Evidence map›Paper›PMID 29851111›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2018

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.

Jussara Mayrink, Renato T Souza, Carla Silveira, José P Guida, Maria L Costa, Mary A Parpinelli, Rodolfo C Pacagnella, Elton C Ferreira, Maria H Sousa, Lale Say and 7 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Functional status of women with and without potentially life-threatening maternal conditions after 6 months postpartum: A cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 4 countries.

Jussara MayrinkDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Renato T SouzaDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Carla SilveiraDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
José P GuidaDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Maria L CostaDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Mary A ParpinelliDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Rodolfo C PacagnellaDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Elton C FerreiraDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Maria H SousaDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Lale SayUNDP-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.
Doris ChouUNDP-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.
Veronique FilippiDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Maria BarreixUNDP-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.
Kelli BarbourDepartment of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT, USA.
Peter von DadelszenMolecular and Clinical Sciences Research Institute, St George's, University of London, London, UK.
José G CecattiDepartment of Obstetrics and Gynecology, University of Campinas, São Paulo, Brazil.
Brazilian Cohort on Severe Maternal Morbidity (COMMAG) study group and the WHO Maternal Morbidity Working Group (MMWG)
Universidade Estadual de Campinas (UNICAMP) · BRWorld Health Organization · CHLondon School of Hygiene & Tropical Medicine · GBSt George's, University of London · GBUniversity of Utah · US

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesTo 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).

methodsThis 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.

resultsThe 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.

conclusionThe 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.

Indexed as

Disability EvaluationPostpartum PeriodAdultBrazilFemaleHumansMaleMorbidityReference ValuesReproducibility of ResultsRetrospective StudiesWorld Health OrganizationYoung AdultPostpartum periodPuerperiumSevere maternal morbidityWHODAS-12WHODAS-36

Identifiers

PMID29851111
PMCPMC6001663
OpenAlexW2805282552

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.