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ID

40540

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 a clinical follow-up form to document disease recurrence, to be reported when occurs. 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 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 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.

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www.ichom.org

Keywords

Versions (3)
  1. 8/23/18 8/23/18 - Sarah Riepenhausen
  2. 8/31/18 8/31/18 - Sarah Riepenhausen
  3. 4/30/20 4/30/20 - Sarah Riepenhausen
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ICHOM

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April 30, 2020

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Creative Commons BY-NC 4.0
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    ICHOM Low Back Pain

    English

    Clinical Follow-up Form (Disease recurrence)

    1 forms  
    Patient ID
    Description

    Patient ID

    Alias
    UMLS CUI-1
    C1269815
    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 RESPONSE OPTIONS: According to institution

    Data type

    integer

    Alias
    UMLS CUI [1]
    C1269815
    Time Relative to Baseline (e.g. Baseline, 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.

    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
    Indicate if the current surgery is a reoperation at the same level because the prior surgery at the same level did not reach its technical or clinical goals
    Description

    INCLUSION CRITERIA: Surgically treated patients TIMING: when occurs REPORTING SOURCE: Clinical TYPE: Single Answer

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0558347
    UMLS CUI [1,2]
    C0741419
    UMLS CUI [1,3]
    C0037949
    UMLS CUI [1,4]
    C2946261
    UMLS CUI [1,5]
    C0445247
    Indicate the type of reoperation
    Description

    Hardware removal: removal of implants (For example, screws, rods) Non-union: failure of bony consolidation of bridge/union at minimum 12 months after surgery Neuro-compression: compression of neural structures with or without neurological deficits (select recurrent disc herniation or other neuro- compression) Post-op infection: superficial or deep (subfascial) wound/tissue infection after surgery Implant malposition: incorrect position of the implant Implant failure: problem due to an implant (For example, loosening, breakage) Wrong level: procedure mistakenly performed at wrong vertebral level Sagittal imbalance: sagittal malalignment of the spine (select lumbar flatback deformity or junctional kyphosis) Cerebrospinal fluid leakage: includes CSF fistula, seudomeningocele, etc. Epidural hematoma: collection of blood adjacent to dura, potentially creating compression INCLUSION CRITERIA: Surgically treated patients, If answered 'yes' to having a reoperation (REOP) TIMING: when occurs REPORTING SOURCE: clinical TYPE: Single Answer

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C0558347
    UMLS CUI [1,2]
    C0741419
    UMLS CUI [1,3]
    C0332307
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    Similar models

    Clinical Follow-up Form (Disease recurrence)

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Patient ID
    C1269815 (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. Baseline, 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
    Indicate if the current surgery is a reoperation at the same level because the prior surgery at the same level did not reach its technical or clinical goals
    integer
    C0558347 (UMLS CUI [1,1])
    C0741419 (UMLS CUI [1,2])
    C0037949 (UMLS CUI [1,3])
    C2946261 (UMLS CUI [1,4])
    C0445247 (UMLS CUI [1,5])
    Current procedure a reoperation at same level?
    Code List
    Indicate if the current surgery is a reoperation at the same level because the prior surgery at the same level did not reach its technical or clinical goals
    CL Item
    No (0)
    C1298908 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Yes (1)
    C1705108 (UMLS CUI-1)
    (Comment:en)
    Item
    Indicate the type of reoperation
    integer
    C0558347 (UMLS CUI [1,1])
    C0741419 (UMLS CUI [1,2])
    C0332307 (UMLS CUI [1,3])
    Type of reoperation (if applicable)
    Code List
    Indicate the type of reoperation
    CL Item
    Hardware removal (1)
    C1096445 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Non-union (2)
    C0037935 (UMLS CUI-1)
    C1272705 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Neuro-compression (3)
    C0576717 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Post-op infection (4)
    C0038941 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Implant malposition (5)
    C0333042 (UMLS CUI-1)
    C0021102 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Implant failure (6)
    C0854676 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Wrong level (7)
    C2224801 (UMLS CUI-1)
    C3845811 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Sagittal imbalance (8)
    C1397014 (UMLS CUI-1)
    C0205129 (UMLS CUI-2)
    (Comment:en)
    CL Item
    Cerebrospinal fluid leakage (9)
    C0023182 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Epidural hematoma (10)
    C0877172 (UMLS CUI-1)
    (Comment:en)
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