Information:
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ID
19890
Description
The purpose of this study is to determine the safety and efficacy of natalizumab in the treatment of individuals who have been diagnosed with relapsing remitting multiple sclerosis (MS). It is hoped that natalizumab will prevent certain types of white blood cells from moving out of the bloodstream into organs, including the brain, that are being damaged by autoimmune disease (a disease in which the body's own immune system attacks certain organs). These white blood cells are thought to cause inflammation that can result in lesions (small areas of damage) in the brain. These lesions are thought to be the cause of relapses and disability in MS. Documentation process: This form ist to be obtained in week 24, week 52, week 104, week, 120, week, 128 and Premature Study Withdrawl.
Keywords
Versions (1)
- 1/30/17 1/30/17 -
Uploaded on
January 30, 2017
DOI
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License
Creative Commons BY-NC 3.0
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Perseived deficits questionnaire CRFs Multiple Sklerosis Tysabri NCT00027300
Perseived deficits questionnaire CRFs Multiple Sklerosis Tysabri NCT00027300
Similar models
Perseived deficits questionnaire CRFs Multiple Sklerosis Tysabri NCT00027300
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Perceived deficits questionnaire
C0034394 (UMLS CUI-1)
C0030971 (UMLS CUI-2)
C2987487 (UMLS CUI-3)
C0030971 (UMLS CUI-2)
C2987487 (UMLS CUI-3)
Item
During the past 4 weeks, how often did you lose your train of thought when speaking?
integer
C0086045 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you lose your train of thought when speaking?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have difficulty remembering the names of people, even the ones you have met several times?
integer
C0561788 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have difficulty remembering the names of people, even the ones you have met several times?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget whar you came into the room for?
integer
C0025260 (UMLS CUI [1,1])
C0162425 (UMLS CUI [1,2])
C0162425 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you forget whar you came into the room for?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble getting things organized?
integer
C1300196 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have trouble getting things organized?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble concentrating on what people are saying during a conversation?
integer
C0004268 (UMLS CUI [1,1])
C0871703 (UMLS CUI [1,2])
C0871703 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you have trouble concentrating on what people are saying during a conversation?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget if you had already done something?
integer
C0025260 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you forget if you had already done something?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you miss appointments and meetings you had schedule?
integer
C0003630 (UMLS CUI [1,1])
C0025260 (UMLS CUI [1,2])
C0025260 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you miss appointments and meetings you had schedule?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have difficulty planning what to do in the day?
integer
C0032074 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have difficulty planning what to do in the day?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble concentrating on things like watching a television program or reading a book?
integer
C0086045 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have trouble concentrating on things like watching a television program or reading a book?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget what you did the night before?
integer
C0025260 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you forget what you did the night before?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget the date unless you looked it up?
integer
C0025260 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you forget the date unless you looked it up?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble getting started, even if you had a lot of things to do?
integer
C1845247 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have trouble getting started, even if you had a lot of things to do?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you find your mind drifting?
integer
C0086045 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you find your mind drifting?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget what you talked about after a telephone conversation?
integer
C0025260 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you forget what you talked about after a telephone conversation?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget to do things like turn off the stove or turn on your alarm clock?
integer
C0025260 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you forget to do things like turn off the stove or turn on your alarm clock?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you feel like your mind went totally blank?
integer
C0678957 (UMLS CUI [1,1])
C1880497 (UMLS CUI [1,2])
C1880497 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you feel like your mind went totally blank?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble holding phone numbers in your head, even for a few seconds?
integer
C0025265 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have trouble holding phone numbers in your head, even for a few seconds?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget what you did last weekend?
integer
C0025260 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you forget what you did last weekend?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you forget to take your medication?
integer
C0598853 (UMLS CUI [1,1])
C0013227 (UMLS CUI [1,2])
C0013227 (UMLS CUI [1,2])
Code List
During the past 4 weeks, how often did you forget to take your medication?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
Item
During the past 4 weeks, how often did you have trouble making decisions?
integer
C0423908 (UMLS CUI [1])
Code List
During the past 4 weeks, how often did you have trouble making decisions?
CL Item
Never (0)
CL Item
Rarely (1)
CL Item
Sometimes (2)
CL Item
Often (3)
CL Item
Almost always (4)
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