ID
36710
Description
ICHOM Hypertension in low- and middle-income countries data collection Version 1.0.0 Revised: November 3rd, 2017 International Consortium for Health Outcomes Measurement (ICHOM), Source: http://www.ichom.org/ The following condition and treatment approaches (or interventions) are covered by our Standard Set. Condition: Hypertension (ICD-10: I10) Treatment Approaches: Pharmacological and Non-Pharmacological Collecting Patient-Reported Outcome Measures: Survey Used: EuroQol-5D-3L (EQ-5D-3L). As a licence is needed for use of EQ-5D-3L questionnaires, the actual questions are not part of this version of the standard set. For licensing information see: https://euroqol.org/support/how-to-obtain-eq-5d/ This document contains the Baseline - Clinical Form. It has to be filled in for patient's entry into study. PROMIS Single Question on erectile Dysfunction. Free for use in clinical practice. As http://www.nihpromis.org/ is the official distribution site for PROMIS questionnaires and translations, only the total score will be included in this version of the standard set. Beliefs about Medication Questionnaire (BMQ)-Specific: Copyrighted, permission to use the scale can be obtained from Professor Rob Horne’s research team. The scoring guide can be found in the original validation article: Horne et al. (1999) The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology & Health, 14:1. Hill-Bone Compliance to High Blood Pressure Therapy Scale - South Africa Version: Permission to use the scale can be obtained from Estelle V. Lambert’s research team, The scoring guide can be found in the original validation article: Lambert, E.V. et al. (2006) Cross-Cultural Validation of the Hill-Bone Compliance To High Blood Pressure Therapy Scale in a South African, Primary Healthcare Setting. Ethnicity and Disease, 16. WHO STEPS Instrument. Free for use in clinical practice and a license is not required. http://www.who.int/chp/steps/instrument/en/ International Physical Activity Questionnaire(IPAQ)-Short Form: Publically available, open access, and no permissions are required to use it. https://sites.google.com/site/theipaq/ Alternative Quality of Life Surveys: PROMIS Global-10 Free for use in clinical practice. As http://www.nihpromis.org/ is the official distribution site for PROMIS questionnaires and translations, only the total score will be included in this version of the standard set. Veteran’s Rand 12-Item Health Survey (VR-12). Free for all health care organizations, license required and can be requested at: http://bit.ly/2ir84sG. As a license is needed, the actual questions are not part of this version of the standard set. 12-Item Short Form Survey (SF-12). As a license is needed for use of SF-12 questionaires, the actual questions are not part of this version of the standard set. For more information see: http://bit.ly/2AcNLrme This Standard set was supported by the Novartis Foundation.
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Versions (2)
- 04/06/2019 04/06/2019 -
- 30/04/2020 30/04/2020 - Sarah Riepenhausen
Détendeur de droits
ICHOM
Téléchargé le
4 juin 2019
DOI
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Creative Commons BY-NC 3.0
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ICHOM Hypertension in low- and middle-income countries
Baseline - Clinical Form
- StudyEvent: ODM
Description
Demographic factors
Description
Inclusion Criteria: All patients Timing: Baseline Reporting Source: Administratively‐reported or clinician-reported Type: Date by DD/MM/YYYY Response Options: DD/MM/YYYY
Type de données
date
Unités de mesure
- DD/MM/YYYY
Alias
- UMLS CUI [1]
- C0001779
- UMLS CUI [2]
- C0421451
Description
Inclusion Criteria: All patients Timing: Baseline Reporting Source: Administratively-reported or clinician-reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1]
- C0079399
Description
Clinical Factors
Description
Inclusion Criteria: All patients Timing: Baseline and annually until positive diagnosis of diabetes Reporting Source: Clinician-reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0011849
- UMLS CUI [2,1]
- C0011849
- UMLS CUI [2,2]
- C1518321
Description
Supporting Definition: Fasting plasma glucose value in mg/dL or mmol/L Inclusion Criteria: Optional Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Numerical Response Options: N/A
Type de données
float
Alias
- UMLS CUI [1]
- C0583513
Description
Inclusion Criteria: If fasting plasma glucose value is provided Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0583513
- UMLS CUI [1,2]
- C1519795
Description
Supporting Definition: Height and weight are used to calculate BMI Inclusion Criteria: All patients Timing: Baseline Reporting Source: Clinician‐reported Type: Numerical Response Options: Numerical value
Type de données
float
Alias
- UMLS CUI [1]
- C0005890
Description
Inclusion Criteria: All patients Timing: Baseline Reporting Source: Clinician‐reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0005890
- UMLS CUI [1,2]
- C1519795
Description
Supporting Definition: Height and weight are used to calculate BMI Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-reported Type: Numerical Response Options: Numerical value
Type de données
float
Alias
- UMLS CUI [1]
- C0005910
Description
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0005910
- UMLS CUI [1,2]
- C1519795
Description
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1]
- C0585943
Description
Inclusion Criteria: If answered 1 to LIPIDLOW Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0585943
- UMLS CUI [1,2]
- C2348235
Description
Inclusion Criteria: Optional Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1]
- C0201976
Description
Supporting Definition: Please provide the most recent value Inclusion Criteria: If responded "yes" to CREADONE Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Numerical, enter "000" if unknown Response Options: Numerical value
Type de données
float
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C1274040
Description
Inclusion Criteria: If value for creatinine is provided Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C1519795
Description
Inclusion Criteria: If value for creatinine is provided Timing: Baseline and annually Reporting Source: Clinician-reported/administratively‐reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C0006751
- UMLS CUI [1,3]
- C3274766
Description
Treatment variables
Alias
- UMLS CUI-1
- C0087111
Description
Supporting Definition: Non‐pharmacological management includes lifestyle interventions, exercise, diet and other non-pharmacological approaches. Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0449445
Description
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0003015
- UMLS CUI [3]
- C0521942
Description
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0001641
Description
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0001645
Description
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0354100
Description
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0012802
Description
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0006684
Description
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0205394
Description
Supporting Definition: Please select all options that apply Inclusion Criteria: If answered '1' to treatment approach (TX) Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Multiple answer
Type de données
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0439673
Description
Survival, disease control and cardiovascular complications
Alias
- UMLS CUI-1
- C1148433
- UMLS CUI-2
- C0012634
- UMLS CUI-3
- C0243148
- UMLS CUI-4
- C0007226
- UMLS CUI-5
- C0009566
Description
Inclusion Criteria: All patients Timing: Minimum annually (included here as it is a factor of disease control (due to the timeline information in the reference guide obtainable from ICHOM.org)) Reporting Source: Clinician‐reported Type: Numerical Response Options: Numerical value
Type de données
integer
Unités de mesure
- mmHg
Alias
- UMLS CUI [1]
- C0871470
Description
Inclusion Criteria: All patients Timing: Minimum annually (included here as it is a factor of disease control (due to the timeline information in the reference guide obtainable from ICHOM.org)) Reporting Source: Clinician‐reported Type: Numerical Response Options: Numerical value
Type de données
integer
Unités de mesure
- mmHg
Alias
- UMLS CUI [1]
- C0428883
Description
Supporting Definition: Renal disease (ICD10: I12 Hypertensive renal disease incl. any condition in N00-‐ N07, N18.-‐, N19 or N26 due to hypertension) (Please ensure that other causes of proteinuria, such as urinary tract infection, have been ruled out) Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1]
- C1561643
- UMLS CUI [2]
- C0033687
Description
Inclusion Criteria: If "yes" to CKD Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0033687
- UMLS CUI [1,2]
- C3887511
Description
Inclusion Criteria: If responded "1" or "2" to PROTEINEVID Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single response
Type de données
integer
Alias
- UMLS CUI [1,1]
- C1274040
- UMLS CUI [1,2]
- C1160927
Description
Inclusion Criteria: If responded "3" to PROTEINEVID Timing: Baseline and annually Reporting Source: Clinician-reported Type: Numerical Response Options: Numerical value
Type de données
float
Alias
- UMLS CUI [1,1]
- C0455271
- UMLS CUI [1,2]
- C2826772
Description
Inclusion Criteria: If ACR value provided Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Type de données
integer
Alias
- UMLS CUI [1,1]
- C0455271
- UMLS CUI [1,2]
- C1519795
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Baseline - Clinical Form
- StudyEvent: ODM
C0421451 (UMLS CUI [2])
(Comment:en)
(Comment:en)
(Comment:en)
C0011849 (UMLS CUI [1,2])
C0011849 (UMLS CUI [2,1])
C1518321 (UMLS CUI [2,2])
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C1519795 (UMLS CUI [1,2])
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C1519795 (UMLS CUI [1,2])
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C1519795 (UMLS CUI [1,2])
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C2348235 (UMLS CUI [1,2])
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C1274040 (UMLS CUI [1,2])
C1519795 (UMLS CUI [1,2])
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C0006751 (UMLS CUI [1,2])
C3274766 (UMLS CUI [1,3])
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C0449445 (UMLS CUI [1,2])
C0013216 (UMLS CUI-2)
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C0596463 (UMLS CUI [1,2])
C0003015 (UMLS CUI [2])
C0521942 (UMLS CUI [3])
C0596463 (UMLS CUI [1,2])
C0001641 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0001645 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0354100 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0012802 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0006684 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0205394 (UMLS CUI [2])
C0596463 (UMLS CUI [1,2])
C0439673 (UMLS CUI [2])
C0012634 (UMLS CUI-2)
C0243148 (UMLS CUI-3)
C0007226 (UMLS CUI-4)
C0009566 (UMLS CUI-5)
C0033687 (UMLS CUI [2])
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(Comment:en)
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C3887511 (UMLS CUI [1,2])
C2911685 (UMLS CUI-2)
C0175674 (UMLS CUI-3)
(Comment:en)
C2911685 (UMLS CUI-2)
C0022885 (UMLS CUI-3)
(Comment:en)
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C1160927 (UMLS CUI [1,2])
C1446409 (UMLS CUI-2)
C0205447 (UMLS CUI-3)
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C1446409 (UMLS CUI-2)
C0205448 (UMLS CUI-3)
(Comment:en)
C1446409 (UMLS CUI-2)
C0205449 (UMLS CUI-3)
(Comment:en)
C1254595 (UMLS CUI-2)
(Comment:en)
C2826772 (UMLS CUI [1,2])
C1519795 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)