Is WHODAS 2.0 Useful for Colorectal Cancer Survivors?.
10.5535/arm.2017.41.4.667
- Author:
Hyun Haeng LEE
1
;
Eun Kyoung SHIN
;
Hyung Ik SHIN
;
Eun Joo YANG
Author Information
1. Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Korea.
- Publication Type:Multicenter Study ; Original Article
- Keywords:
International Classification of Functioning;
Disability and Health (ICF);
Colorectal neoplasms;
Surgical stomas;
Quality of life
- MeSH:
Appointments and Schedules;
Colorectal Neoplasms*;
Cross-Sectional Studies;
Hospitals, University;
Humans;
Korea;
Ostomy;
Quality of Life;
Surgical Stomas;
Survivors*;
World Health Organization
- From:Annals of Rehabilitation Medicine
2017;41(4):667-676
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To compare the disability level of colorectal cancer survivors with and without stoma by using the Korean version of the 12-item, interview-administered World Health Organization Disability Assessment Schedule 2.0 (Korean version of WHODAS 2.0). METHODS: This is a multicenter (five tertiary university hospitals and the Korea Ostomy Association) and cross-sectional survey. Colorectal cancer survivors with and without stoma were interviewed. Survey measured disability level using the Korean version of WHODAS 2.0 and health-related quality of life using the SF-36. RESULTS: A significant difference was observed between patients with and without a stoma in two subdomains: getting around (31.1 vs. 20.3; p=0.013) and participation in society (32.3 vs. 22.2; p=0.028). After adjusting for age, gender, and time since surgery, having a stoma was associated with severe to extreme disabilities in participation (OR=2.72, p=0.045). The Korean version of WHODAS 2.0 showed satisfactory internal consistency (r=0.96) and convergent validity. CONCLUSION: Patients with stoma participated less in society than those without stoma. The Korean version of WHODAS 2.0 is a reliable and valid instrument for measuring disability in Korean colorectal cancer patients.
