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Function and disability status among women with fistula using WHODAS2.0: A descriptive study from Rwanda and Democratic Republic of Congo.
Keyser, Laura; Myer, Emily N B; McKinney, Jessica; Maroyi, Raha; Mukwege, Denis; Chen, Chi Chiung Grace.
Afiliación
  • Keyser L; Andrews University, Berrien Springs, MI, USA.
  • Myer ENB; Mama LLC, Boston, MA, USA.
  • McKinney J; Minnesota Women's Care, Woodbury, MN, USA.
  • Maroyi R; Andrews University, Berrien Springs, MI, USA.
  • Mukwege D; Mama LLC, Boston, MA, USA.
  • Chen CCG; Panzi General Referral Hospital, Bukavu, Democratic Republic of Congo.
Int J Gynaecol Obstet ; 157(2): 277-282, 2022 May.
Article en En | MEDLINE | ID: mdl-33971022
OBJECTIVE: To assess function and disability among women in Rwanda and Democratic Republic of Congo living with fistula and identify characteristics associated with higher disability scores. METHODS: Women presenting for fistula care were recruited. Eligible participants underwent a physical examination to classify fistula type and completed the WHO Disability Assessment Schedule 2.0 questionnaire to ascertain the impact of fistula on function across six domains: cognition, mobility, self-care, getting along, life activities, and participation. Disability scores were calculated (where 0 = no disability and 100 = complete disability). Participants were grouped according to no, low, or high disability status; results were examined to determine the domains most affected. RESULTS: Among 69 participants, fistula type included: vesicovaginal (59.4%), ureterovaginal (14.5%), total absence of proximal urethra (11.6%), and rectovaginal (14.5%). Median disability score was 43.0/100 (interquartile range 26.0-67.0); 83% exhibited high disability status. Life activities and participation in society domains were most affected. Women with rectovaginal fistula reported the lowest scores, and those with total absence of proximal urethra reported the highest scores. CONCLUSION: WHO Disability Assessment Schedule 2.0 represents a simple, robust measure of global disability status, aligns with research efforts to estimate maternal disability, and may inform health needs and resource allocation for this population. In this study, disability was common, varied by fistula type, and affected physical, mental, and social domains.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fístula Vesicovaginal / Personas con Discapacidad Tipo de estudio: Prognostic_studies Límite: Female / Humans País/Región como asunto: Africa Idioma: En Revista: Int J Gynaecol Obstet Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fístula Vesicovaginal / Personas con Discapacidad Tipo de estudio: Prognostic_studies Límite: Female / Humans País/Región como asunto: Africa Idioma: En Revista: Int J Gynaecol Obstet Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos