ID
31684
Beskrivning
INFLAMMATORY ARTHRITIS DATA COLLECTION Version 1.0.0 Revised: April 27 th, 2018 www.ichom.org Conditions: Rheumatoid Arthritis | Psoriatic Arthritis | Ankylosing Spondylitis | Juvenile Idiopathic Arthritis This ODM-file contains Patient-reported Variables to be administered at baseline visit and annually. Please timestamp all variables. Some Standard Set variables are collected at multiple timepoints, and we will ask you to submit these variables in a concatenated VARIABLEID_TIMESTAMP form for future analyses. TEST StudyFor example, VARIABLEID_BASE (baseline); VARIABLEID_6MO (6 month follow-up); VARIABLEID_1YR (1 year follow-up), etc. The following scores are the ones that are integrated into the standard set. There are alternatives for each category: see questionnaire or data collection guide. PAIN: - Numerical Rating Scale (Adult/Paediatric) FATIGUE - Numerical rating Scale (Adult/Paediatric) ACTIVITY LIMITATION: - HAQ-II* (Adult): copyright FORWARD-The National Data Bank for Rheumatic Diseases, arthritis-research.org ; http://bit.ly/HAQIIIA ; Wolfe F, Michaud K, Pincus T. Development and validation of the health assessment questionnaire II: a revised version of the health assessment questionnaire. Arthritis & Rheumatism. 2004;50(10):3296-305. OVERALL EMOTIONAL AND PHYSICAL HEALTH IMPACT - Numerical rating scale (Adult/Paediatric) WORK/SCHOOL/HOUSEWORK ABILITY AND PRODUCTIVITY: - WPAI (Adult): reillyassociates.net/WPAI_General.html, they ask to inform them about publication or presentation of WPAI-data ICHOM was supported by Santeon, Arthritis Research UK, TiH Transparency in Healthcare, Maasstad Ziekenhuis, Karolinska Universitetssjukhuset, Sheba Academic Medical Center Hospital
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Nyckelord
Versioner (2)
- 2018-09-21 2018-09-21 - Sarah Riepenhausen
- 2020-04-30 2020-04-30 - Sarah Riepenhausen
Rättsinnehavare
ICHOM
Uppladdad den
21 september 2018
DOI
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ICHOM Inflammatory Arthritis
Patient-reported Form
- StudyEvent: ODM
Beskrivning
Patient-Reported Health and Wellbeing
Alias
- UMLS CUI-1
- C2987124
- UMLS CUI-2
- C0018759
- UMLS CUI-3
- C2939150
Beskrivning
Choose one from: Numerical Rating Scale Visual Analogue Scale SF-36 Bodily Pain PROMIS Pain Interference PedsQL Pain and Hurt INCLUSION CRITERIA: All patients TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0030193
- UMLS CUI [1,2]
- C4277735
Beskrivning
0 = None 10 = Extreme INCLUSION CRITERIA: If "1 = NRS" to PROMCHOICE_PAIN TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Numerical
Datatyp
integer
Alias
- UMLS CUI [1]
- C1518471
Beskrivning
Choose one from: Numerical Rating Scale Visual Analogue Scale FACIT-F BRAF PROMIS Fatigue PedsQL4.0 Fatigue Total Score INCLUSION CRITERIA: All patients TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0015672
- UMLS CUI [1,2]
- C4277735
Beskrivning
0 = No fatigue 10 = Totally exhausted INCLUSION CRITERIA: If "1 = NRS" to PROMCHOICE_FAT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Numerical
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4050142
- UMLS CUI [1,2]
- C0015672
Beskrivning
Choose one from: HAQ-II HAQ-DI MHAQ MD-HAQ PROMIS Physical Function BASFI C-HAQ JAMAR INCLUSION CRITERIA: All patients TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0026606
- UMLS CUI [1,2]
- C4277735
Beskrivning
INCLUSION CRITERIA: If "1 = HAQ-II" to PROMCHOICE_ACT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2697568
- UMLS CUI [1,2]
- C4329245
Beskrivning
INCLUSION CRITERIA: If "1 = HAQ-II" to PROMCHOICE_ACT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2697568
- UMLS CUI [1,2]
- C4055526
Beskrivning
INCLUSION CRITERIA: If "1 = HAQ-II" to PROMCHOICE_ACT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2697568
- UMLS CUI [1,2]
- C0578228
Beskrivning
INCLUSION CRITERIA: If "1 = HAQ-II" to PROMCHOICE_ACT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2697568
- UMLS CUI [1,2]
- C4329244
Beskrivning
INCLUSION CRITERIA: If "1 = HAQ-II" to PROMCHOICE_ACT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2697568
- UMLS CUI [1,2]
- C4329242
Beskrivning
INCLUSION CRITERIA: If "1 = HAQ-II" to PROMCHOICE_ACT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2697568
- UMLS CUI [1,2]
- C3869579
Beskrivning
INCLUSION CRITERIA: If "1 = HAQ-II" to PROMCHOICE_ACT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2697568
- UMLS CUI [1,2]
- C3869578
Beskrivning
INCLUSION CRITERIA: If "1 = HAQ-II" to PROMCHOICE_ACT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2697568
- UMLS CUI [1,2]
- C3869577
Beskrivning
INCLUSION CRITERIA: If "1 = HAQ-II" to PROMCHOICE_ACT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2697568
- UMLS CUI [1,2]
- C3869576
Beskrivning
INCLUSION CRITERIA: If "1 = HAQ-II" to PROMCHOICE_ACT TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C2697568
- UMLS CUI [1,2]
- C3869575
Beskrivning
Choose one from: Numerical Rating Scale (Patient Global Assessment) Visual Analogue Scale (Patient Global Assessment) PROMIS Global Health EQ-5D-5L SF-6D Raid Psaid PedsQL3.0 PedsQL4.0 PROMIS Global Health Paediatric EQ-5D-Y INCLUSION CRITERIA: All patients TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4277735
- UMLS CUI [1,2]
- C3641833
- UMLS CUI [1,3]
- C0517226
Beskrivning
0 = No impact 10 = Extreme impact INCLUSION CRITERIA: If "1 = NRS (Patient Global Assessment)" to PROMCHOICE_OEPHI TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4050142
- UMLS CUI [1,2]
- C3641833
- UMLS CUI [1,3]
- C0517226
Beskrivning
Choose one from: WPAI PedsQL4.0 - School Function INCLUSION CRITERIA: All patients TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4329245
- UMLS CUI [1,2]
- C0563673
- UMLS CUI [1,3]
- C0518076
Beskrivning
INCLUSION CRITERIA: If "1 = WPAI" to PROMCHOICE_WSHAP TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4053845
- UMLS CUI [1,2]
- C0242271
Beskrivning
INCLUSION CRITERIA: If "1 = Yes" to WPAI_GH_Q01 TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Numerical value
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4053845
- UMLS CUI [1,2]
- C4054768
Beskrivning
INCLUSION CRITERIA: If "1 = Yes" to WPAI_GH_Q01 TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Numerical value
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4053845
- UMLS CUI [1,2]
- C4054769
Beskrivning
INCLUSION CRITERIA: If "1 = Yes" to WPAI_GH_Q01 TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Numerical value
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4053845
- UMLS CUI [1,2]
- C4054767
Beskrivning
Scale: 0 = Health problems had no effect on my work 10 = Health problems completely prevented me from working INCLUSION CRITERIA: If ">0" to WPAI_GH_Q04 TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Numerical value
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4053845
- UMLS CUI [1,2]
- C4054828
Beskrivning
Scale: 0 = Health problems had no effect on my daily activities 10 = Health problems completely prevented me from doing my daily activities INCLUSION CRITERIA: If "1 = WPAI" to PROMCHOICE_WSHAP TIMING: Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Numerical value
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4053845
- UMLS CUI [1,2]
- C4054829
Similar models
Patient-reported Form
- StudyEvent: ODM
C1442488 (UMLS CUI [1,2])
C0018759 (UMLS CUI-2)
C2939150 (UMLS CUI-3)
C4277735 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C3890602 (UMLS CUI-2)
Alternative code: C3828407 RAND-36 Bodily Pain (Comment:en)
(Comment:en)
C0030193 (UMLS CUI-2)
(Comment:en)
C4277735 (UMLS CUI [1,2])
C0015672 (UMLS CUI-2)
(Comment:en)
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C0015672 (UMLS CUI-2)
C0681889 (UMLS CUI-3)
(Comment:en)
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C0015672 (UMLS CUI [1,2])
C4277735 (UMLS CUI [1,2])
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C2347299 (UMLS CUI-2)
(Comment:en)
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C0450973 (UMLS CUI-2)
C2347299 (UMLS CUI-3)
(Comment:en)
C4329245 (UMLS CUI [1,2])
(Comment:en)
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(Comment:en)
(Comment:en)
C4055526 (UMLS CUI [1,2])
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C0578228 (UMLS CUI [1,2])
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C4329244 (UMLS CUI [1,2])
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C4329242 (UMLS CUI [1,2])
(Comment:en)
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C3869579 (UMLS CUI [1,2])
(Comment:en)
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C3869578 (UMLS CUI [1,2])
(Comment:en)
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C3869577 (UMLS CUI [1,2])
(Comment:en)
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C3869576 (UMLS CUI [1,2])
(Comment:en)
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(Comment:en)
C3869575 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
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C3641833 (UMLS CUI [1,2])
C0517226 (UMLS CUI [1,3])
C4050142 (UMLS CUI-2)
(Comment:en)
C3536884 (UMLS CUI-2)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C4049986 (UMLS CUI-2)
C0034394 (UMLS CUI-3)
(Comment:en)
C4049986 (UMLS CUI-2)
C0034394 (UMLS CUI-3)
(Comment:en)
(Comment:en)
(Comment:en)
C0030755 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C3641833 (UMLS CUI [1,2])
C0517226 (UMLS CUI [1,3])
C0563673 (UMLS CUI [1,2])
C0518076 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
C0242271 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C4054768 (UMLS CUI [1,2])
C4054769 (UMLS CUI [1,2])
C4054767 (UMLS CUI [1,2])
C4054828 (UMLS CUI [1,2])
C4054829 (UMLS CUI [1,2])