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. (23rd May 2018)

• Record Type: Journal Article
• Authors: 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; Chou, Doris; Filippi, Veronique; Barreix, Maria; Barbour, Kelli; von Dadelszen, Peter; Cecatti, José G.
• Other Names: Andreucci Carla B. investigator.; Angelini Carina R. investigator.; Ferraz Juliana P. investigator.; Zanardi Dulce M. investigator.; Camargo Rodrigo S. investigator.; Cottler Sara investigator.; Fawole Olubukola investigator.; Firoz Tabassum investigator.; Gadama Luis investigator.; Ghérissi Atf investigator.; Gyte Gill investigator.; Hindin Michelle investigator.; Jayathilaka Anoma investigator.; Kalamar Amanda investigator.; Kone Yacouba investigator.; Lange Isabelle investigator.; Magee Laura A. investigator.; Mathur Arvind investigator.; McCaw‐Binns Affette investigator.; Morgan Mark investigator.; Munjanja Stephen investigator.; Gichuhi Gathari N. investigator.; Petzold Max investigator.; Sullivan Elizabeth investigator.; Taulo Frank investigator.; Tunçalp Özge investigator.; Vanderkruik Rachel investigator.
• Is Part Of: International journal of gynaecology and obstetrics. Volume 141(2018)Supplement 1
• Page Start: 48
• Page End: 54
• Publication Date: 2018-05-23
• Subjects: Postpartum period -- Puerperium -- Severe maternal morbidity -- WHODAS‐12 -- WHODAS‐36; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.12466
• Languages: English
• ISSNs: 0020-7292

Abstract

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. Abstract : WHODAS total mean scores among postpartum women showed an upward trend in women with no morbidity compared with those with morbidity along a severity continuum.