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ID

31517

Description

LOW BACK PAIN DATA COLLECTION Version 2.0.3 Revised August 24th, 2017 www.ichom.org 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 an Adminstrative Form, to be reported within 30 days after index hospitalization. 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/ Publication: R Carter Clement, Adina Welander, Caleb Stowell, Thomas D Cha, John L Chen, Michelle Davies, Jeremy C Fairbank, Kevin T Foley, Martin Gehrchen, Olle Hagg, Wilco C Jacobs, Richard Kahler, Safdar N Khan, Isador H Lieberman, Beth Morisson, Donna D Ohnmeiss, Wilco C Peul, Neal H Shonnard, Matthew W Smuck, Tore K Solberg, Bjorn H Stromqvist, Miranda L Van Hooff, Ajay D Wasan, Paul C Willems, William Yeo & Peter FRitzell (2015) A proposed set of metrics for standardized outcome reporting in the management of low back pain, Acta Orthopaedica, 86:5, 523-533 ICHOM received an endorsement of Arthritis Research UK for the development of this standard set.

Link

www.ichom.org

Keywords

Versions (3)
  1. 8/23/18 8/23/18 - Sarah Riepenhausen
  2. 8/31/18 8/31/18 - Sarah Riepenhausen
  3. 4/30/20 4/30/20 - Sarah Riepenhausen
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ICHOM

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August 31, 2018

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Creative Commons BY-NC 3.0
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    ICHOM Low Back Pain

    English

    Administrative Form (30 days after index hospitalization)

    1 forms  
    Patient ID
    Description

    Patient ID

    Alias
    UMLS CUI-1
    C1269815
    Indicate the patient's medical record number.
    Description

    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

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1269815
    Acute Complications of Treatment
    Description

    Acute Complications of Treatment

    Alias
    UMLS CUI-1
    C0087111
    UMLS CUI-2
    C0009566
    Indicate if patient died within 30 days following procedure (all-cause mortality)
    Description

    INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Single Answer

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0011065
    UMLS CUI [1,2]
    C3887296
    Indicate date of death
    Description

    INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Date by DD/MM/YYYY

    Data type

    date

    Measurement units
    • DD/MM/YYYY
    Alias
    UMLS CUI [1,1]
    C1148348
    UMLS CUI [1,2]
    C3887296
    DD/MM/YYYY
    Indicate if the patient was admitted to an acute care facility as an inpatient within 30 days from the date of index intervention for ANY reason
    Description

    INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Single Answer

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0679878
    UMLS CUI [1,2]
    C0030700
    UMLS CUI [1,3]
    C3887296
    Indicate date of rehospitalization(s)
    Description

    Do not include admissions to rehabilitation hospital or nursing home INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Date by DD/MM/YYYY

    Data type

    date

    Measurement units
    • DD/MM/YYYY
    Alias
    UMLS CUI [1,1]
    C0600290
    UMLS CUI [1,2]
    C3887296
    UMLS CUI [1,3]
    C0011008
    DD/MM/YYYY
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    Similar models

    Administrative Form (30 days after index hospitalization)

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    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 patient died within 30 days following procedure (all-cause mortality)
    integer
    C0011065 (UMLS CUI [1,1])
    C3887296 (UMLS CUI [1,2])
    Death within 30 days of procedure
    Code List
    Indicate if patient died within 30 days following procedure (all-cause mortality)
    CL Item
    No (0)
    CL Item
    Yes (1)
    Date of death
    Item
    Indicate date of death
    date
    C1148348 (UMLS CUI [1,1])
    C3887296 (UMLS CUI [1,2])
    Item
    Indicate if the patient was admitted to an acute care facility as an inpatient within 30 days from the date of index intervention for ANY reason
    integer
    C0679878 (UMLS CUI [1,1])
    C0030700 (UMLS CUI [1,2])
    C3887296 (UMLS CUI [1,3])
    Readmission to acute care facility within 30 days
    Code List
    Indicate if the patient was admitted to an acute care facility as an inpatient within 30 days from the date of index intervention for ANY reason
    CL Item
    No (0)
    CL Item
    Yes (1)
    Date of rehospitalization
    Item
    Indicate date of rehospitalization(s)
    date
    C0600290 (UMLS CUI [1,1])
    C3887296 (UMLS CUI [1,2])
    C0011008 (UMLS CUI [1,3])
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