ID
36721
Beskrivning
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 - Patient-reported 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.
Länk
Nyckelord
Versioner (5)
- 2019-05-25 2019-05-25 -
- 2019-06-04 2019-06-04 -
- 2019-06-04 2019-06-04 - Sarah Riepenhausen
- 2020-04-30 2020-04-30 - Sarah Riepenhausen
- 2020-04-30 2020-04-30 - Sarah Riepenhausen
Rättsinnehavare
ICHOM
Uppladdad den
4 juni 2019
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 Hypertension in low- and middle-income countries
Baseline - Patient-reported
- StudyEvent: ODM
Beskrivning
Demographic factors
Alias
- UMLS CUI-1
- C1704791
Beskrivning
Supporting Definition: The level of schooling is defined in each country as per ISCED [International Standard Classification] Inclusion Criteria: All patients Timing: Baseline Reporting Source: Patient-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C0013658
Beskrivning
Clinical Factors
Alias
- UMLS CUI-1
- C0449440
Beskrivning
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Patient-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C1519386
Beskrivning
Inclusion Criteria: If answered 'no' to smoking status (SMOKE) Timing: Baseline and annually Reporting Source: Patient-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C0085134
Beskrivning
Inclusion Criteria: All patients Timing: Baseline Reporting Source: Patient‐reported or clinician‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0241889
- UMLS CUI [1,2]
- C0007222
Beskrivning
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Patient-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0018762
- UMLS CUI [1,2]
- C4505065
- UMLS CUI [1,3]
- C0035648
- UMLS CUI [1,4]
- C0043237
- UMLS CUI [1,5]
- C0012155
- UMLS CUI [2,1]
- C1524062
- UMLS CUI [2,2]
- C0036140
- UMLS CUI [2,3]
- C0016452
Beskrivning
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Patient-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0018762
- UMLS CUI [1,2]
- C4505065
- UMLS CUI [1,3]
- C0035648
- UMLS CUI [1,4]
- C0043237
- UMLS CUI [1,5]
- C0012155
- UMLS CUI [2,1]
- C1524062
- UMLS CUI [2,2]
- C0036140
- UMLS CUI [2,3]
- C1511504
Beskrivning
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Patient-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0018762
- UMLS CUI [1,2]
- C4505065
- UMLS CUI [1,3]
- C0035648
- UMLS CUI [1,4]
- C0043237
- UMLS CUI [1,5]
- C0012155
- UMLS CUI [2,1]
- C1709694
- UMLS CUI [2,2]
- C0016452
- UMLS CUI [2,3]
- C0205250
- UMLS CUI [2,4]
- C0036140
Beskrivning
Inclusion Criteria: All patients Timing: Baseline and annually Reporting Source: Patient-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0018762
- UMLS CUI [1,2]
- C4505065
- UMLS CUI [1,3]
- C0035648
- UMLS CUI [1,4]
- C0043237
- UMLS CUI [1,5]
- C0012155
- UMLS CUI [2,1]
- C0036140
- UMLS CUI [2,2]
- C0009830
Beskrivning
Supporting Definition: Please precede the question with the following introduction from the survey: "We are interested in finding out about the kinds of physical activities that people do as part of their everyday lives. The questions will ask you about the time you spent being physically active in the last 7 days. Please answer each question even if you do not consider yourself to be an active person. Please think about the activities you do at work, as part of your house and yard work, to get from place to place, and in your spare time for recreation, exercise or sport. Think about all the vigorous activities that you did in the last 7 days. Vigorous physical activities refer to activities that take hard physical effort and make you breathe much harder than normal. Think only about those physical activities that you did for at least 10 minutes at a time." Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C4060778
- UMLS CUI [2,2]
- C3843296
Beskrivning
Inclusion Criteria: If answered '1-7' to vigorous physical activity ('IPAQ_Q01') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Numerical response Response Option: Numerical value between 0 and 7 (use 000 if "don't know" or "unsure")
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C4060778
- UMLS CUI [2,2]
- C3888388
- UMLS CUI [2,3]
- C0040223
- UMLS CUI [2,4]
- C0439505
Beskrivning
Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C4060778
- UMLS CUI [2,2]
- C3888388
- UMLS CUI [2,3]
- C0040223
- UMLS CUI [2,4]
- C1519795
Beskrivning
Supporting definition: Please precede this question with the following text: "Think about all the moderate activities that you did in the last 7 days. Moderate activities refer to activities that take moderate physical effort and make you breathe somewhat harder than normal. Think only about those physical activities that you did for at least 10 minutes at a time." Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C3833417
- UMLS CUI [2,2]
- C3843296
Beskrivning
Inclusion Criteria: If answered '1-7' to moderate physical activity ('IPAQ_Q04') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Numerical response Response Option: Numerical value (use 000 if "don't know" or "unsure")
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C3833417
- UMLS CUI [2,2]
- C3888388
- UMLS CUI [2,3]
- C0040223
- UMLS CUI [2,4]
- C0439505
Beskrivning
Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C1513375
- UMLS CUI [2,2]
- C3888388
- UMLS CUI [2,3]
- C0040223
- UMLS CUI [2,4]
- C1519795
Beskrivning
Supporting Definition: Please precede this question with the following text: " Think about the time you spent walking in the last 7 days. This includes at work and at home, walking to travel from place to place, and any other walking that you have done solely for recreation, sport, exercise, or leisure." Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C0080331
- UMLS CUI [2,2]
- C3843296
Beskrivning
Inclusion Criteria: If answered '1-7' to walking ('IPAQ_Q05') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Numerical response Response Option: Numerical value (use 000 if "don't know" or "unsure")
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C0080331
- UMLS CUI [2,2]
- C3888388
- UMLS CUI [2,3]
- C0040223
- UMLS CUI [2,4]
- C0439505
Beskrivning
Inclusion Criteria: If answered '1-7' to walking ('IPAQ_Q05') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C0080331
- UMLS CUI [2,2]
- C3888388
- UMLS CUI [2,3]
- C0040223
- UMLS CUI [2,4]
- C1519795
Beskrivning
Supporting Definition: Please precede this question with the following text: "The last question is about the time you spent sitting on weekdays during the last 7 days. Include time spent at work, at home, while doing course work and during leisure time. This may include time spent sitting at a desk, visiting friends, reading, or sitting or lying down to watch television." Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Numerical response Response Option: Numerical value (use 000 if "don't know" or "unsure")
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C0277814
- UMLS CUI [2,2]
- C0040223
- UMLS CUI [2,3]
- C3843296
Beskrivning
Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1]
- C4319956
- UMLS CUI [2,1]
- C0277814
- UMLS CUI [2,2]
- C3843296
- UMLS CUI [2,3]
- C0040223
- UMLS CUI [2,4]
- C1519795
Beskrivning
Patient-reported health status
Alias
- UMLS CUI-1
- C0018759
- UMLS CUI-2
- C2987124
Beskrivning
Supporting Definition: The Working Group recommends the EQ-5D, but understands that some organisations may prefer to use alternative tools to assess Health‐Related Quality of Life. The following tools are also acceptable for use: PROMIS Global 10, VR‐12 or SF-12. Inclusion Criteria: If answered '1 = EQ5D3L' to Health-‐related Quality of Life ('HRQOL') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient-reported
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1880594
- UMLS CUI [1,2]
- C0449820
Beskrivning
Supporting Definition: The Working Group recommends the EQ-5D, but understands that some organisations may prefer to use alternative tools to assess Health-‐Related Quality of Life. The following tools are also acceptable for use: PROMIS Global 10, VR‐12 or SF‐12. Inclusion Criteria: If answered '2 = SF12' to Health-‐related Quality of Life ('HRQOL') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1519135
- UMLS CUI [1,2]
- C0449820
Beskrivning
Supporting Definition: The Working Group recommends the EQ-5D, but understands that some organisations may prefer to use alternative tools to assess Health‐Related Quality of Life. The following tools are also acceptable for use: PROMIS Global 10, VR‐12 or SF-12. Inclusion Criteria: If answered '3 = VR12' to Health-‐related Quality of Life ('HRQOL') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported
Datatyp
text
Alias
- UMLS CUI [1,1]
- C3655770
- UMLS CUI [1,2]
- C2964552
Beskrivning
Supporting Definition: The Working Group recommends the EQ-5D, but understands that some organisations may prefer to use alternative tools to assess Health-Related Quality of Life. The following tools are also acceptable for use: PROMIS Global 10, VR-12 or SF-12. Inclusion Criteria: If answered '4 = PROMIS10' to Health-‐related Quality of Life ('HRQOL') Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported
Datatyp
text
Alias
- UMLS CUI [1,1]
- C3836333
- UMLS CUI [1,2]
- C0449820
Beskrivning
As there is an official distribution site for PROMIS questionnaires and translations, this question is not included in this version of the standard set. Inclusion Criteria: If responded "1=male" to SEX Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient‐reported Type: Single answer
Datatyp
text
Alias
- UMLS CUI [1,1]
- C3693645
- UMLS CUI [1,2]
- C0242350
Beskrivning
Inclusion Criteria: All patients Timing: Annually (included here due to the timeline information in the reference guide obtainable from ICHOM.org) Reporting Source: Patient-reported Type: Single answer
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0030702
- UMLS CUI [1,2]
- C0086388
- UMLS CUI [1,3]
- C0020538
Similar models
Baseline - Patient-reported
- StudyEvent: ODM
(Comment:en)
C0033145 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0041740 (UMLS CUI-2)
C0205163 (UMLS CUI-3)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0007222 (UMLS CUI [1,2])
(Comment:en)
(Comment:en)
(Comment:en)
C4505065 (UMLS CUI [1,2])
C0035648 (UMLS CUI [1,3])
C0043237 (UMLS CUI [1,4])
C0012155 (UMLS CUI [1,5])
C1524062 (UMLS CUI [2,1])
C0036140 (UMLS CUI [2,2])
C0016452 (UMLS CUI [2,3])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C4505065 (UMLS CUI [1,2])
C0035648 (UMLS CUI [1,3])
C0043237 (UMLS CUI [1,4])
C0012155 (UMLS CUI [1,5])
C1524062 (UMLS CUI [2,1])
C0036140 (UMLS CUI [2,2])
C1511504 (UMLS CUI [2,3])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C4505065 (UMLS CUI [1,2])
C0035648 (UMLS CUI [1,3])
C0043237 (UMLS CUI [1,4])
C0012155 (UMLS CUI [1,5])
C1709694 (UMLS CUI [2,1])
C0016452 (UMLS CUI [2,2])
C0205250 (UMLS CUI [2,3])
C0036140 (UMLS CUI [2,4])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C4505065 (UMLS CUI [1,2])
C0035648 (UMLS CUI [1,3])
C0043237 (UMLS CUI [1,4])
C0012155 (UMLS CUI [1,5])
C0036140 (UMLS CUI [2,1])
C0009830 (UMLS CUI [2,2])
C3843213 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C1265611 (UMLS CUI-2)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C4060778 (UMLS CUI [2,1])
C3843296 (UMLS CUI [2,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C4060778 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C4060778 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C0439505 (UMLS CUI [2,4])
C4060778 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C1519795 (UMLS CUI [2,4])
(Comment:en)
(Comment:en)
C3833417 (UMLS CUI [2,1])
C3843296 (UMLS CUI [2,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C3833417 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C3833417 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C0439505 (UMLS CUI [2,4])
C1513375 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C1519795 (UMLS CUI [2,4])
(Comment:en)
(Comment:en)
C0080331 (UMLS CUI [2,1])
C3843296 (UMLS CUI [2,2])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C0080331 (UMLS CUI-2)
(Comment:en)
(Comment:en)
C0080331 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C0439505 (UMLS CUI [2,4])
C0080331 (UMLS CUI [2,1])
C3888388 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C1519795 (UMLS CUI [2,4])
(Comment:en)
(Comment:en)
C0277814 (UMLS CUI [2,1])
C0040223 (UMLS CUI [2,2])
C3843296 (UMLS CUI [2,3])
C0277814 (UMLS CUI [2,1])
C3843296 (UMLS CUI [2,2])
C0040223 (UMLS CUI [2,3])
C1519795 (UMLS CUI [2,4])
(Comment:en)
(Comment:en)
C2987124 (UMLS CUI-2)
C0449820 (UMLS CUI [1,2])
C0449820 (UMLS CUI [1,2])
C2964552 (UMLS CUI [1,2])
C0449820 (UMLS CUI [1,2])
C0242350 (UMLS CUI [1,2])
C0086388 (UMLS CUI [1,2])
C0020538 (UMLS CUI [1,3])
(Comment:en)
(Comment:en)
(Comment:en)
(Comment:en)
C4085546 (UMLS CUI-2)
(Comment:en)