ID

40539

Description

LOW BACK PAIN DATA COLLECTION Version 2.0.3 Revised August 24th, 2017 www.ichom.org Notice: This work was conducted using resources from ICHOM, the International Consortium for Health Outcomes Measurement (www.ICHOM.org). The content is solely the responsibility of the authors and does not necessarily represent the official views of ICHOM. Conditions: Lumbar Disc Herniation | Lumbar Stenosis | Lumbar Spondylolisthesis | Degenerative Scoliosis | Adult Idiopathic Scoliosis | Degenerative Disc Disorder | Other Degenerative Lumbar Disorders | Mechanical, Acute, and Chronic Lumbar Back Pain and Back-Related Leg Pain Conditions Not Covered: Individuals < 18 Years of Age | Spinal Infection | Spinal Tumor | Spinal Fractures | Traumatic Dislocation | Congenital Scoliosis Documented as >20 Degrees, Moderate, Large, or Severe Treatment Approaches: Conservative Therapy (e.g. physical therapy, chiropractic, drug therapy, injections, etc.) | Surgical Therapy (e.g. spinal fusion, decompression, or discectomy) This ODM-file contains Patient reported Outcome Variables to be assessed at different timepoints: 3*, 6 months, 1, 2, 5* year after index event or when occurs (*recommended, but not essential). With use of the following Scores: Surveys used: ODI - Oswestry Disability Index Version 2.1a: The ODI is free for all health care organizations, but a license is needed for use (therefore not included verbatimly in this version of the standard set). Please visit eprovide: https://eprovide.mapi-trust.org/ NPRS - Numerical Pain Rating Scale: The NPRS is free for all health care organizations, and a license is not needed. EQ-5D-3L - EuroQol‐5D descriptive system (EQ-­5D‐3L) and visual analogue scale (EQ-­VAS): The EQ-5D-3L is free for non-profits and academic research, but a license is needed for use (therefore not included verbatimly in this version of the standard set). https://euroqol.org/support/how-to-obtain-eq-5d/ Publication: R Carter Clement, Adina Welander, Caleb Stowell, Thomas D Cha, John L Chen, Michelle Davies, Jeremy C Fairbank, Kevin T Foley, Martin Gehrchen, Olle Hagg, Wilco C Jacobs, Richard Kahler, Safdar N Khan, Isador H Lieberman, Beth Morisson, Donna D Ohnmeiss, Wilco C Peul, Neal H Shonnard, Matthew W Smuck, Tore K Solberg, Bjorn H Stromqvist, Miranda L Van Hooff, Ajay D Wasan, Paul C Willems, William Yeo & Peter FRitzell (2015) A proposed set of metrics for standardized outcome reporting in the management of low back pain, Acta Orthopaedica, 86:5, 523-533 ICHOM was supported for the Low Back Pain Standard Set by Arthritis Research UK. For this version of the standard set, semantic annotation with UMLS CUIs has been added.

Link

www.ichom.org

Keywords

  1. 7/20/18 7/20/18 - Sarah Riepenhausen
  2. 8/23/18 8/23/18 - Sarah Riepenhausen
  3. 8/30/18 8/30/18 - Sarah Riepenhausen
  4. 8/31/18 8/31/18 - Sarah Riepenhausen
  5. 4/30/20 4/30/20 - Sarah Riepenhausen
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ICHOM

Uploaded on

April 30, 2020

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Creative Commons BY-NC 4.0

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ICHOM Low Back Pain

Patient-reported Outcome Variables

Administrative Data
Description

Administrative Data

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

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]
C1269815
Time Relative to Baseline (e.g. 3 months follow-up, 6 months follow-up, 1 year follow-up, ...)
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_BASE (baseline); VARIABLEID_6MO (6 month follow-up); VARIABLEID_1YR (1 year follow-up), etc. In this case 6 months, 1, and 2 years should be done, 3 months and 5 years follow-up are recommended, but not essential.

Data type

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C1442488
Acute Complications of Treatment
Description

Acute Complications of Treatment

Alias
UMLS CUI-1
C0087111
UMLS CUI-2
C0009566
The following questions refer to your low back surgery that occurred roughly 6 months ago: Were you treated with antibiotics (penicillins or similar) for 6 weeks or longer for a deep infection in the surgical site within 3 months after surgery?
Description

INCLUSION CRITERIA: Surgically treated patients TIMING: 6 months after index hospitalization REPORTING SOURCE: Patient-reported TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0406103
UMLS CUI [1,2]
C1442461
UMLS CUI [1,3]
C0241311
Were you diagnosed with and treated for pulmonary emboli (blood clot in the lung) within 3 months after surgery?
Description

INCLUSION CRITERIA: Surgically treated patients TIMING: 6 months after index hospitalization REPORTING SOURCE: Patient-reported TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0034065
UMLS CUI [1,2]
C1442461
UMLS CUI [1,3]
C0241311
Were you admitted overnight in the hospital (excluding emergency room visits) for ANY reason during the 30 days after you underwent your back surgery?
Description

INCLUSION CRITERIA: Surgically treated patients TIMING: 6 months after index hospitalization REPORTING SOURCE: Patient-reported TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0600290
UMLS CUI [1,2]
C3887296
Disease Recurrence
Description

Disease Recurrence

Alias
UMLS CUI-1
C0679254
Have you had any additional low back surgery at the same level?
Description

INCLUSION CRITERIA: Surgically treated patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0558347
UMLS CUI [1,2]
C0741423
If yes, when did you have you surgery?
Description

INCLUSION CRITERIA: Surgically treated patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported

Data type

date

Measurement units
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C0558347
UMLS CUI [1,2]
C0741423
UMLS CUI [1,3]
C0011008
DD/MM/YYYY
Patient-Reported Health Status
Description

Patient-Reported Health Status

Alias
UMLS CUI-1
C0018759
UMLS CUI-2
C2987124
What is your work status?
Description

INCLUSION CRITERIA: All patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0014003
UMLS CUI [1,2]
C0449438
How long after you received treatment for Low Back Pain did you return to work (where applicable)?
Description

Time to return to work

Data type

integer

Alias
UMLS CUI [1,1]
C0425105
UMLS CUI [1,2]
C0449238
Are you working at a physically less demanding job now because of your leg or back pain?
Description

INCLUSION CRITERIA: All patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C4540969
UMLS CUI [1,2]
C0392756
Do you take non-narcotic pain relievers (For example NSAIDs, acetaminophen)?
Description

INCLUSION CRITERIA: All patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0242937
UMLS CUI [1,2]
C0549178
Do you take narcotics, also known as opioids (For example morphine, codeine, dextropropoxyphene)?
Description

INCLUSION CRITERIA: All patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported TYPE: Single Answer

Data type

integer

Alias
UMLS CUI [1,1]
C0027409
UMLS CUI [1,2]
C0549178
Total Score of ODI
Description

For use of ODI a licence is needed. Therefore no questions or answers are given in this version of the ICHOM Low Back Pain Standard Set. In the original standard set the 10 items of ODI have an ID from ODI_Q01 to ODI_Q10. INCLUSION CRITERIA: All patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported

Data type

integer

Alias
UMLS CUI [1]
C4288568
On a scale of 0 to 10, with 0 being no pain at all and 10 being the worst pain imaginable, please indicate your average back pain over the last 7 days
Description

INCLUSION CRITERIA: All patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported RESPONSE OPTIONS: Ordinal values from 0 to 10, with 'No pain' marked at '0' and 'Worst pain imaginable' marked at '10'

Data type

integer

Alias
UMLS CUI [1,1]
C1518471
UMLS CUI [1,2]
C0004604
On a scale of 0 to 10, with 0 being no pain at all and 10 being the worst pain imaginable, please indicate your average leg pain over the last 7 days
Description

INCLUSION CRITERIA: All patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported RESPONSE OPTIONS: Ordinal values from 0 to 10, with 'No pain' marked at '0' and 'Worst pain imaginable' marked at '10'

Data type

integer

Alias
UMLS CUI [1,1]
C1518471
UMLS CUI [1,2]
C0023222
Score of EQ5D
Description

For use of EQ-5D-3L a licence is needed. Therefore it is not part of this version of the standard set. The items of EQ5D have the following IDs in the original standard set: EQ5D_Q01 to EQ5D_Q05 INCLUSION CRITERIA: All patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported

Data type

integer

Alias
UMLS CUI [1]
C1880594
EQ-5D-3L VAS
Description

For use of EQ-5D VAS a licence is needed. Therefore the verbatim formulations of the used questions and answers will not be integrated here. INCLUSION CRITERIA: All patients TIMING: 3*, 6 months, 1, 2, 5* year after index event REPORTING SOURCE: Patient-reported TYPE: VAS

Data type

float

Alias
UMLS CUI [1]
C3639380

Similar models

Patient-reported Outcome Variables

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
C1269815 (UMLS CUI [1])
Time Relative to Baseline
Item
Time Relative to Baseline (e.g. 3 months follow-up, 6 months follow-up, 1 year follow-up, ...)
text
C0439564 (UMLS CUI [1,1])
C1442488 (UMLS CUI [1,2])
Item Group
Acute Complications of Treatment
C0087111 (UMLS CUI-1)
C0009566 (UMLS CUI-2)
Item
The following questions refer to your low back surgery that occurred roughly 6 months ago: Were you treated with antibiotics (penicillins or similar) for 6 weeks or longer for a deep infection in the surgical site within 3 months after surgery?
integer
C0406103 (UMLS CUI [1,1])
C1442461 (UMLS CUI [1,2])
C0241311 (UMLS CUI [1,3])
Code List
The following questions refer to your low back surgery that occurred roughly 6 months ago: Were you treated with antibiotics (penicillins or similar) for 6 weeks or longer for a deep infection in the surgical site within 3 months after surgery?
CL Item
No (0)
CL Item
Yes (1)
Item
Were you diagnosed with and treated for pulmonary emboli (blood clot in the lung) within 3 months after surgery?
integer
C0034065 (UMLS CUI [1,1])
C1442461 (UMLS CUI [1,2])
C0241311 (UMLS CUI [1,3])
Code List
Were you diagnosed with and treated for pulmonary emboli (blood clot in the lung) within 3 months after surgery?
CL Item
No (0)
CL Item
Yes (1)
Item
Were you admitted overnight in the hospital (excluding emergency room visits) for ANY reason during the 30 days after you underwent your back surgery?
integer
C0600290 (UMLS CUI [1,1])
C3887296 (UMLS CUI [1,2])
Code List
Were you admitted overnight in the hospital (excluding emergency room visits) for ANY reason during the 30 days after you underwent your back surgery?
CL Item
No (0)
CL Item
Yes (1)
Item Group
Disease Recurrence
C0679254 (UMLS CUI-1)
Item
Have you had any additional low back surgery at the same level?
integer
C0558347 (UMLS CUI [1,1])
C0741423 (UMLS CUI [1,2])
Code List
Have you had any additional low back surgery at the same level?
CL Item
No (0)
CL Item
Yes (1)
Date of reoperation
Item
If yes, when did you have you surgery?
date
C0558347 (UMLS CUI [1,1])
C0741423 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item Group
Patient-Reported Health Status
C0018759 (UMLS CUI-1)
C2987124 (UMLS CUI-2)
Item
What is your work status?
integer
C0014003 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
Code List
What is your work status?
CL Item
Unable to work due to a condition other than back or leg pain (0)
CL Item
Unable to work due to back or leg pain (1)
CL Item
Not working by choice (student, retired, homemaker) (2)
CL Item
Seeking employment (I consider myself able to work but cannot find a job)  (3)
CL Item
Working part-time (4)
CL Item
Working full-time (5)
Item
How long after you received treatment for Low Back Pain did you return to work (where applicable)?
integer
C0425105 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Code List
How long after you received treatment for Low Back Pain did you return to work (where applicable)?
CL Item
Less than 3 months  (1)
CL Item
3-6 months (2)
CL Item
6-9 months (3)
CL Item
9-12 months (4)
CL Item
1-2 years (5)
CL Item
More than 2 years  (6)
Item
Are you working at a physically less demanding job now because of your leg or back pain?
integer
C4540969 (UMLS CUI [1,1])
C0392756 (UMLS CUI [1,2])
Code List
Are you working at a physically less demanding job now because of your leg or back pain?
CL Item
No (0)
CL Item
Yes (1)
Item
Do you take non-narcotic pain relievers (For example NSAIDs, acetaminophen)?
integer
C0242937 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Code List
Do you take non-narcotic pain relievers (For example NSAIDs, acetaminophen)?
CL Item
No (0)
CL Item
Yes, regularly (1)
CL Item
Yes, sometimes (2)
Item
Do you take narcotics, also known as opioids (For example morphine, codeine, dextropropoxyphene)?
integer
C0027409 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Code List
Do you take narcotics, also known as opioids (For example morphine, codeine, dextropropoxyphene)?
CL Item
No (0)
CL Item
Yes, regularly (1)
CL Item
Yes, sometimes (2)
Total Score of ODI
Item
Total Score of ODI
integer
C4288568 (UMLS CUI [1])
Question 1 of NPRS
Item
On a scale of 0 to 10, with 0 being no pain at all and 10 being the worst pain imaginable, please indicate your average back pain over the last 7 days
integer
C1518471 (UMLS CUI [1,1])
C0004604 (UMLS CUI [1,2])
Question 2 of NPRS
Item
On a scale of 0 to 10, with 0 being no pain at all and 10 being the worst pain imaginable, please indicate your average leg pain over the last 7 days
integer
C1518471 (UMLS CUI [1,1])
C0023222 (UMLS CUI [1,2])
Item
Score of EQ5D
integer
C1880594 (UMLS CUI [1])
Code List
Score of EQ5D
Question 6 of EQ5D
Item
EQ-5D-3L VAS
float
C3639380 (UMLS CUI [1])

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