ID

40541

Beschrijving

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 an Adminstrative Form, to be reported within 30 days after index hospitalization. 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.

Link

www.ichom.org

Trefwoorden

Versies (3)
  1. 23-08-18 23-08-18 - Sarah Riepenhausen
  2. 31-08-18 31-08-18 - Sarah Riepenhausen
  3. 30-04-20 30-04-20 - Sarah Riepenhausen
Houder van rechten

ICHOM

Geüploaded op

30 april 2020

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 4.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

ICHOM Low Back Pain

Engels

Administrative Form (30 days after index hospitalization)

1 Formulieren  
Patient ID
Beschrijving

Patient ID

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

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

Datatype

integer

Alias
UMLS CUI [1]
C1269815
Acute Complications of Treatment
Beschrijving

Acute Complications of Treatment

Alias
UMLS CUI-1
C0087111
UMLS CUI-2
C0009566
Indicate if patient died within 30 days following procedure (all-cause mortality)
Beschrijving

INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Single Answer

Datatype

integer

Alias
UMLS CUI [1,1]
C0011065
UMLS CUI [1,2]
C3887296
Indicate date of death
Beschrijving

INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Date by DD/MM/YYYY

Datatype

date

Maateenheden
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C1148348
UMLS CUI [1,2]
C3887296
DD/MM/YYYY
Indicate if the patient was admitted to an acute care facility as an inpatient within 30 days from the date of index intervention for ANY reason
Beschrijving

INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Single Answer

Datatype

integer

Alias
UMLS CUI [1,1]
C0679878
UMLS CUI [1,2]
C0030700
UMLS CUI [1,3]
C3887296
Indicate date of rehospitalization(s)
Beschrijving

Do not include admissions to rehabilitation hospital or nursing home INCLUSION CRITERIA: Surgically treated patients TIMING: Within 30 days of the index hospitalization REPORTING SOURCE: Administrative (where available) TYPE: Date by DD/MM/YYYY

Datatype

date

Maateenheden
  • DD/MM/YYYY
Alias
UMLS CUI [1,1]
C0600290
UMLS CUI [1,2]
C3887296
UMLS CUI [1,3]
C0011008
DD/MM/YYYY
Terug naar het begin van de pagina

Similar models

Administrative Form (30 days after index hospitalization)

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Patient ID
C1269815 (UMLS CUI-1)
Patient ID
Item
Indicate the patient's medical record number.
integer
C1269815 (UMLS CUI [1])
Item Group
Acute Complications of Treatment
C0087111 (UMLS CUI-1)
C0009566 (UMLS CUI-2)
Item
Indicate if patient died within 30 days following procedure (all-cause mortality)
integer
C0011065 (UMLS CUI [1,1])
C3887296 (UMLS CUI [1,2])
Death within 30 days of procedure
Code List
Indicate if patient died within 30 days following procedure (all-cause mortality)
CL Item
No (0)
CL Item
Yes (1)
Date of death
Item
Indicate date of death
date
C1148348 (UMLS CUI [1,1])
C3887296 (UMLS CUI [1,2])
Item
Indicate if the patient was admitted to an acute care facility as an inpatient within 30 days from the date of index intervention for ANY reason
integer
C0679878 (UMLS CUI [1,1])
C0030700 (UMLS CUI [1,2])
C3887296 (UMLS CUI [1,3])
Readmission to acute care facility within 30 days
Code List
Indicate if the patient was admitted to an acute care facility as an inpatient within 30 days from the date of index intervention for ANY reason
CL Item
No (0)
CL Item
Yes (1)
Date of rehospitalization
Item
Indicate date of rehospitalization(s)
date
C0600290 (UMLS CUI [1,1])
C3887296 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial