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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, 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.
Afiliação
  • Mayrink J; Department of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
  • Souza RT; Department of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
  • Silveira C; Department of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
  • Guida JP; Department of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
  • Costa ML; Department of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
  • Parpinelli MA; Department of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
  • Pacagnella RC; Department of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
  • Ferreira EC; Department of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
  • Sousa MH; Department of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
  • Say L; UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, WHO, Geneva, Switzerland.
  • Chou D; UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, WHO, Geneva, Switzerland.
  • Filippi V; Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
  • Barreix M; UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, WHO, Geneva, Switzerland.
  • Barbour K; Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT, USA.
  • von Dadelszen P; Molecular and Clinical Sciences Research Institute, St George's, University of London, London, UK.
  • Cecatti JG; Department of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Int J Gynaecol Obstet ; 141 Suppl 1: 48-54, 2018 May.
Article em En | MEDLINE | ID: mdl-29851111
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Período Pós-Parto / Avaliação da Deficiência Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Gynaecol Obstet Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Período Pós-Parto / Avaliação da Deficiência Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Gynaecol Obstet Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos