ID
33137
Beskrivning
ADVANCED PROSTATE CANCER DATA COLLECTION Version 2.3.1 Revised: April 10th, 2017 International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ Conditions: All patients with advanced prostate cancer, either having metastatic disease or biochemical recurrence progressing after salvage treatment or ineligible for salvage treatment. Patients with biochemical recurrence treated with salvage therapy are referred to the localized prostate cancer set. Treatment Approaches: Hormonal Therapy | Chemotherapy | Immunotherapy | Radiopharmaceuticals | Radiation | Interventions for Complications of Local Progression This form contains patient-reported outcome variables. To be assessed 6 months and 1 year post (initial) treatment and annually for life from then on. Questionnaires used in this form: Expanded Prostate Cancer Index Composite (EPIC-26): The EPIC-26 is free for all health care organizations, and a license is not needed. The scoring guide may be found at http://www.med.umich.edu/urology/research/EPIC/EPIC-26-Scoring-1.2007.pdf ; Wei J, Dunn R, Litwin M, Sandler H, and Sanda M. "Development and Validation of the Expanded Prostate Cancer Index Composite (EPIC) for Comprehensive Assessment of Health-Related Quality of Life in Men with Prostate Cancer", Urology. 56: 899-905, 2000. For registries choosing to implement the EPIC‐CP rather than the EPIC‐26, we recommend using the same variable IDs as the corresponding EPIC‐26 questions. This means that only questions 2, 3, 4a, 4b, 4d, 4e, 5, 6e, 6b, 7, 8b, 9, 12, 13a, 13c, and 13d of the EPIC-26 are administered. Utilization of Sexual Medications/Devices: The Utilization of Sexual Medications/Devices is free for all health care organizations, and a license is not needed (according to ICHOM). Refer to http://dx.doi.org/10.1016/j.urology.2006.01.077 for more information European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): For use of the EORTC QLQ-C30 a license is needed, therefore the questions will not be part of this version of the standard set. (eortc.be) The following paper has been published about development of this standard set: Morgans AK, van Bommel ACM, Stowell C, Abrahm JL, Basch E, Bekelman JE, et al. Development of a Standardized Set of Patient-centered Outcomes for Advanced Prostate Cancer: An International Effort for a Unified Approach. Eur Urol. 2015 Nov;68(5):891–8. For the standard set ICHOM has been supported by the Movember Foundation.
Länk
Nyckelord
Versioner (2)
- 2018-11-29 2018-11-29 - Sarah Riepenhausen
- 2020-04-30 2020-04-30 - Sarah Riepenhausen
Rättsinnehavare
ICHOM
Uppladdad den
29 november 2018
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC 3.0
Modellkommentarer :
Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.
Itemgroup-kommentar för :
Item-kommentar för :
Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.
ICHOM Advanced Prostate Cancer
Follow-Up Patient-reported Form
- StudyEvent: ODM
Beskrivning
Degree of health
Alias
- UMLS CUI-1
- C0018759
Beskrivning
Over the counter pain medicine is for example paracetamol, NSAIDS INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C1298908
Beskrivning
Over the counter pain medicine is for example paracetamol, NSAIDS INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C2709201
- UMLS CUI [2,1]
- C0002771
- UMLS CUI [2,2]
- C0013231
Beskrivning
Over the counter pain medicine is for example paracetamol, NSAIDS INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Multiple answer
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0002771
- UMLS CUI [1,2]
- C0304227
- UMLS CUI [2]
- C0027409
- UMLS CUI [3]
- C0002772
Beskrivning
As a license is needed for use of this questionnaire, the 30 actual questions are not included in this version of the standard set. ICHOM IDs are EORTCQLQC30_Q01 up to EORTCQLQC30_Q30. INCLUSION CRITERIA: All patients TIMING: Baseline, 30 days + annually up to 5 years after index event REPORTING SOURCE: Patient-reported TYPE: Numerical (each question is single answer in original set)
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C4055104
- UMLS CUI [1,2]
- C2964552
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289637
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289645
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289630
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289641
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289629
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289644
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289625
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289626
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289631
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289627
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289636
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289634
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4287870
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289649
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289633
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289647
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289646
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289628
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289639
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289648
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289632
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289638
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289643
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289640
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289635
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4289642
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C3899191
Beskrivning
INCLUSION CRITERIA: All patients TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C3827672
Beskrivning
INCLUSION CRITERIA: All patients, If answered 'yes' to using medications or devices to aid or improve erections (LIBID_Q02) TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C0663448
Beskrivning
INCLUSION CRITERIA: All patients, If answered 'yes' to using medications or devices to aid or improve erections (LIBID_Q02) TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C2366566
Beskrivning
INCLUSION CRITERIA: All patients, If answered 'yes' to using medications or devices to aid or improve erections (LIBID_Q02) TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C3828613
Beskrivning
INCLUSION CRITERIA: All patients, If answered 'yes' to using medications or devices to aid or improve erections (LIBID_Q02) TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C3827672
Beskrivning
INCLUSION CRITERIA: All patients, If answered 'yes' to using medications or devices to aid or improve erections (LIBID_Q02) TIMING: Baseline, 3 months post initiation of treatment, 6 months post initiation of treatment, 1 year post initiation of treatment, Tracked ongoing annually for life REPORTING SOURCE: Patient-reported TYPE: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C1115771
Similar models
Follow-Up Patient-reported Form
- StudyEvent: ODM
C1442488 (UMLS CUI [1,2])
C1298908 (UMLS CUI [1,2])
C2709201 (UMLS CUI [1,2])
C0002771 (UMLS CUI [2,1])
C0013231 (UMLS CUI [2,2])
C0304227 (UMLS CUI [1,2])
C0027409 (UMLS CUI [2])
C0002772 (UMLS CUI [3])
C2964552 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
C0558293 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C2003901 (UMLS CUI-2)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0549184 (UMLS CUI-2)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0549184 (UMLS CUI-2)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
C0442811 (UMLS CUI-2)
(Comment:en)
C0700321 (UMLS CUI-2)
(Comment:en)
C0205081 (UMLS CUI-2)
(Comment:en)
C1298908 (UMLS CUI-2)
(Comment:en)
C0549177 (UMLS CUI-2)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)