
@article{ref1,
title="Comparing disability between traumatic brain injury and spinal cord injury using the 12-item WHODAS 2.0 and the WHO minimal generic data set covering functioning and health",
journal="Clinical rehabilitation",
year="2018",
author="Tarvonen-Schröder, Sinikka and Tenovuo, Olli and Kaljonen, Anne and Laimi, Katri",
volume="32",
number="12",
pages="1676-1683",
abstract="OBJECTIVE: To compare disability between two patient groups using short validated tools based on International Classification of Functioning, Disability and Health (ICF). <br><br>DESIGN: Cross-sectional study. SETTING: University hospital specialist outpatient clinic. SUBJECTS: A total of 94 patients with traumatic brain injury and 59 with spinal cord injury. MAIN MEASURES: Disability evaluated using self-reported and proxy 12-item WHODAS 2.0 (World Health Organization Disability Assessment Schedule), and physician-rated WHO minimal generic data set covering functioning and health. <br><br>RESULTS: The two measures used showed severe but very different disabilities in these patient groups. Disability was assessed worse by physicians in the spinal cord injury population (sum 15.8 vs. 12.7, P = 0.0001), whereas disability assessed by the patients did not differ significantly between the two groups (sum 18.4 vs. 21.2). Further analysis revealed that in patients with &quot;high disability&quot; (the minimal generic data set score ⩾15), self-reported functioning was more severely impaired in the traumatic brain injury group compared to the spinal cord injury group (29.7 vs. 21.4, P < 0.0001), with no difference between these two diagnostic groups in patients with &quot;low disability&quot; (the minimal generic data set below 15). Patients with traumatic brain injury perceived more difficulties in cognition, getting along and participation, patients with spinal cord injury in mobility and self-care. <br><br>CONCLUSION: Both generic measures were able to detect severe disability but also to detect differences between two patient populations with different underlying diagnoses.<p /> <p>Language: en</p>",
language="en",
issn="0269-2155",
doi="10.1177/0269215518785945",
url="http://dx.doi.org/10.1177/0269215518785945"
}