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WHO disability assessment schedule 2.0 is related to upper and lower extremity disease-specific quality of life

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Abstract

Purpose

We evaluated whether two disease-specific quality of life instruments (Disabilities of the Arm, Shoulder and Hand, DASH and Western Ontario & McMaster Universities Osteoarthritis Index, WOMAC) reflect a patient’s perception of general disability using the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) and determined whether disability components are explained by upper and lower extremity HRQOL.

Methods

We recruited 421 participants, 50 years or older without stroke, cancer, or history of surgery for musculoskeletal disease, who participated in the NAMGARAM Cohort. Upper extremity HRQOL was determined with the DASH score and lower extremity HRQOL with the WOMAC; as a measure of disability, we obtained WHODAS 2.0 component. Multiple regression modeling was used to assess the relative contributions made by upper and lower extremity HRQOL to disability.

Results

When adjusted for covariates, the DASH total score was correlated with getting around (β = 0.217, p < 0.001) and social participation (β = 0.226, p < 0.001), and the WOMAC total score was correlated with getting around (β = 0.363, p < 0.001), life activation (β = 0.363, p < 0.001), and social participation (β = 0.301, p < 0.001). QOL significantly correlated with upper extremity disorders (β = 0.081, p = 0.018) or lower extremity disorders (β = 0.095 p = 0.004).

Conclusion

We found that in a community-based population, perceived activity limitation and social participation were associated with upper and lower extremity HRQOL. Since the WHODAS 2.0 does not target a specific disease (as opposed to DASH and WOMAC), it can be used to compare disabilities caused by different diseases.

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Funding

This study was supported by a grant of the Center for Farmer’s Safety and Health, Ministry of Agriculture, Food and Rural Affairs, Republic of Korea.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Gyeongsang National University Hospital, Jinju, South Korea

    Jun-Il Yoo & Young-Jin Park

  2. Institute of Health Sciences, College of Medicine, Gyeongsang National University, Jinju, South Korea

    Jun-Il Yoo & Young-Jin Park

  3. Department of Orthopedic Surgery, Institute of Health Sciences, College of Medicine, Gyeongsang National University, Jinju, South Korea

    Jin-Sung Park

  4. Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University, Jinju-daero, Jinju, 816-15, South Korea

    Rock-Beum Kim, Ae-Rim Seo, Mi-Ji Kim & Ki Soo Park

  5. Center for Farmer’s Safety and Health, Gyeongsang National University Hospital, Jinju, South Korea

    Jun-Il Yoo & Ki Soo Park

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  1. Jun-Il Yoo
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Correspondence to Ki Soo Park.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Yoo, JI., Park, JS., Kim, RB. et al. WHO disability assessment schedule 2.0 is related to upper and lower extremity disease-specific quality of life. Qual Life Res 27, 2243–2250 (2018). https://doi.org/10.1007/s11136-018-1869-5

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  • DOI: https://doi.org/10.1007/s11136-018-1869-5

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