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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Use of the Charts. 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.

ICPC-2 edited copp by rubrics in 22 languages and Q-Codes in 10 languages with multiterminological mappings. 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. Some of these instruments were designed for research not clinical purposes, for example, the Sickness Impact Profile.

Br J Gen Pract. The WICC is in charge of the scientific content and leads the consortium. Open in a separate window. 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, general practitioners’ ratings of impairment and patients’ measurements of recovery were analysed. 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.


Pictorial depictions of the five possible responses accompany the text. PloS one, 12 12e Even with only one problem, functional status measures go beyond assessing problem status and therefore their relationship a particular ICPC code may not be straightforward.

Each chart consists of a lead sentence with five options for response. The preferred method of use of these charts is self administration.

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

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. The functional status of patients. The aim of the PRIMEGE Wonac Information System wona General Practice Project is to collect anonymized data directly from the consultation software without the doctor’s effort in order to doop a database for research purposes in general medicine.

It thus relates less directly to the ICPC codes than does severity of illness. Internationally, they have been found to have good face validity and clinical utility in general practice. When too much care makes sick. Several studies have looked at these issues. A manual has been edited by the University of Groningen.

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

How can it be measured in physicians’ offices? This article has been cited by other articles in PMC. Functional status is considered an important measure of health status in primary care. A Wonnca 27provides further information about the development and use of the charts, how to translate the charts, and a contact list for further assistance, including qonca of the various translations.


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. Do high prescribers diagnose differently?

The measurement of clinical pain intensity: Associated Data Supplementary Materials. The charts can be used independently or in groups. An analysis of German routine data. Please review our privacy policy. National Center for Biotechnology InformationU.

The Medical Outcomes Trust Short Form 36 item inventory and derivatives of this instrument have been widely used in primary care settings. 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.

Implicit in any definition of functional status is the importance of factors other than disease in the health of patients. As a research instrument the test-retest reliability will always be an issue for indicators that are global and influenced by so many variables. There are a plethora of indicators currently available.