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Sora A, Pyati S, Kuo M, Schroeder R, Barbeito A, Corcoran C, Raghunathan K. Preoperative Disability in US Veterans. Anesthesia and analgesia. 2020 Nov 1; 131(5):e209-e212.
Using the 12-item World Health Organization Disability Assessment Schedule (WHODAS-12), we measured the prevalence of disability in all eligible patients during a 4-month period who were presenting for preoperative evaluation at a US Veterans Affairs hospital. Overall disability was at least moderate in more than half of these patients (total n = 472 at Durham, NC). Two of the 6 WHODAS domains, "Getting Around" and "Participation in Society," contributed most to the overall scores-25% and 20%, respectively. Further studies are needed to determine the impact of domain-specific disabilities on postoperative outcomes and to identify potential interventions to address these vulnerabilities.