ID
40556
Description
COLORECTAL CANCER DATA COLLECTION Version 1.1.2 Revised: November 6th, 2017 http://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: All patients with newly pathologically diagnosed invasive colorectal cancer (stage I-IV) Excluded Conditions: Non-adenocarcinoma, non-primary colorectal tumors and patients with recurrent disease at baseline will be excluded. Treatment Approaches: Surgery | Radiotherapy | Chemotherapy | Targeted Therapy In this standard set (parts of) the following questionnaires/scores are used: European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): Due to the need for a license, the EORTC QLQ-C30 questions are not included in this version of the standard set. European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C29): Due to the need for a license, the EORTC QLQ-C29 questions are not included in this version of the standard set. Memorial Sloan-Kettering Cancer Center (MSKCC) Bowel Function Instrument: Only 4 of the items used. According to ICHOM it is free to use for all health care organizations and no license is needed. Temple, L., Bacik, J., Savatta, S. et al. The Development of a Validated Instrument to Evaluate Bowel Function After Sphincter-Preserving Surgery for Rectal Cancer. Dis Colon Rectum (2005) 48: 1353. European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-LMC21): A license is needed for use of this questionnaire as well, however only one question is used. ICHOM was supported by Alliance of Dedicated Cancer Centers (CZ, DICA, Bowel Cancer Australia) for this standard set. Publication: Zerillo JA, Schouwenburg MG, van Bommel ACM, et al. An International Collaborative Standardizing a Comprehensive Patient-Centered Outcomes Measurement Set for Colorectal Cancer. JAMA Oncol. 2017;3(5):686–694. doi:10.1001/jamaoncol.2017.0417 For this version of the standard set, semantic annotation with UMLS CUIs has been added.
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Versions (2)
- 9/11/18 9/11/18 - Sarah Riepenhausen
- 4/30/20 4/30/20 - Sarah Riepenhausen
Copyright Holder
ICHOM
Uploaded on
April 30, 2020
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License
Creative Commons BY-NC 4.0
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ICHOM Colorectal Cancer
Baseline Clinical Form
- StudyEvent: SE
Description
Baseline Clinical Factors
Alias
- UMLS CUI-1
- C0449440
- UMLS CUI-2
- C1442488
Description
Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical RESPONSE OPTIONS: Numerical value of height in cm or in
Data type
integer
Alias
- UMLS CUI [1]
- C0005890
Description
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0005890
- UMLS CUI [1,2]
- C1519795
Description
Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical RESPONSE OPTION: Numerical value of weight in kg or lbs
Data type
integer
Alias
- UMLS CUI [1]
- C0005910
Description
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0005910
- UMLS CUI [1,2]
- C1519795
Description
ECOG/WHO Scale: WHO 0 = normal activity level WHO 1 = restricted with physically strenuous activity WHO 2 = active >/= 50% of day WHO 3 = spends > 50% of day in chair or bed WHO 4 = totally confined to bed or chair INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C1520224
Description
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C0945985
Description
Familial Adenomatosis Polyposis is caused by a germline mutation of the APC gene. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C4522286
- UMLS CUI [1,2]
- C0206530
Description
Lynch syndrome is caused by a mutation of one of the DNA mismatch repair (MMR) genes or the EPCAM gene. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C4289650
- UMLS CUI [1,2]
- C0206530
- UMLS CUI [2,1]
- C4524837
- UMLS CUI [2,2]
- C0206530
Description
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C0021390
Description
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical
Data type
date
Measurement units
- DD/MM/YYYY
Alias
- UMLS CUI [1,1]
- C0679557
- UMLS CUI [1,2]
- C0011008
Description
Defined as two or more distinct primary tumors, separated by normal bowel and not due to direct extension or metastasis. Of note: If yes, please collect information on highest TNM stage. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0449788
- UMLS CUI [1,2]
- C0677930
Description
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C0872338
Description
INCLUSION CRITERIA: All patients with rectal cancer receiving surgery/radiotherapy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Numerical value; Please enter "999" if distance is unknown.
Data type
integer
Alias
- UMLS CUI [1,1]
- C0007113
- UMLS CUI [1,2]
- C1300126
Description
Only select cT4 if not able to select cT4a or cT4b. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0441915
- UMLS CUI [1,2]
- C1275863
Description
Only select cN1 or cN2 if not able to select cN1a-c or cN2a-b. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0441915
- UMLS CUI [1,2]
- C1275865
Description
Only select cM1 if not able to select cM1a or cM1b. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0441915
- UMLS CUI [1,2]
- C1275856
Description
INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C0919553
Description
INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C1511021
Description
INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C2747837
Description
INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C0920269
Description
Only select pT4 if not able to select pT4a or pT4b. INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0441915
- UMLS CUI [1,2]
- C1270004
Description
Only select pN1 or pN2 if not able to select pN1a-c or pN2a-b. INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0441915
- UMLS CUI [1,2]
- C1269796
Description
Only select pM1 if not able to select pM1a or pM1b. INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0441915
- UMLS CUI [1,2]
- C1269796
Description
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Numerical value; Please enter "999" if number of resected lymph nodes is unknown.
Data type
integer
Alias
- UMLS CUI [1,1]
- C0024204
- UMLS CUI [1,2]
- C0728940
- UMLS CUI [1,3]
- C0449788
Description
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Numerical value; Please enter "999" if number of involved lymph nodes is unknown.
Data type
integer
Alias
- UMLS CUI [1,1]
- C0806692
- UMLS CUI [1,2]
- C0449788
Description
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Multiple answer
Data type
integer
Alias
- UMLS CUI [1]
- C1708790
Description
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C1300724
Description
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1,1]
- C0229985
- UMLS CUI [1,2]
- C0475286
Description
Baseline Treatment Factors
Description
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C4049774
Description
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C0151664
Description
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
Data type
integer
Alias
- UMLS CUI [1]
- C1292734
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