ID
36710
Beschrijving
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.
Link
Trefwoorden
Versies (2)
- 04-06-19 04-06-19 -
- 30-04-20 30-04-20 - Sarah Riepenhausen
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ICHOM
Geüploaded op
4 juni 2019
DOI
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Licentie
Creative Commons BY-NC 3.0
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ICHOM Hypertension in low- and middle-income countries
Baseline - Clinical Form
- StudyEvent: ODM
Beschrijving
Demographic factors
Beschrijving
Inclusion Criteria: All patients Timing: Baseline Reporting Source: Administratively‐reported or clinician-reported Type: Date by DD/MM/YYYY Response Options: DD/MM/YYYY
Datatype
date
Maateenheden
- DD/MM/YYYY
Alias
- UMLS CUI [1]
- C0001779
- UMLS CUI [2]
- C0421451
Beschrijving
Inclusion Criteria: All patients Timing: Baseline Reporting Source: Administratively-reported or clinician-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0079399
Beschrijving
Clinical Factors
Beschrijving
Inclusion Criteria: All patients Timing: Baseline and annually until positive diagnosis of diabetes Reporting Source: Clinician-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0011849
- UMLS CUI [2,1]
- C0011849
- UMLS CUI [2,2]
- C1518321
Beschrijving
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
Datatype
float
Alias
- UMLS CUI [1]
- C0583513
Beschrijving
Inclusion Criteria: If fasting plasma glucose value is provided Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0583513
- UMLS CUI [1,2]
- C1519795
Beschrijving
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
Datatype
float
Alias
- UMLS CUI [1]
- C0005890
Beschrijving
Inclusion Criteria: All patients Timing: Baseline Reporting Source: Clinician‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0005890
- UMLS CUI [1,2]
- C1519795
Beschrijving
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
Datatype
float
Alias
- UMLS CUI [1]
- C0005910
Beschrijving
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0005910
- UMLS CUI [1,2]
- C1519795
Beschrijving
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0585943
Beschrijving
Inclusion Criteria: If answered 1 to LIPIDLOW Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0585943
- UMLS CUI [1,2]
- C2348235
Beschrijving
Inclusion Criteria: Optional Timing: Baseline and annually Reporting Source: Clinician-reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1]
- C0201976
Beschrijving
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
Datatype
float
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C1274040
Beschrijving
Inclusion Criteria: If value for creatinine is provided Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C1519795
Beschrijving
Inclusion Criteria: If value for creatinine is provided Timing: Baseline and annually Reporting Source: Clinician-reported/administratively‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0201976
- UMLS CUI [1,2]
- C0006751
- UMLS CUI [1,3]
- C3274766
Beschrijving
Treatment variables
Alias
- UMLS CUI-1
- C0087111
Beschrijving
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
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0449445
Beschrijving
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
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0003015
- UMLS CUI [3]
- C0521942
Beschrijving
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
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0001641
Beschrijving
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
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0001645
Beschrijving
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
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0354100
Beschrijving
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
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0012802
Beschrijving
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
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0006684
Beschrijving
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
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0205394
Beschrijving
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
Datatype
boolean
Alias
- UMLS CUI [1,1]
- C0003364
- UMLS CUI [1,2]
- C0596463
- UMLS CUI [2]
- C0439673
Beschrijving
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
Beschrijving
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
Datatype
integer
Maateenheden
- mmHg
Alias
- UMLS CUI [1]
- C0871470
Beschrijving
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
Datatype
integer
Maateenheden
- mmHg
Alias
- UMLS CUI [1]
- C0428883
Beschrijving
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
Datatype
integer
Alias
- UMLS CUI [1]
- C1561643
- UMLS CUI [2]
- C0033687
Beschrijving
Inclusion Criteria: If "yes" to CKD Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0033687
- UMLS CUI [1,2]
- C3887511
Beschrijving
Inclusion Criteria: If responded "1" or "2" to PROTEINEVID Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single response
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1274040
- UMLS CUI [1,2]
- C1160927
Beschrijving
Inclusion Criteria: If responded "3" to PROTEINEVID Timing: Baseline and annually Reporting Source: Clinician-reported Type: Numerical Response Options: Numerical value
Datatype
float
Alias
- UMLS CUI [1,1]
- C0455271
- UMLS CUI [1,2]
- C2826772
Beschrijving
Inclusion Criteria: If ACR value provided Timing: Baseline and annually Reporting Source: Clinician‐reported Type: Single answer
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0455271
- UMLS CUI [1,2]
- C1519795
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- StudyEvent: ODM
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