0 Bedömningar
ID

31456

Beskrivning

LOW BACK PAIN DATA COLLECTION Version 2.0.3 Revised August 24th, 2017 www.ichom.org ICHOM received an endorsement of Arthritis Research UK for the development of this standard set. Conditions: Lumbar Disc Herniation | Lumbar Stenosis | Lumbar Spondylolisthesis | Degenerative Scoliosis | Adult Idiopathic Scoliosis | Degenerative Disc Disorder | Other Degenerative Lumbar Disorders | Mechanical, Acute, and Chronic Lumbar Back Pain and Back-Related Leg Pain Conditions Not Covered: Individuals < 18 Years of Age | Spinal Infection | Spinal Tumor | Spinal Fractures | Traumatic Dislocation | Congenital Scoliosis Documented as >20 Degrees, Moderate, Large, or Severe Treatment Approaches: Conservative Therapy (e.g. physical therapy, chiropractic, drug therapy, injections, etc.) | Surgical Therapy (e.g. spinal fusion, decompression, or discectomy) This ODM-file contains a clinical follow-up form to document disease recurrence, to be reported when occurs. Use of the following Scores: ODI - Oswestry Disability Index Version 2.1a: The ODI is free for all health care organizations, but a license is needed for use (therefore not included in this version of the standard set). Please visit eprovide: https://eprovide.mapi-trust.org/ NPRS - Numerical Pain Rating Scale: The NPRS is free for all health care organizations, and a license is not needed. EQ-5D-3L - EuroQol‐5D descriptive system (EQ-­5D‐3L) and visual analogue scale (EQ-­VAS): The EQ-5D-3L is free for non-profits and academic research, but a license is needed for use (therefore not included in this version of the standard set). https://euroqol.org/support/how-to-obtain-eq-5d/

Länk

www.ichom.org

Nyckelord

Versioner (3)
  1. 2018-08-23 2018-08-23 - Sarah Riepenhausen
  2. 2018-08-31 2018-08-31 - Sarah Riepenhausen
  3. 2020-04-30 2020-04-30 - Sarah Riepenhausen
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ICHOM

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23 augusti 2018

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Creative Commons BY-NC 3.0
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    ICHOM Low Back Pain

    Engelsk

    Clinical Follow-up Form (Disease recurrence)

    1 Formulär  
    Patient ID
    Beskrivning

    Patient ID

    Alias
    UMLS CUI-1
    C1269815 (Patient identification)
    SNOMED
    372039005
    Indicate the patient's medical record number.
    Beskrivning

    This number will not be shared with ICHOM. In the case patient-level data is submitted to ICHOM for benchmarking or research purposes, a separate ICHOM Patient Identifier will be created and cross-linking between the ICHOM Patient Identifier and the medical record number will only be known at the treating institution. INCLUSION CRITERIA: All patients TIMING: On all forms REPORTING SOURCE: Administrative or clinical RESPONSE OPTIONS: According to institution

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C1269815 (Patient identification)
    SNOMED
    372039005
    Acute Complications of Treatment
    Beskrivning

    Acute Complications of Treatment

    Alias
    UMLS CUI-1
    C0087111 (Therapeutic procedure)
    SNOMED
    277132007
    LOINC
    LP21090-3
    UMLS CUI-2
    C0009566 (Complication)
    SNOMED
    116223007
    Indicate if the current surgery is a reoperation at the same level because the prior surgery at the same level did not reach its technical or clinical goals
    Beskrivning

    INCLUSION CRITERIA: Surgically treated patients TIMING: when occurs REPORTING SOURCE: Clinical TYPE: Single Answer

    Datatyp

    integer

    Alias
    UMLS CUI [1,1]
    C0558347 (Surgical revision)
    SNOMED
    118635009
    LOINC
    LP263813-0
    UMLS CUI [1,2]
    C0741419 (Back surgery)
    UMLS CUI [1,3]
    C0037949 (Vertebral column)
    SNOMED
    421060004
    LOINC
    LP7596-2
    UMLS CUI [1,4]
    C2946261 (undefined)
    UMLS CUI [1,5]
    C0445247 (Same)
    SNOMED
    262126009
    LOINC
    LA11009-0
    Indicate the type of reoperation
    Beskrivning

    Hardware removal: removal of implants (For example, screws, rods) Non-union: failure of bony consolidation of bridge/union at minimum 12 months after surgery Neuro-compression: compression of neural structures with or without neurological deficits (select recurrent disc herniation or other neuro- compression) Post-op infection: superficial or deep (subfascial) wound/tissue infection after surgery Implant malposition: incorrect position of the implant Implant failure: problem due to an implant (For example, loosening, breakage) Wrong level: procedure mistakenly performed at wrong vertebral level Sagittal imbalance: sagittal malalignment of the spine (select lumbar flatback deformity or junctional kyphosis) Cerebrospinal fluid leakage: includes CSF fistula, seudomeningocele, etc. Epidural hematoma: collection of blood adjacent to dura, potentially creating compression INCLUSION CRITERIA: Surgically treated patients, If answered 'yes' to having a reoperation (REOP) TIMING: when occurs REPORTING SOURCE: clinical TYPE: Single Answer

    Datatyp

    integer

    Alias
    UMLS CUI [1,1]
    C0558347 (Surgical revision)
    SNOMED
    118635009
    LOINC
    LP263813-0
    UMLS CUI [1,2]
    C0741419 (Back surgery)
    UMLS CUI [1,3]
    C0332307 (Type - attribute)
    SNOMED
    261664005
    Tillbaka till toppen

    Similar models

    Clinical Follow-up Form (Disease recurrence)

    1 Formulär
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    Alias
    Item Group
    Patient ID
    C1269815 (UMLS CUI-1)
    Patient ID
    Item
    Indicate the patient's medical record number.
    integer
    C1269815 (UMLS CUI [1])
    Item Group
    Acute Complications of Treatment
    C0087111 (UMLS CUI-1)
    C0009566 (UMLS CUI-2)
    Item
    Indicate if the current surgery is a reoperation at the same level because the prior surgery at the same level did not reach its technical or clinical goals
    integer
    C0558347 (UMLS CUI [1,1])
    C0741419 (UMLS CUI [1,2])
    C0037949 (UMLS CUI [1,3])
    C2946261 (UMLS CUI [1,4])
    C0445247 (UMLS CUI [1,5])
    Current procedure a reoperation at same level?
    Code List
    Indicate if the current surgery is a reoperation at the same level because the prior surgery at the same level did not reach its technical or clinical goals
    CL Item
    No (0)
    C1298908 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Yes (1)
    C1705108 (UMLS CUI-1)
    (Comment:en)
    Item
    Indicate the type of reoperation
    integer
    C0558347 (UMLS CUI [1,1])
    C0741419 (UMLS CUI [1,2])
    C0332307 (UMLS CUI [1,3])
    Type of reoperation (if applicable)
    Code List
    Indicate the type of reoperation
    CL Item
    Hardware removal (1)
    C1096445 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Non-union (2)
    C0037935 (UMLS CUI-1)
    C1272705 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Neuro-compression (3)
    C0576717 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Post-op infection (4)
    C0038941 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Implant malposition (5)
    C0333042 (UMLS CUI-1)
    C0021102 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Implant failure (6)
    C0854676 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Wrong level (7)
    C2224801 (UMLS CUI-1)
    C3845811 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Sagittal imbalance (8)
    C1397014 (UMLS CUI-1)
    C0205129 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Cerebrospinal fluid leakage (9)
    C0023182 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Epidural hematoma (10)
    C0877172 (UMLS CUI-1)
    (Comment:en)
    Tillbaka till toppen 

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