ICF disability measured by WHO-DAS II in three community diagnostic groups in Madrid, Spain

Pedro‐Cuesta, Jesús de; Alberquilla, Ángel; Virués‐Ortega, Javier; Carmona, Montserrat; Alcalde-Cabero, Enrique; Bosca, Graciela; Rodríguez, Fernando López; García-Sagredo, Pilar; García-Olmos, Luis; Salvador, Carlos H.; Monteagudo, José Luís

doi:10.1016/j.gaceta.2011.08.005

Cited by 38 publications

(36 citation statements)

References 22 publications

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“…Our data suggest that there is great value in assessing domain-specific disability because it provides a more in-depth examination of the nature of one’s disability, as evidenced by the drastic difference in disability prevalence across domains. Similar to what has been observed in an elderly Spanish cohorts (de Pedro-Cuesta et al, 2011; Virues-Ortega et al, 2011b), getting around and non-work life activities were the most common domains in which we observed disability among this mid-aged cohort. However, in contrast, the prevalence of disability in this population was lowest for the self-care domain whereas in elderly populations the participation in society and getting along with people domains were the least affected (de Pedro-Cuesta et al, 2011).…”

Section: Discussionsupporting

confidence: 89%

Prevalence and Correlates of Disability in a Late Middle-Aged Population of Women

Karvonen‐Gutierrez

Ylitalo

2013

J Aging Health

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Objectives This study estimates the prevalence of disability among late middle-aged women and identifies important correlates of disability among this population. Methods Disability was assessed among 376 participants of the Michigan Study of Women’s Health Across the Nation cohort at the 2011 follow-up using the World Health Organization Disability Assessment Scale. Demographic and health measures were related to disability status using logistic regression models (none or mild vs. moderate, severe or extreme disability). Results Nearly 25% of women reported moderate to extreme global disability. African-American race/ethnicity, economic strain, peripheral neuropathy and depressive symptomatology was associated with global disability. Obesity, knee osteoarthritis and hypertension were only associated with disability for the mobility domain (getting around). Discussion The prevalence of disability is relatively high among this population of late middle-aged women. Efforts to prevent or forestall disability should be extended to include mid-aged populations as they may be most amenable to intervention.

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Section: Discussionsupporting

confidence: 89%

Prevalence and Correlates of Disability in a Late Middle-Aged Population of Women

Karvonen‐Gutierrez

Ylitalo

2013

J Aging Health

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“…In 2009, disability was measured using the WHODAS-36 on three groups of Spanish, home-dwelling, primary-care patients who suffered from chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF) and stroke [8]. This instrument was deemed suitable for monitoring the health status of elderly persons living at home [8].…”

Section: Introductionmentioning

confidence: 99%

“…This instrument was deemed suitable for monitoring the health status of elderly persons living at home [8]. In order to detect negative outcomes in the above cohort, this study focused on assessing disability by the same method and ascertaining mortality across a 30-month follow-up.…”

Section: Introductionmentioning

confidence: 99%

Disability transitions after 30 months in three community-dwelling diagnostic groups in Spain

et al. 2013

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BackgroundLittle is known about changes in disability over time among community-dwelling patients. Accordingly, this study sought to assess medium-term disability transitions.Patients and Methods300 chronic obstructive pulmonary disease (COPD), chronic heart failure and stroke patients living at home in Madrid were selected from general practitioner lists. In 2009, disability was assessed after a mean of 30 months using the World Health Organisation (WHO) Disability Assessment Schedule 2.0 (WHODAS 2.0). Follow-up was completed using death registries. Losses to follow-up were due to: death, 56; institutionalisation, 9; non-location, 18; and non-participation, 17. Changes in WHODAS 2.0 scores and life status were described and analysed using Cox and multinomial regression. Disability at end of follow-up was imputed for 56 deceased and 44 surviving patients.ResultsMean disability scores for 200 surviving patients at end of follow-up were similar to baseline scores for the whole group, higher than their own baseline scores, and rose by 16.3% when imputed values were added. The strongest Cox predictors of death were: age over 84 years, adjusted hazard ratios with 95%CI 8.18 (3.06-21.85); severe/complete vs. no/mild disability, 5.18 (0.68-39.48); and stroke compared to COPD, 1.40 (0.67-2.91). Non-participants and institutionalised patients had higher proportions with severe/complete baseline disability. A one-point change in baseline WHODAS 2.0 score predicted independent increases in risk of 12% (8%-15%) for severe/complete disability or death.ConclusionsA considerably high proportion of community-dwelling patients diagnosed with COPD, CHF and stroke undergo medium-term changes in disability or vital status. The main features of the emerging pattern for this group appear to be as follows: approximately two-thirds of patients continue living at home with moderately reduced functional status; 1/3 die or worsen to severe/complete disability; and 1/10 improve. Baseline disability scores, age and diagnosis are associated with disability and death in the medium term.

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“…30% in Domains 1e6 for the performance and capability dimensions were excluded. 24,25 Next, using AMOS 20.0, we conducted mean imputation for the data with only one missing value in Domains 1e6, and conducted Bayesian imputation, one of the multiple imputation methods, for the data that had more than one missing value. The imputed values ranged from 0 to 4.…”

Section: Data Reduction Of the Fundes-adultmentioning

confidence: 99%

Validity and reliability of the Functioning Disability Evaluation Scale-Adult Version based on the WHODAS 2.0—36 items

Yen

Hwang

Liou

et al. 2014

Journal of the Formosan Medical Association

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ICF disability measured by WHO-DAS II in three community diagnostic groups in Madrid, Spain

Cited by 38 publications

References 22 publications

Prevalence and Correlates of Disability in a Late Middle-Aged Population of Women

Prevalence and Correlates of Disability in a Late Middle-Aged Population of Women

Disability transitions after 30 months in three community-dwelling diagnostic groups in Spain

Validity and reliability of the Functioning Disability Evaluation Scale-Adult Version based on the WHODAS 2.0—36 items

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