Premium
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
Author(s) -
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,
Dadelszen Peter,
Cecatti José G.
Publication year - 2018
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12466
Subject(s) - obstetrics and gynaecology , medicine , gynecology , obstetrics , pregnancy , biology , genetics
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.