Supportive Care in Cancer

, Volume 27, Issue 2, pp 433–441 | Cite as

Accuracy of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) score as an objective assessment tool for predicting return-to-work status after head and neck cancer in male survivors

  • Yu-Hao Lee
  • Kwang-Hwa Chang
  • Reuben Escorpizo
  • Wen-Chou Chi
  • Chia-Feng Yen
  • Hua-Fang Liao
  • Shih-Wei HuangEmail author
  • Tsan-Hon Liou
Original Article



The objective of this nationwide study in Taiwan was to predict work participation by using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) score as an objective assessment tool.


Data from between July 2012 and July 2017 regarding 1206 male head and neck cancer (HNC) survivors with disability aged < 50 years were obtained from the Taiwan Data Bank of Persons with Disability (TDPD). Demographic data and the WHODAS 2.0 scores were analyzed to compare employment statuses among HNC survivors.


The WHODAS 2.0 scores in all the domains were lower in unemployed than in employed HNC survivors (p < 0.001). The receiver operating characteristic (ROC) curve revealed that the summary WHODAS 2.0 score (area under curve > 0.8) was an extremely accurate predictive tool. Binary logistic regression revealed that the severity levels of impairment and standardized WHODAS 2.0 summary scores less than the cutoff value (27.81) were predictors for the return-to-work (RTW) status of HNC survivors with disability in the working age group.


The WHODAS 2.0 score is an objective quantitative assessment tool for evaluating the RTW possibility among these patient groups.


Head and neck cancer Return-to-work Employment WHODAS 2.0 score ICF 


Compliance with ethical standards

Conflict of interest

No potential conflict of interest was reported by the authors.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Yu-Hao Lee
    • 1
  • Kwang-Hwa Chang
    • 2
    • 3
  • Reuben Escorpizo
    • 4
    • 5
  • Wen-Chou Chi
    • 6
  • Chia-Feng Yen
    • 7
  • Hua-Fang Liao
    • 8
  • Shih-Wei Huang
    • 1
    • 9
    • 10
    Email author
  • Tsan-Hon Liou
    • 1
    • 9
  1. 1.Department of Physical Medicine and Rehabilitation, Shuang Ho HospitalTaipei Medical UniversityNew Taipei CityTaiwan
  2. 2.Graduate Institute of Injury Prevention and ControlTaipei Medical UniversityTaipeiTaiwan
  3. 3.Department of Physical Medicine and Rehabilitation, Wan Fang HospitalTaipei Medical UniversityTaipeiTaiwan
  4. 4.Department of Rehabilitation and Movement Science, College of Nursing and Health SciencesUniversity of VermontBurlingtonUSA
  5. 5.Swiss Paraplegic ResearchNottwilSwitzerland
  6. 6.School of Occupational Therapy, College of MedicineChungshan Medical UniversityTaichungTaiwan
  7. 7.Department of Public HealthTzu Chi UniversityHualienTaiwan
  8. 8.School and Graduate Institute of Physical Therapy, College of MedicineNational Taiwan UniversityTaipeiTaiwan
  9. 9.Department of Physical Medicine and Rehabilitation, School of Medicine, College of MedicineTaipei Medical UniversityTaipeiTaiwan
  10. 10.Graduate Institute of Sports ScienceNational Taiwan Sports UniversityTaoyuanTaiwan

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