ID

40540

Beskrivning

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.

Länk

www.ichom.org

Nyckelord

Versioner (3)
  1. 2018-08-23 2018-08-23 - Sarah Riepenhausen
  2. 2018-08-31 2018-08-31 - Sarah Riepenhausen
  3. 2020-04-30 2020-04-30 - Sarah Riepenhausen
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30 april 2020

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ICHOM Low Back Pain

Engelsk

Clinical Follow-up Form (Disease recurrence)

1 Formulär  
Patient ID
Beskrivning

Patient ID

Alias
UMLS CUI-1
C1269815
Indicate the patient's medical record number.
Beskrivning

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

Datatyp

integer

Alias
UMLS CUI [1]
C1269815
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
Beskrivning

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.

Datatyp

text

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

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
Beskrivning

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

Datatyp

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
Beskrivning

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

Datatyp

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 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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