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01-08-2015

The correlation of the “Walking Estimated-Limitation Calculated by History” (WELCH) questionnaire with treadmill maximal walking time is not impaired by age, in patients with claudication

Auteurs: Alban Fouasson-Chailloux, Pierre Abraham, Bruno Vielle, Isabelle Laporte, Loukman Omarjee, Nafi Ouedraogo

Gepubliceerd in: Quality of Life Research | Uitgave 8/2015

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Abstract

Purpose

The “Walking Estimated-Limitation Calculated by History” (WELCH) questionnaire is a short four-item questionnaire that estimates the walking capacity of a patient in comparison with relatives, friends or people the same age. As such, it should be relatively insensitive to age, yet this has never been tested.

Methods

A prospective study was performed among 525 patients presenting vascular-type claudication. Patients were grouped into quintiles of age—from quintile 1 for the youngest patients to quintile 5 for the oldest ones. Patients completed a self-administered questionnaire and then had their maximal walking time (MWT) measured on a treadmill. We estimated the coefficient of correlation, the slope and the intercept of the relationship between the WELCH score and the MWT, then the accuracy of a WELCH score under 25 to predict the ability to walk for 5 min on a treadmill.

Results

The slopes of the relationships and the correlation coefficients were not significantly different in each quintile, but a significant shift in the intercept of regressing lines was found with age. Nevertheless, the accuracy in predicting treadmill results from the WELCH score with a cut-off point of 25 was, respectively, 68.6, 72.4, 80.0, 72.4 and 73.3 % in quintiles 1, 2, 3, 4 and 5 (p = 0.45).

Conclusions

The relationship of MWT on a treadmill and the WELCH score is slightly influenced by age, but a score superior to 25 seems to be of equal discriminatory performance in different quintiles of age to predict the ability to walk for 5 min on a treadmill. This makes this cut-off limit of interest for routine use, regardless of age.
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Metagegevens
Titel
The correlation of the “Walking Estimated-Limitation Calculated by History” (WELCH) questionnaire with treadmill maximal walking time is not impaired by age, in patients with claudication
Auteurs
Alban Fouasson-Chailloux
Pierre Abraham
Bruno Vielle
Isabelle Laporte
Loukman Omarjee
Nafi Ouedraogo
Publicatiedatum
01-08-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-0915-9

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