Mayrink, Jussara; Souza, Renato T; Silveira, Carla; Guida, José P; Costa, Maria L; Parpinelli, Mary A; Pacagnella, Rodolfo C; Ferreira, Elton C; Sousa, Maria H; Say, Lale; +7 more... Chou, Doris; Filippi, Veronique; Barreix, Maria; Barbour, Kelli; von Dadelszen, Peter; Cecatti, José G; Brazilian Cohort on Severe Maternal Morbidity (COMMAG) study gro; (2018) Reference ranges of the WHO Disability Assessment Schedule (WHODAS 2.0) score and diagnostic validity of its 12-item version in identifying altered functioning in healthy postpartum women. International journal of gynaecology and obstetrics, 141 Su (Suppl ). pp. 48-54. ISSN 0020-7292 DOI: https://doi.org/10.1002/ijgo.12466
Permanent Identifier
Use this Digital Object Identifier when citing or linking to this resource.
Abstract
OBJECTIVES: To compare scores on the 36-item WHO Disability Assessment Schedule 2.0 tool (WHODAS-36) for postpartum women across a continuum of morbidity and to validate the 12-item version (WHODAS-12). METHODS: This is a secondary analysis of the Brazilian retrospective cohort study on long-term repercussions of severe maternal morbidity. We determined mean, median, and percentile values for WHODAS-36 total score and for each domain, and percentile values for WHODAS-12 total score in postpartum women divided into three groups: "no," "nonsevere," and "severe" morbidities. RESULTS: The WHODAS-36 mean total scores were 11.58, 18.31, and 19.19, respectively for no, nonsevere, and severe morbidity. There was a dose-dependent effect on scores for each domain of WHODAS-36 according to the presence and severity of morbidity. The diagnostic validity of WHODAS-12 was determined by comparing it with WHODAS-36 as a "gold standard." The best cut-off point for diagnosing dysfunctionality was the 95th percentile. CONCLUSION: The upward trend of WHODAS-36 total mean value scores of women with no morbidity compared with those with morbidity along a severity continuum may reflect the impact of morbidity on postpartum functioning.
Item Type | Article |
---|---|
Faculty and Department | Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology & International Health (2023-) |
Research Centre |
Centre for Maternal, Reproductive and Child Health (MARCH) Maternal and Newborn Health Group |
PubMed ID | 29851111 |
ISI | 433577100006 |
Related URLs |
Download
Filename: Reference-ranges-of-the-WHO-Disability-Assessment-Schedule-WHODAS-20-score.pdf
Licence: Creative Commons Attribution 3.0 IGO
Download