Accuracy of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) score as an objective assessment tool for predicting return-to-work status after head and neck cancer in male survivors

Yu Hao Lee, Kwang Hwa Chang, Reuben Escorpizo, Wen Chou Chi, Chia Feng Yen, Hua Fang Liao, Shih Wei Huang, Tsan Hon Liou

Research output: Contribution to journalArticle

Abstract

Purpose: The objective of this nationwide study in Taiwan was to predict work participation by using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) score as an objective assessment tool. Method: Data from between July 2012 and July 2017 regarding 1206 male head and neck cancer (HNC) survivors with disability aged < 50 years were obtained from the Taiwan Data Bank of Persons with Disability (TDPD). Demographic data and the WHODAS 2.0 scores were analyzed to compare employment statuses among HNC survivors. Results: The WHODAS 2.0 scores in all the domains were lower in unemployed than in employed HNC survivors (p < 0.001). The receiver operating characteristic (ROC) curve revealed that the summary WHODAS 2.0 score (area under curve > 0.8) was an extremely accurate predictive tool. Binary logistic regression revealed that the severity levels of impairment and standardized WHODAS 2.0 summary scores less than the cutoff value (27.81) were predictors for the return-to-work (RTW) status of HNC survivors with disability in the working age group. Conclusions: The WHODAS 2.0 score is an objective quantitative assessment tool for evaluating the RTW possibility among these patient groups.

LanguageEnglish
Pages1-9
Number of pages9
JournalSupportive Care in Cancer
DOIs
StateAccepted/In press - Jun 29 2018

Fingerprint

Return to Work
Head and Neck Neoplasms
Survivors
Appointments and Schedules
Taiwan
Disabled Persons
ROC Curve
Area Under Curve
Germany
Age Groups
Logistic Models
Demography
Databases

Keywords

  • Employment
  • Head and neck cancer
  • ICF
  • Return-to-work
  • WHODAS 2.0 score

ASJC Scopus subject areas

  • Oncology

Cite this

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title = "Accuracy of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) score as an objective assessment tool for predicting return-to-work status after head and neck cancer in male survivors",
abstract = "Purpose: The objective of this nationwide study in Taiwan was to predict work participation by using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) score as an objective assessment tool. Method: Data from between July 2012 and July 2017 regarding 1206 male head and neck cancer (HNC) survivors with disability aged < 50 years were obtained from the Taiwan Data Bank of Persons with Disability (TDPD). Demographic data and the WHODAS 2.0 scores were analyzed to compare employment statuses among HNC survivors. Results: The WHODAS 2.0 scores in all the domains were lower in unemployed than in employed HNC survivors (p < 0.001). The receiver operating characteristic (ROC) curve revealed that the summary WHODAS 2.0 score (area under curve > 0.8) was an extremely accurate predictive tool. Binary logistic regression revealed that the severity levels of impairment and standardized WHODAS 2.0 summary scores less than the cutoff value (27.81) were predictors for the return-to-work (RTW) status of HNC survivors with disability in the working age group. Conclusions: The WHODAS 2.0 score is an objective quantitative assessment tool for evaluating the RTW possibility among these patient groups.",
keywords = "Employment, Head and neck cancer, ICF, Return-to-work, WHODAS 2.0 score",
author = "Lee, {Yu Hao} and Chang, {Kwang Hwa} and Reuben Escorpizo and Chi, {Wen Chou} and Yen, {Chia Feng} and Liao, {Hua Fang} and Huang, {Shih Wei} and Liou, {Tsan Hon}",
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AU - Chang,Kwang Hwa

AU - Escorpizo,Reuben

AU - Chi,Wen Chou

AU - Yen,Chia Feng

AU - Liao,Hua Fang

AU - Huang,Shih Wei

AU - Liou,Tsan Hon

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