English

Male Follow-up

1 forms  
  1. StudyEvent: ODM
    1. Male Follow-up
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Indicate the patient's medical record number
Description

Supporting Definition: This number will not be shared with ICHOM. In the case patient-­level data is submitted to ICHOM for benchmarking or research purposes, a separate ICHOM Patient Identifier will be created and cross-­linking between the ICHOM Patient Identifier and the medical record number will only be known at the treating institution Inclusion Criteria: All patients Timing: On all forms Reporting Source: Administrative or clinical Type: Numerical Response Options: According to institution

Data type

integer

Alias
UMLS CUI [1]
C2348585
Time Relative to Baseline
Description

This Item does not exist in the original standard set, instead it is asked to do the following: Please timestamp all variables. Some Standard Set variables are collected at multiple timepoints, and we will ask you to submit these variables in a concatenated VARIABLEID_TIMESTAMP form for future analyses. For example, VARIABLEID_AT (After treatment); VARIABLEID_AS (After surgery); VARIABLEID_UPDATE (Update at least annually), etc.

Data type

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C1442488
Explanatory variable
Description

Explanatory variable

Alias
UMLS CUI-1
C0681841
What are you currently using to treat your OAB symptoms? Tick all that apply. 0 = Nothing
Description

Inclusion Criteria: All patients Timing: Baseline and follow-­up Reporting Source: Patient‐reported Type: Multiple answers

Data type

boolean

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0878773
UMLS CUI [2]
C0442735
What are you currently using to treat your OAB symptoms? Tick all that apply. 1 = Behavioral modifications such as changing your fluid intake, bladder training, or Kegel exercises
Description

Inclusion Criteria: All patients Timing: Baseline and follow-­up Reporting Source: Patient‐reported Type: Multiple answers

Data type

boolean

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0878773
UMLS CUI [2]
C0542299
UMLS CUI [3]
C0429791
UMLS CUI [4]
C0150474
UMLS CUI [5]
C0262718
What are you currently using to treat your OAB symptoms? Tick all that apply. 2 = Pelvic floor physical therapy
Description

Inclusion Criteria: All patients Timing: Baseline and follow-­up Reporting Source: Patient‐reported Type: Multiple answers

Data type

boolean

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0878773
UMLS CUI [2]
C0262718
What are you currently using to treat your OAB symptoms? Tick all that apply. 3 = Medication taken by mouth or from a patch or jelly on the skin
Description

Inclusion Criteria: All patients Timing: Baseline and follow-­up Reporting Source: Patient‐reported Type: Multiple answers

Data type

boolean

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0878773
UMLS CUI [2]
C0175795
UMLS CUI [3]
C0991556
What are you currently using to treat your OAB symptoms? Tick all that apply. 4 = Botox injections to the bladder
Description

Inclusion Criteria: All patients Timing: Baseline and follow-­up Reporting Source: Patient‐reported Type: Multiple answers

Data type

boolean

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0878773
UMLS CUI [2,1]
C0700702
UMLS CUI [2,2]
C1533685
UMLS CUI [2,3]
C0005682
What are you currently using to treat your OAB symptoms? Tick all that apply. 5 = Electrical stimulation
Description

Inclusion Criteria: All patients Timing: Baseline and follow-­up Reporting Source: Patient‐reported Type: Multiple answers

Data type

boolean

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0878773
UMLS CUI [2]
C0013787
What are you currently using to treat your OAB symptoms? Tick all that apply. 6 = Percutaneous tibial nerve stimulation (PTNS)
Description

Inclusion Criteria: All patients Timing: Baseline and follow-­up Reporting Source: Patient‐reported Type: Multiple answers

Data type

boolean

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0878773
UMLS CUI [2]
C3805249
What are you currently using to treat your OAB symptoms? Tick all that apply. 7 = Sacral nerve stimulation (SNS)
Description

Inclusion Criteria: All patients Timing: Baseline and follow-­up Reporting Source: Patient‐reported Type: Multiple answers

Data type

boolean

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0878773
UMLS CUI [2]
C2609267
What are you currently using to treat your OAB symptoms? Tick all that apply. 8 = Surgery
Description

Inclusion Criteria: All patients Timing: Baseline and follow-­up Reporting Source: Patient‐reported Type: Multiple answers

Data type

boolean

Alias
UMLS CUI [1,1]
C2827774
UMLS CUI [1,2]
C0878773
UMLS CUI [2]
C0543467
OAB symptom severity and burden
Description

OAB symptom severity and burden

Alias
UMLS CUI-1
C1319166
UMLS CUI-2
C2828008
Questionnaire ICIQ-OAB, total score
Description

As permission is required, the actual 8 questions of this questionnaire are not included in this version of the standard set. The ICHOM OID's are:ICIQ-OAB1 to ICIQ-OAB8 Inclusion Criteria: All patients Timing: Baseline and follow­‐up Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C2711268
UMLS CUI [1,2]
C0878773
UMLS CUI [1,3]
C2964552
Health Related Quality of Life
Description

Health Related Quality of Life

Alias
UMLS CUI-1
C4279947
Questionnaire OAB-q SF, total score
Description

As license is needed for use this questionaire, the actual 8 questions are not included in this version of the standard set. The ICHOM OID's are: OAB-q SF1 to OAB-q SF13 Inclusion Criteria: All patients Timing: Baseline and follow­‐up Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C4279947
UMLS CUI [1,2]
C0878773
UMLS CUI [1,3]
C2964552
Sexual function
Description

Sexual function

Alias
UMLS CUI-1
C0278092
Questionnaire ICIQ-MLUTSsex, total score
Description

As permission is required, the actual 9 questions of the questionnaire are not included in this version of the standard set. The ICHOM OID's are: ICIQ-MLUTSsex1 to ICIQ-MLUTSsex9 Inclusion Criteria: Male patients Timing: Baseline and follow­‐up Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C2711268
UMLS CUI [1,2]
C1706180
UMLS CUI [1,3]
C0278092
UMLS CUI [1,4]
C2964552
Side effects and burden of treatment
Description

Side effects and burden of treatment

Alias
UMLS CUI-1
C0879626
UMLS CUI-2
C0087111
UMLS CUI-3
C2828008
My condition (urinary problems, incontinence) has…
Description

Inclusion Criteria: All patients Timing: Follow-­up Reporting Source: Patient-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0814225
UMLS CUI [1,2]
C0039798
UMLS CUI [1,3]
C0809944
UMLS CUI [1,4]
C0681889
The tolerability of my treatment for OAB is...
Description

Inclusion Criteria: All patients Timing: Follow-­up Reporting Source: Patient-­reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C1704410
UMLS CUI [1,3]
C0878773
Treatment satisfaction
Description

Treatment satisfaction

Alias
UMLS CUI-1
C3476649
My overall satisfaction is…
Description

Inclusion Criteria: All patients Timing: Follow‐up Reporting Source: Patient‐reported Type: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3476649
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Similar models

Male Follow-up

1 forms
  1. StudyEvent: ODM
    1. Male Follow-up
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Patient ID
Item
Indicate the patient's medical record number
integer
C2348585 (UMLS CUI [1])
Time Relative to Baseline
Item
Time Relative to Baseline
text
C0439564 (UMLS CUI [1,1])
C1442488 (UMLS CUI [1,2])
Item Group
Explanatory variable
C0681841 (UMLS CUI-1)
Current treatment: Nothing
Item
What are you currently using to treat your OAB symptoms? Tick all that apply. 0 = Nothing
boolean
C2827774 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C0442735 (UMLS CUI [2])
Current treatment: Behavioral modifications
Item
What are you currently using to treat your OAB symptoms? Tick all that apply. 1 = Behavioral modifications such as changing your fluid intake, bladder training, or Kegel exercises
boolean
C2827774 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C0542299 (UMLS CUI [2])
C0429791 (UMLS CUI [3])
C0150474 (UMLS CUI [4])
C0262718 (UMLS CUI [5])
Current treatment: Pelvic floor physical therapy
Item
What are you currently using to treat your OAB symptoms? Tick all that apply. 2 = Pelvic floor physical therapy
boolean
C2827774 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C0262718 (UMLS CUI [2])
Current treatment: Medication
Item
What are you currently using to treat your OAB symptoms? Tick all that apply. 3 = Medication taken by mouth or from a patch or jelly on the skin
boolean
C2827774 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C0175795 (UMLS CUI [2])
C0991556 (UMLS CUI [3])
Current treatment: Botox injections to the bladder
Item
What are you currently using to treat your OAB symptoms? Tick all that apply. 4 = Botox injections to the bladder
boolean
C2827774 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C0700702 (UMLS CUI [2,1])
C1533685 (UMLS CUI [2,2])
C0005682 (UMLS CUI [2,3])
Current treatment: Electrical stimulation
Item
What are you currently using to treat your OAB symptoms? Tick all that apply. 5 = Electrical stimulation
boolean
C2827774 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C0013787 (UMLS CUI [2])
Current treatment: Percutaneous tibial nerve stimulation
Item
What are you currently using to treat your OAB symptoms? Tick all that apply. 6 = Percutaneous tibial nerve stimulation (PTNS)
boolean
C2827774 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C3805249 (UMLS CUI [2])
Current treatment: Sacral nerve stimulation
Item
What are you currently using to treat your OAB symptoms? Tick all that apply. 7 = Sacral nerve stimulation (SNS)
boolean
C2827774 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C2609267 (UMLS CUI [2])
Current treatment: Surgery
Item
What are you currently using to treat your OAB symptoms? Tick all that apply. 8 = Surgery
boolean
C2827774 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C0543467 (UMLS CUI [2])
Item Group
OAB symptom severity and burden
C1319166 (UMLS CUI-1)
C2828008 (UMLS CUI-2)
Questionnaire ICIQ-OAB, total score
Item
Questionnaire ICIQ-OAB, total score
integer
C2711268 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C2964552 (UMLS CUI [1,3])
Item Group
Health Related Quality of Life
C4279947 (UMLS CUI-1)
Questionnaire OAB-q SF, total score
Item
Questionnaire OAB-q SF, total score
integer
C4279947 (UMLS CUI [1,1])
C0878773 (UMLS CUI [1,2])
C2964552 (UMLS CUI [1,3])
Item Group
Sexual function
C0278092 (UMLS CUI-1)
Questionnaire ICIQ-MLUTSsex, total score
Item
Questionnaire ICIQ-MLUTSsex, total score
integer
C2711268 (UMLS CUI [1,1])
C1706180 (UMLS CUI [1,2])
C0278092 (UMLS CUI [1,3])
C2964552 (UMLS CUI [1,4])
Item Group
Side effects and burden of treatment
C0879626 (UMLS CUI-1)
C0087111 (UMLS CUI-2)
C2828008 (UMLS CUI-3)
Item
My condition (urinary problems, incontinence) has…
integer
C0814225 (UMLS CUI [1,1])
C0039798 (UMLS CUI [1,2])
C0809944 (UMLS CUI [1,3])
C0681889 (UMLS CUI [1,4])
Treatment benefit scale
Code List
My condition (urinary problems, incontinence) has…
CL Item
Greatly improved (1)
C3840786 (UMLS CUI-1)
C0184511 (UMLS CUI-2)
(Comment:en)
CL Item
Improved (2)
C0184511 (UMLS CUI-1)
(Comment:en)
CL Item
Not changed (3)
C0442739 (UMLS CUI-1)
(Comment:en)
CL Item
Worsened during treatment (4)
C3889049 (UMLS CUI-1)
C0347984 (UMLS CUI-2)
C0087111 (UMLS CUI-3)
(Comment:en)
Item
The tolerability of my treatment for OAB is...
integer
C0087111 (UMLS CUI [1,1])
C1704410 (UMLS CUI [1,2])
C0878773 (UMLS CUI [1,3])
Treatment tolerance
Code List
The tolerability of my treatment for OAB is...
CL Item
Inadequate (1)
C0205412 (UMLS CUI-1)
(Comment:en)
CL Item
Moderate (2)
C0205081 (UMLS CUI-1)
(Comment:en)
CL Item
Good (3)
C0205170 (UMLS CUI-1)
(Comment:en)
CL Item
Excellent (4)
C1961136 (UMLS CUI-1)
(Comment:en)
Item Group
Treatment satisfaction
C3476649 (UMLS CUI-1)
Item
My overall satisfaction is…
integer
C3476649 (UMLS CUI [1])
Satisfaction with treatment
Code List
My overall satisfaction is…
CL Item
Extremely satisfied (1)
C0205403 (UMLS CUI-1)
C4084799 (UMLS CUI-2)
(Comment:en)
CL Item
Very satisfied (2)
C3840671 (UMLS CUI-1)
(Comment:en)
CL Item
Satisfied (3)
C4084799 (UMLS CUI-1)
(Comment:en)
CL Item
Not satisfied with the treatment (4)
C1298908 (UMLS CUI-1)
C3476649 (UMLS CUI-2)
(Comment:en)
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