The aim of clop PRIMEGE Regional Information System in General Practice Project is to collect anonymized data directly from the consultation software without the doctor’s effort in order to supply a database for research purposes in general medicine.


The Medical Outcomes Woonca Short Form 36 item inventory and derivatives of this instrument have been widely used in primary care settings. Functional status is a measure of an individual’s overall well-being.

COOP Charts

These measurements are particularly important in dealing with ageing and those with chronic problems. A study was 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 measurement of clinical pain intensity: Functional status could be coded in this component with the addition of an extra digit. These cool have enhanced the applicability of these Charts in settings where there is variability of literacy amongst the general practice patient population.

Functional status in primary care: COOP/WONCA charts.

The charts can be used independently or in groups. Associated Data Supplementary Materials. Validity with respect to the change in asthma. It is one of the set of global measures of health status, which also include assessments of clinical status and quality of life. As a research instrument the test-retest reliability will always be an issue for indicators that are global and influenced by so many variables. Pictorial depictions of the five possible responses accompany the text. Similarly, the Duke Health Profile has been used successfully in North American settings In Europe, several other instruments have been used.