Ciamarra Paola, Corbi Graziamaria, Gimigliano Francesca, Feola Alessandro, Campobasso Carlo Pietro
Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples.
Department of Medical and Translational Medicine, University of Naples "Federico II", Naples, Italy.
Disabil Rehabil. 2025 Jul;47(15):3773-3780. doi: 10.1080/09638288.2024.2439567. Epub 2024 Dec 11.
To review the World Health Organization Disability Assessment Schedule (WHODAS2.0) application in elderly population.
A review of English articles was performed using the following databases: PubMed/Medline, Scopus, Web of Science, Cochrane, Embase. Only articles assessing disability through WHODAS2.0 in elderly population (>60-years-old) were included according to PRISMA Statement.
37 papers satisfied the inclusion criteria reporting 125.624 cases of elderly whose disability was assessed using WHODAS2.0 in different versions (36-items-version in 15 studies; 12-items-version in 15 papers; both versions in 3 articles; data unavailable in 4 studies). Four different aims were recognized: WHODAS 2.0 was used in 12 studies to assess the prevalence of disability, 25 studies of association between disability and environmental or medical conditions; 9 studies of validation of WHODAS and 2 studies to verify the outcome of therapies on functioning. WHODAS2.0 is a valid measure of disability among elderly, able to identify the relation between disability, and medical and environmental factors. Unfortunately, only few Countries apply the "bio-psycho-social" approach to social and health policies context. Therefore, it is recommended to adopt a rehabilitation perspective in every legislation. These results could serve as baseline data to monitor the application of WHODAS2.0 over the coming years.
回顾世界卫生组织残疾评定量表（WHODAS2.0）在老年人群中的应用情况。
使用以下数据库对英文文章进行综述：PubMed/Medline、Scopus、科学网、Cochrane、Embase。根据PRISMA声明，仅纳入通过WHODAS2.0评估老年人群（年龄>60岁）残疾情况的文章。
37篇论文符合纳入标准，报告了125624例使用不同版本WHODAS2.0评估残疾情况的老年人（15项研究使用36项版本；15篇论文使用12项版本；3篇文章同时使用两个版本；4项研究数据不可用）。确定了四个不同的目标：12项研究使用WHODAS 2.0评估残疾患病率，25项研究探讨残疾与环境或医疗状况之间的关联；9项研究验证WHODAS，2项研究验证治疗对功能的效果。WHODAS2.0是评估老年人残疾情况的有效指标，能够确定残疾与医疗和环境因素之间的关系。遗憾的是，只有少数国家在社会和卫生政策背景下采用“生物 - 心理 - 社会”方法。因此，建议在各项立法中采用康复视角。这些结果可作为未来几年监测WHODAS2.0应用情况的基线数据。
