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Age and BMI were significantly negatively correlated with PCQs score ( = - 0.473; 0.0001 and = - 0.136; = 0.046). PCQs scores were significantly lower in females ( = 0.031). Total PCQs score had corresponding OR of 0.901 ( = 0.002) towards knee OA after adjusting for age, gender and BMI. Multivariate model-based LOS resulted in a cut-off of 1.315, which had a sensitivity of 85.5%, specificity of 66.7% and PPV of 92.7%. Severity of knee OA can be predicted based on PCQs. PCQs can predict severity of knee OA and patellofemoral