ID
36482
Description
Type 1 and Type 2 Diabetes in Adults DATA COLLECTION Version 1.0.0 Revised February 28th, 2019 www.ichom.org International Consortium for Health Outcomes Measurement Conditions: Type 1 Diabetes | Type 2 Diabetes Excluded Conditions: Diabetes mellitus types other than 1 and 2 | Secondary Diabetes | Gestational Diabetes Population: Adults Aged 18 years and Above Excluded Populations: Children and Young persons below 18 years Treatment Approaches: Non-Pharmacological Therapy | Non-Insulin-based Pharmacological Therapy | Insulin-based Pharmacological Therapy This form is for documentation of characteristics to be reported every 6 months after baseline by Clinicians or Healthcare Providers. Use of the following Scores for this standard set: WHO (Five) Well-Being Index (WHO-5): The WHO-5 is free for all health care organizations, and a license is not needed. There are translations available. The total raw score, ranging from 0 to 25, is multiplied by 4 to give the final score, with 0 representing the worst imaginable well-being and 100 representing the best imaginable well-being. More information (including the WHO-5 Scoring Guide) may be found at www.who-5.org. Problem Areas in Diabetes Questionnaire (PAID): The PAID, authored by Joslin Diabetes Center (http://www.joslin.org), is the copyright of Joslin Diabetes Center (Copyright ©2000, Joslin Diabetes Center). The PAID, provided under license from Joslin Diabetes Center may not be copied, distributed or used in any way without the prior written consent of Joslin Diabetes Center. Contact Susan D. Sjostrom at Joslin Diabetes Center at: susan.sjostrom@joslin.harvard.edu for licensing details and scoring guide. Patient Health Questionnaire (PHQ-9): Copyright by Pfizer: "content found on the PHQ Screeners site is free for download and use as stated within the PHQ Screeners site", please visit http://www.phqscreeners.com/ for more information. For this standard set ICHOM was supported by Imperial College London Diabetes Centre and JDRF.
Lien
Mots-clés
Versions (2)
- 17/05/2019 17/05/2019 - Sarah Riepenhausen
- 30/04/2020 30/04/2020 - Sarah Riepenhausen
Détendeur de droits
ICHOM
Téléchargé le
17 mai 2019
DOI
Pour une demande vous connecter.
Licence
Creative Commons BY-NC 3.0
Modèle Commentaires :
Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.
Groupe Item commentaires pour :
Item commentaires pour :
Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.
ICHOM Type 1 and Type 2 Diabetes in Adults
6-monthly Characteristics, Clinical/Provider Form
- StudyEvent: ODM
Description
Clinician Reported Outcomes: Glycemic Control
Alias
- UMLS CUI-1
- C0184788
- UMLS CUI-2
- C0205210
- UMLS CUI-3
- C0700287
- UMLS CUI-4
- C3267174
Description
INCLUSION CRITERIA: All patients TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider TYPE: Numerical RESPONSE OPTIONS: Numerical value of HbA1c
Type de données
float
Alias
- UMLS CUI [1,1]
- C0019018
- UMLS CUI [1,2]
- C3267174
Description
INCLUSION CRITERIA: All patients TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider TYPE: Single Answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0019018
- UMLS CUI [1,2]
- C1519795
- UMLS CUI [1,3]
- C3267174
Description
INCLUSION CRITERIA: Only persons with diabetes on continuous glucose monitoring TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Numerical RESPONSE OPTIONS: Numerical value of time in range
Type de données
float
Unités de mesure
- %
Alias
- UMLS CUI [1,1]
- C3267174
- UMLS CUI [1,2]
- C0040223
- UMLS CUI [1,3]
- C0086715
Description
Clinician Reported Outcomes: Acute Events
Alias
- UMLS CUI-1
- C0184788
- UMLS CUI-2
- C0205210
- UMLS CUI-3
- C0700287
- UMLS CUI-4
- C0877248
Description
Diabetic ketoacidosis includes euglycemic and hyperglycemic ketoacidosis. INCLUSION CRITERIA: All patients TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider TYPE: Single answer
Type de données
integer
Alias
- UMLS CUI [1]
- C0220982
- UMLS CUI [2]
- C3888846
Description
Level 3 hypoglycemia is defined as a hypoglycemic event needing assistance INCLUSION CRITERIA: All patients TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0020615
- UMLS CUI [1,2]
- C4330815
- UMLS CUI [1,3]
- C0449788
Description
Level 2 hypoglycemia is defined as a measurable glucose concentration <54 mg/dL (3.0 mmol/L) that needs immediate action INCLUSION CRITERIA: All patients TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Numerical
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C0020615
- UMLS CUI [1,3]
- C3846732
Description
Level 2 hypoglycemia is defined as a measurable glucose concentration <54 mg/dL (3.0 mmol/L) that needs immediate action INCLUSION CRITERIA: If responded 1 or more to "In the past 6 months, how many episodes of level 2 hypoglycemia (Blood glucose below 54 mg/dl (3.0 mmol/L)) did the person with diabetes experience?" TIMING: Baseline, Every 6 months REPORTING SOURCE: Clinician /Healthcare provider or Patient TYPE: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0020615
- UMLS CUI [1,2]
- C3846732
- UMLS CUI [1,3]
- C0342317
Similar models
6-monthly Characteristics, Clinical/Provider Form
- StudyEvent: ODM
C1442488 (UMLS CUI [1,2])
C0205210 (UMLS CUI-2)
C0700287 (UMLS CUI-3)
C3267174 (UMLS CUI-4)
C3267174 (UMLS CUI [1,2])
C1519795 (UMLS CUI [1,2])
C3267174 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
C0040223 (UMLS CUI [1,2])
C0086715 (UMLS CUI [1,3])
C0205210 (UMLS CUI-2)
C0700287 (UMLS CUI-3)
C0877248 (UMLS CUI-4)
C3888846 (UMLS CUI [2])
(Comment:en)
(Comment:en)
C3888846 (UMLS CUI-2)
(Comment:en)
(Comment:en)
(Comment:en)
C4330815 (UMLS CUI [1,2])
C0449788 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
(Comment:en)
C1948050 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0020615 (UMLS CUI [1,2])
C3846732 (UMLS CUI [1,3])
C3846732 (UMLS CUI [1,2])
C0342317 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
(Comment:en)