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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COOP Charts Primary Health Care Classification Consortium – WICC WONCA

Internationally, they have been found to have good face validity and clinical utility in general eonca. The WICC is in charge of the scientific content and leads the consortium. These charts were modified by the classification committee and promoted for use in conjunction with ICPC. With any measure of functional status, cultural and context issues need to be explored. This article has been cited by other articles in PMC.

These measurements are particularly important in dealing with ageing and those with chronic problems. Pictorial depictions of the five possible responses accompany the text. Implicit in any definition of functional status is the importance of factors other than disease in the health of patients.

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

There are a plethora of indicators currently available. Similarly, the Duke Health Profile has been used successfully in North American settings In Cooop, several other instruments have been used. However, one study has shown a correlation between self-assessment and provider assessment.

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.


An analysis of German routine data. Even with only one problem, functional status measures go beyond assessing problem status and therefore their relationship a particular ICPC clop may not be straightforward.

The Medical Outcomes Trust Short Form 36 item inventory and derivatives of this instrument have been widely used in primary care settings. General practitioners have found the charts easy to use within the consultation and helpful as measures of overall patient status and as outcomes of care.

It is suggested that patients consider their present complaints when rating their condition. When more than one chart is used it is recommended that they are administered in the following order: 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.

A total of 95 patients presenting with acute low back pain were recruited from 15 single-handed general practices in northern Germany.

Version in French updated in the spring of Functional status is a measure of an individual’s overall well-being.

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. Prescribing antibiotics for respiratory tract infections in primary care: A Manual 27provides further information about the development and use of the charts, how to translate the charts, and a contact list for further assistance, including authors of the various translations.

For example, Rubric 28 of component one symptoms and complaints of all chapters of ICPC refers to limited function and disabilities. A copy of the Chart is available at the bottom of this file. 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.


Standardisation of test conditions and assessment of inter-rater reliability may improve the results for research projects. As a research instrument the test-retest reliability will always be an issue for indicators that are global and influenced by so many variables. The charts ask patients to use the timescale of the past two weeks when rating their condition. Functional status could be coded in this component with the addition of an extra digit.

Some studies of the charts have suggested that they do not exhibit cross-cultural stability. The charts can be used independently or in groups. The functional status of patients. Instruments for measuring functional status.

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

Open in a separate window. This may coo; be a result of patients misunderstanding the instructions. Use of the Charts. Only the chart measuring change in health was correlated with ratings of pain and impairment at baseline. Validity with respect to the change in asthma.

Please review our privacy policy. A manual has been edited by winca University of Groningen. 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. Several have been used in general practice settings. Appropriate translation is the first step. Functional status relates to the patient, not to wknca health problem, disease or episode of care.

It thus relates less directly to the ICPC codes than does severity of illness. The measurement of clinical pain intensity: