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

Mayrink, J; Souza, RT; Silveira, C; Guida, JP; Costa, ML; Parpinelli, MA; Pacagnella, RC; Ferreira, EC; Sousa, MH; Say, L; Chou, D; Filippi, V; Barreix, M; Barbour, K; von Dadelszen, P; Cecatti, JG; Andreucci, CB; Angelini, CR; Ferraz, JP; Zanardi, DM; Camargo, RS; Cottler, S; Fawole, O; Firoz, T; Gadama, L; Ghérissi, A; Gyte, G; Hindin, M; Jayathilaka, A; Kalamar, A; Kone, Y; Lange, I; Magee, LA; Mathur, A; McCaw-Binns, A; Morgan, M; Munjanja, S; Gichuhi, GN; Petzold, M; Sullivan, E; Taulo, F; Tunçalp, Ö; Vanderkruik, R

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

Mayrink, J Souza, RT Silveira, C Guida, JP Costa, ML Parpinelli, MA Pacagnella, RC Ferreira, EC Sousa, MH Say, L Chou, D Filippi, V Barreix, M Barbour, K von Dadelszen, P Cecatti, JG Andreucci, CB Angelini, CR Ferraz, JP Zanardi, DM Camargo, RS Cottler, S Fawole, O Firoz, T Gadama, L Ghérissi, A Gyte, G Hindin, M Jayathilaka, A Kalamar, A Kone, Y Lange, I Magee, LA Mathur, A McCaw-Binns, A Morgan, M Munjanja, S Gichuhi, GN Petzold, M Sullivan, E

Taulo, F Tunçalp, Ö Vanderkruik, R

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Publication Type:: Journal Article
Citation:: International Journal of Gynecology and Obstetrics, 2018, 141 pp. 48 - 54
Issue Date:: 2018-05-01

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Field	Value	Language
dc.contributor.author	Mayrink, J	en_US
dc.contributor.author	Souza, RT	en_US
dc.contributor.author	Silveira, C	en_US
dc.contributor.author	Guida, JP	en_US
dc.contributor.author	Costa, ML	en_US
dc.contributor.author	Parpinelli, MA	en_US
dc.contributor.author	Pacagnella, RC	en_US
dc.contributor.author	Ferreira, EC	en_US
dc.contributor.author	Sousa, MH	en_US
dc.contributor.author	Say, L	en_US
dc.contributor.author	Chou, D	en_US
dc.contributor.author	Filippi, V	en_US
dc.contributor.author	Barreix, M	en_US
dc.contributor.author	Barbour, K	en_US
dc.contributor.author	von Dadelszen, P	en_US
dc.contributor.author	Cecatti, JG	en_US
dc.contributor.author	Andreucci, CB	en_US
dc.contributor.author	Angelini, CR	en_US
dc.contributor.author	Ferraz, JP	en_US
dc.contributor.author	Zanardi, DM	en_US
dc.contributor.author	Camargo, RS	en_US
dc.contributor.author	Cottler, S	en_US
dc.contributor.author	Fawole, O	en_US
dc.contributor.author	Firoz, T	en_US
dc.contributor.author	Gadama, L	en_US
dc.contributor.author	Ghérissi, A	en_US
dc.contributor.author	Gyte, G	en_US
dc.contributor.author	Hindin, M	en_US
dc.contributor.author	Jayathilaka, A	en_US
dc.contributor.author	Kalamar, A	en_US
dc.contributor.author	Kone, Y	en_US
dc.contributor.author	Lange, I	en_US
dc.contributor.author	Magee, LA	en_US
dc.contributor.author	Mathur, A	en_US
dc.contributor.author	McCaw-Binns, A	en_US
dc.contributor.author	Morgan, M	en_US
dc.contributor.author	Munjanja, S	en_US
dc.contributor.author	Gichuhi, GN	en_US
dc.contributor.author	Petzold, M	en_US
dc.contributor.author	Sullivan, E https://orcid.org/0000-0002-8718-2753	en_US
dc.contributor.author	Taulo, F	en_US
dc.contributor.author	Tunçalp, Ö	en_US
dc.contributor.author	Vanderkruik, R	en_US
dc.date.issued	2018-05-01	en_US
dc.identifier.citation	International Journal of Gynecology and Obstetrics, 2018, 141 pp. 48 - 54	en_US
dc.identifier.issn	0020-7292	en_US
dc.identifier.uri	http://hdl.handle.net/10453/134154
dc.description.abstract	© 2018 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. 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.	en_US
dc.relation.ispartof	International Journal of Gynecology and Obstetrics	en_US
dc.relation.isbasedon	10.1002/ijgo.12466	en_US
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Disability Evaluation	en_US
dc.subject.mesh	Morbidity	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Reproducibility of Results	en_US
dc.subject.mesh	Postpartum Period	en_US
dc.subject.mesh	Reference Values	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	World Health Organization	en_US
dc.subject.mesh	Brazil	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Young Adult	en_US
dc.title	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	en_US
dc.type	Journal Article
utslib.citation.volume	141	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access	*
pubs.publication-status	Published	en_US
pubs.volume	141	en_US

Abstract:

© 2018 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. 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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/134154