{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:44:58Z","timestamp":1791888298809,"version":"4.3.4"},"reference-count":72,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["10330032010003"],"award-info":[{"award-number":["10330032010003"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is recommended by peri\u2010operative core outcome sets as a measure of disability. Despite its growing use, the effect of different surgical procedures on disability measured by WHODAS 2.0 remains poorly understood and heterogeneous reporting across studies limits direct comparison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a systematic review to assess the effect of different surgical procedures on disability measured by WHODAS 2.0, and the reporting of disability endpoints in peri\u2010operative medicine. The primary outcome was the difference in WHODAS 2.0 summary score before and after surgery. Disability scores were calculated as a metric between 0% (no disability) and 100% (complete disability).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010nine studies were included. Pre\u2010operative disability ranged from 2% to 61%. In 21 studies, disability increased by 1% to 17% within 3\u2009months of surgery, with little change between 6 and 12\u2009months (0% to \u20102%). Studies of orthopaedic surgery generally reported high pre\u2010operative disability (&gt;\u200935%) but also reductions in disability (10\u201337% reduction) within 3\u2009months of surgery. In contrast, studies evaluating cancer surgery (n\u2009=\u200912) generally reported lower pre\u2010operative disability (&lt;\u200920%) but small increases (1\u20138%) within 3\u2009months of surgery. Cardiovascular surgical studies displayed pre\u2010operative disability between 4% and 17% with a difference in disability of \u20108% to +3% 3\u2009months after surgery. Three different thresholds to define disability and 13 different WHODAS 2.0 endpoints were used, measured at eight different time\u2010points after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The effect of surgical procedures on postoperative disability as measured by WHODAS 2.0 is influenced by the type of surgery. Orthopaedic surgery may decrease disability, whereas cancer surgery may be associated with persistent increases. Standardised reporting of disability endpoints is needed to enhance the quality and comparability of future studies using WHODAS 2.0.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.70287","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T07:42:11Z","timestamp":1784878931000},"page":"1569-1580","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Measuring patient disability in the peri\u2010operative period using the\n                    <scp>WHODAS<\/scp>\n                    2.0 questionnaire: a systematic review"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7289-3747","authenticated-orcid":false,"given":"Romijn M.","family":"Boerlage","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Pain Medicine Rijnstate Hospital  Arnhem the Netherlands"},{"name":"Department of Health Technology and Services Research Technical Medical Centre, University of Twente  Enschede the Netherlands"},{"name":"Clinical Research Center, Rijnstate Hospital  Arnhem the Netherlands"},{"name":"Department of Anaesthesiology Amsterdam UMC location AMC  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dani\u00ebl","family":"van Dartel","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Gelre ziekenhuizen  Apeldoorn the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3368-3111","authenticated-orcid":false,"given":"Jacqueline E. M.","family":"Vernooij","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Pain Medicine Rijnstate Hospital  Arnhem the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick J.","family":"Koning","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Pain Medicine Rijnstate Hospital  Arnhem the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1293-5762","authenticated-orcid":false,"given":"Linda M.","family":"Posthuma","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Albert Schweitzer Hospital  Dordrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8372-6960","authenticated-orcid":false,"given":"Cor J.","family":"Kalkman","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology University Medical Centre Utrecht  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4766-4333","authenticated-orcid":false,"given":"Carine J. M.","family":"Doggen","sequence":"additional","affiliation":[{"name":"Department of Health Technology and Services Research Technical Medical Centre, University of Twente  Enschede the Netherlands"},{"name":"Clinical Research Center, Rijnstate Hospital  Arnhem the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4412-9183","authenticated-orcid":false,"given":"Benedikt","family":"Preckel","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Amsterdam UMC location AMC  Amsterdam the Netherlands"},{"name":"Amsterdam Public Health, Quality of Care Research Institute  Amsterdam the Netherlands"},{"name":"Amsterdam Cardiovascular Science Research Institute  Amsterdam the 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