Diagnostic score for knee osteoarthritis flare-ups: the KOFUS scale
A score over 7 enables retaining a diagnosis of a knee osteoarthritic flare-up.
The sensitivity of the KOFUS score is assessed at 87%, its specificity 87.9%, its positive predictive value at 85.8% and its negative predictive value at 89%.
KOFUS could be used in a standardised way to understand the diagnosis of knee osteoarthritis flare-ups, in particular within the framework of its inclusion in treatment trials.
Variables | Absence | Presence |
Morning stiffness for longer than 20 minutes | 0 | 1 |
Nocturnal awakenings | 0 | 2 |
Intra-articular effusion | 0 | 2 |
Limping | 0 | 3 |
Joint swelling | 0 | 3 |
Increased warmth over the joint | 0 | 3 |
Total | 0 | 14 |
Statistical analysis enables retaining a diagnostic score with the threshold value at 7 for retaining the diagnosis of knee osteoarthritis flare-ups.
Source : Marty M et al. Validation of the KOFUS (Knee Osteoarthritis Flare-Ups Score). Joint Bone Spine 2009 ; 76 : 433-436.