TY  - JOUR
AB  - © 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.
AU  - Mayrink, J
AU  - Souza, RT
AU  - Silveira, C
AU  - Guida, JP
AU  - Costa, ML
AU  - Parpinelli, MA
AU  - Pacagnella, RC
AU  - Ferreira, EC
AU  - Sousa, MH
AU  - Say, L
AU  - Chou, D
AU  - Filippi, V
AU  - Barreix, M
AU  - Barbour, K
AU  - von Dadelszen, P
AU  - Cecatti, JG
AU  - Andreucci, CB
AU  - Angelini, CR
AU  - Ferraz, JP
AU  - Zanardi, DM
AU  - Camargo, RS
AU  - Cottler, S
AU  - Fawole, O
AU  - Firoz, T
AU  - Gadama, L
AU  - Ghérissi, A
AU  - Gyte, G
AU  - Hindin, M
AU  - Jayathilaka, A
AU  - Kalamar, A
AU  - Kone, Y
AU  - Lange, I
AU  - Magee, LA
AU  - Mathur, A
AU  - McCaw-Binns, A
AU  - Morgan, M
AU  - Munjanja, S
AU  - Gichuhi, GN
AU  - Petzold, M
AU  - Sullivan, E
AU  - Taulo, F
AU  - Tunçalp, Ö
AU  - Vanderkruik, R
DA  - 2018/05/01
DO  - 10.1002/ijgo.12466
EP  - 54
JO  - International Journal of Gynecology and Obstetrics
PY  - 2018/05/01
SP  - 48
TI  - 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
VL  - 141
Y1  - 2018/05/01
Y2  - 2026/05/12
ER  -