Protocol - Pre-existing Conditions Associated with Cancer

Description

This self-administered protocol asks respondents to indicate the year of diagnosis for clinician-diagnosed illnesses. The respondent is also asked to provide the year of first diagnosis.

Specific Instructions

None

Availability

This protocol is freely available; permission not required for use.

Download PDF

Protocol

1. Have you had any of these clinician-diagnosed illnesses?		Year of Diagnosis
mark here for Yes → Leave blank for NO;	Yes
	↓
Myocardial infarction (heart attack)	[_]	__ __ __ __
Angina pectoris	[_]	__ __ __ __
Confirmed angiography? [_] No [_] Yes
Coronary bypass, angioplasty, or stent	[_]	__ __ __ __
Transient ischemic attack (TIA)	[_]	__ __ __ __
Stroke (CVA)	[_]	__ __ __ __
Deep vein thrombosis/Pulmonary embolism	[_]	__ __ __ __
Melanoma	[_]	__ __ __ __
Basal cell skin cancer	[_]	__ __ __ __
Squamous cell skin cancer	[_]	__ __ __ __
Fibrocystic/other benign breast disease	[_]	__ __ __ __
Confirmed by breast biopsy? [_] No [_] Yes
Confirmed by aspiration? [_] No [_] Yes
Breast cancer	[_]	__ __ __ __
Other cancer	[_]	__ __ __ __
Specify site of other cancer: ______________________
Colon or rectal polyp (benign)	[_]	__ __ __ __
Ulcerative colitis/Crohns	[_]	__ __ __ __
Gastric or duodenal ulcer	[_]	__ __ __ __
Barretts Esophagus	[_]	__ __ __ __
Gallstones	[_]	__ __ __ __
Did you have symptoms? [_] No [_] Yes
How diagnosed? [_] X-ray or ultrasound [_] Other
Cholecystectomy	[_]	__ __ __ __
Diabetes mellitus	[_]	__ __ __ __
Elevated cholesterol	[_]	__ __ __ __
High blood pressure	[_]	__ __ __ __
Endometriosis−1st diagnosis	[_]	__ __ __ __
Confirmed by laparoscopy? [_] No [_] Yes
Uterine fibroids−1st diagnosis	[_]	__ __ __ __
Confirmed by pelvic exam? [_] No [_] Yes
Confirmed by ultrasound/hysterectomy? [_] No [_] Yes
Premenstrual syndrome (PMS)	[_]	__ __ __ __
Kidney stones	[_]	__ __ __ __
Multiple Sclerosis	[_]	__ __ __ __
Asthma, doctor diagnosed	[_]	__ __ __ __
Emphysema/Chronic Bronchitis, doctor diagnosis	[_]	__ __ __ __
Pneumonia, x-ray confirmed	[_]	__ __ __ __
Graves Disease/Hyperthyroidism	[_]	__ __ __ __
Hypothyroidism	[_]	__ __ __ __
Thyroid nodule (benign)	[_]	__ __ __ __
Gout	[_]	__ __ __ __
SLE (systemic lupus)	[_]	__ __ __ __
Rheumatoid arthritis, doctor diagnosis	[_]	__ __ __ __
Other arthritis	[_]	__ __ __ __
Depression, clinician diagnosis	[_]	__ __ __ __
Other major illness or surgery	[_]	__ __ __ __
Please specify: Date:
Editors Note: The Cancer Working Group (WG) slightly modified this question from the original protocol text. The original protocol obtains year of diagnosis by asking respondents to choose between three choices (Before June 1, 2003; June 2003 to May 2005; or after June 1, 2005). The Cancer WG removed the phrase "since June 2003" in order to allow collection of diagnoses that occurred prior to June 2003. The additional response options were deleted, and respondents are now asked to write in the four-digit year of diagnosis.

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement Category	Required
Major equipment	No
Specialized training	No
Specialized requirements for biospecimen collection	No
Average time of greater than 15 minutes in an unaffected individual	No

Mode of Administration

Self-administered questionnaire

Lifestage

Adult

Participants

Women between the ages of 25 and 42 years*

*While this protocol was used in a study of younger women, the Cancer Working Group deems it appropriate to use with older women and adult males.

Selection Rationale

The Nurses Health Study II was established in 1989. This is a validated and reliable protocol.

Language

Chinese, English

Standards

Standard	Name	ID	Source
Logical Observation Identifiers Names and Codes (LOINC)	Pre-existing cancer conditions proto	62573-1	LOINC
Human Phenotype Ontology	Neoplasm	HP:0002664	HPO
caDSR Form	PhenX PX070801 - Preexisting Conditions Associated With Cancer	5962625	caDSR Form

Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

The Nurses Health Study II, 2005

Source

U.S. Department of Health and Human Services. National Institutes of Health, The Nurses Health Study II, 2005 Long form, question 11 (source for question 1).

General References

None

Protocol ID

70801

Variables

Export Variables

Variable Name	Variable ID	Variable Description	dbGaP Mapping
PX070801_Angina_Pectoris_Confirmed_Angiography
	PX070801020300	Confirmed angiography?	N/A
PX070801_Angina_Pectoris_History
	PX070801020100	Have you had any of these more clinician-diagnosed illnesses? Angina pectoris? show less	N/A
PX070801_Angina_Pectoris_Year
	PX070801020200	Year of Diagnosis, Angina pectoris?	N/A
PX070801_Asthma_History
	PX070801270100	Have you had any of these more clinician-diagnosed illnesses? Asthma, doctor diagnosed? show less	N/A
PX070801_Asthma_Year
	PX070801270200	Year of Diagnosis, Asthma, doctor diagnosed?	N/A
PX070801_Barretts_Esophagus_History
	PX070801160100	Have you had any of these more clinician-diagnosed illnesses? Barrett's Esophagus? show less	N/A
PX070801_Barretts_Esophagus_Year
	PX070801160200	Year of Diagnosis, Barrett's Esophagus?	N/A
PX070801_Basal_Cell_Skin_Cancer_History
	PX070801080100	Have you had any of these more clinician-diagnosed illnesses? Basal cell skin cancer? show less	N/A
PX070801_Basal_Cell_Skin_Cancer_Year
	PX070801080200	Year of Diagnosis, Basal cell skin cancer?	N/A
PX070801_Breast_Cancer_History
	PX070801110100	Have you had any of these more clinician-diagnosed illnesses? Breast cancer? show less	N/A
PX070801_Breast_Cancer_Year
	PX070801110200	Year of Diagnosis, Breast cancer?	N/A
PX070801_Cholecystectomy_History
	PX070801180100	Have you had any of these more clinician-diagnosed illnesses? Cholecystectomy? show less	N/A
PX070801_Cholecystectomy_Year
	PX070801180200	Year of Diagnosis, Cholecystectomy?	N/A
PX070801_Colon_Rectal_Polyp_Benign_History
	PX070801130100	Have you had any of these more clinician-diagnosed illnesses? Colon or rectal polyp (benign)? show less	N/A
PX070801_Colon_Rectal_Polyp_Benign_Year
	PX070801130200	Year of Diagnosis, Colon or rectal polyp (benign)?	N/A
PX070801_Coronary_Bypass_History
	PX070801030100	Have you had any of these more clinician-diagnosed illnesses? Coronary bypass, angioplasty, or stent? show less	N/A
PX070801_Coronary_Bypass_Year
	PX070801030200	Year of Diagnosis, Coronary bypass, more angioplasty, or stent? show less	N/A
PX070801_Depression_History
	PX070801370100	Have you had any of these more clinician-diagnosed illnesses? Depression, clinician diagnosis? show less	N/A
PX070801_Depression_Year
	PX070801370200	Year of Diagnosis, Depression, clinician more diagnosis? show less	N/A
PX070801_Diabetes_Mellitus_History
	PX070801190100	Have you had any of these more clinician-diagnosed illnesses? Diabetes mellitus? show less	N/A
PX070801_Diabetes_Mellitus_Year
	PX070801190200	Year of Diagnosis, Diabetes mellitus?	N/A
PX070801_DVT_Thrombosis_PE_Embolism_History
	PX070801060100	Have you had any of these more clinician-diagnosed illnesses? Deep vein thrombosis/Pulmonary embolism? show less	N/A
PX070801_DVT_Thrombosis_PE_Embolism_Year
	PX070801060200	Year of Diagnosis, Deep vein more thrombosis/Pulmonary embolism? show less	N/A
PX070801_Elevated_Cholesterol_History
	PX070801200100	Have you had any of these more clinician-diagnosed illnesses? Elevated cholesterol? show less	N/A
PX070801_Elevated_Cholesterol_Year
	PX070801200200	Year of Diagnosis, Elevated cholesterol?	N/A
PX070801_Emphysema_Chronic_Bronchitis_History
	PX070801280100	Have you had any of these more clinician-diagnosed illnesses? Emphysema/Chronic Bronchitis, doctor diagnosis? show less	N/A
PX070801_Emphysema_Chronic_Bronchitis_Year
	PX070801280200	Year of Diagnosis, Emphysema/Chronic more Bronchitis, doctor diagnosis? show less	N/A
PX070801_Endometriosis_Confirmed_Laparoscopy
	PX070801220300	Confirmed by laparoscopy?	N/A
PX070801_Endometriosis_History
	PX070801220100	Have you had any of these more clinician-diagnosed illnesses? Endometriosis-1st diagnosis? show less	N/A
PX070801_Endometriosis_Year
	PX070801220200	Year of Diagnosis, Endometriosis-1st diagnosis?	N/A
PX070801_Fibrocystic_Benign_Breast_Confirmed_Aspiration
	PX070801100400	Confirmed by aspiration?	N/A
PX070801_Fibrocystic_Benign_Breast_Confirmed_Biopsy
	PX070801100300	Confirmed by breast biopsy?	N/A
PX070801_Fibrocystic_Benign_Breast_Disease_History
	PX070801100100	Have you had any of these more clinician-diagnosed illnesses? Fibrocystic/other benign breast disease? show less	N/A
PX070801_Fibrocystic_Benign_Breast_Disease_Year
	PX070801100200	Year of Diagnosis, Fibrocystic/other benign more breast disease? show less	N/A
PX070801_Gallstones_Diagnosed
	PX070801170400	How diagnosed?	N/A
PX070801_Gallstones_History
	PX070801170100	Have you had any of these more clinician-diagnosed illnesses? Gallstones? show less	N/A
PX070801_Gallstones_Symptoms
	PX070801170300	Did you have symptoms?	N/A
PX070801_Gallstones_Year
	PX070801170200	Year of Diagnosis, Gallstones?	N/A
PX070801_Gastric_Duodenal_Ulcer_History
	PX070801150100	Have you had any of these more clinician-diagnosed illnesses? Gastric or duodenal ulcer? show less	N/A
PX070801_Gastric_Duodenal_Ulcer_Year
	PX070801150200	Year of Diagnosis, Gastric or duodenal ulcer?	N/A
PX070801_Gout_History
	PX070801330100	Have you had any of these more clinician-diagnosed illnesses? Gout? show less	N/A
PX070801_Gout_Year
	PX070801330200	Year of Diagnosis, Gout?	N/A
PX070801_Graves_Disease_Hyperthyroidism_History
	PX070801300100	Have you had any of these more clinician-diagnosed illnesses? Graves' Disease/Hyperthyroidism show less	N/A
PX070801_Graves_Disease_Hyperthyroidism_Year
	PX070801300200	Year of Diagnosis, Graves' Disease/Hyperthyroidism	N/A
PX070801_High_Blood_Pressure_HBP_History
	PX070801210100	Have you had any of these more clinician-diagnosed illnesses? High blood pressure? show less	N/A
PX070801_High_Blood_Pressure_HBP_Year
	PX070801210200	Year of Diagnosis, High blood pressure?	N/A
PX070801_Hypothyroidism_History
	PX070801310100	Have you had any of these more clinician-diagnosed illnesses? Hypothyroidism? show less	N/A
PX070801_Hypothyroidism_Year
	PX070801310200	Year of Diagnosis, Hypothyroidism?	N/A
PX070801_Kidney_Stones_History
	PX070801250100	Have you had any of these more clinician-diagnosed illnesses? Kidney stones? show less	N/A
PX070801_Kidney_Stones_Year
	PX070801250200	Year of Diagnosis, Kidney stones?	N/A
PX070801_Melanoma_History
	PX070801070100	Have you had any of these more clinician-diagnosed illnesses? Melanoma? show less	N/A
PX070801_Melanoma_Year
	PX070801070200	Year of Diagnosis, Melanoma?	N/A
PX070801_Multiple_Sclerosis_History
	PX070801260100	Have you had any of these more clinician-diagnosed illnesses? Multiple Sclerosis? show less	N/A
PX070801_Multiple_Sclerosis_Year
	PX070801260200	Year of Diagnosis, Multiple Sclerosis?	N/A
PX070801_Myocardial_Infarction_Heart_Attack_History
	PX070801010100	Have you had any of these more clinician-diagnosed illnesses? Myocardial infarction (heart attack)? show less	N/A
PX070801_Myocardial_Infarction_Heart_Attack_Year
	PX070801010200	Year of Diagnosis, Myocardial infarction more (heart attack)? show less	N/A
PX070801_Other_Arthritis_History
	PX070801360100	Have you had any of these more clinician-diagnosed illnesses? Other arthritis? show less	N/A
PX070801_Other_Arthritis_Year
	PX070801360200	Year of Diagnosis, Other arthritis?	N/A
PX070801_Other_Cancer_History
	PX070801120100	Have you had any of these more clinician-diagnosed illnesses? Other cancer? show less	N/A
PX070801_Other_Cancer_Site
	PX070801120300	Specify site of other cancer.	N/A
PX070801_Other_Cancer_Year
	PX070801120200	Year of Diagnosis, Other cancer?	N/A
PX070801_Other_Major_Illness_Surgery_Date
	PX070801380300	Please specify Date.	N/A
PX070801_Other_Major_Illness_Surgery_History
	PX070801380100	Have you had any of these more clinician-diagnosed illnesses? Other major illness or surgery? show less	N/A
PX070801_Other_Major_Illness_Surgery_Year
	PX070801380200	Year of Diagnosis, Other major illness or surgery?	N/A
PX070801_Pneumonia_History
	PX070801290100	Have you had any of these more clinician-diagnosed illnesses? Pneumonia, x-ray confirmed? show less	N/A
PX070801_Pneumonia_Year
	PX070801290200	Year of Diagnosis, Pneumonia, x-ray confirmed?	N/A
PX070801_Premenstrual_Syndrome_PMS_History
	PX070801240100	Have you had any of these more clinician-diagnosed illnesses? Premenstrual syndrome (PMS)? show less	N/A
PX070801_Premenstrual_Syndrome_PMS_Year
	PX070801240200	Year of Diagnosis, Premenstrual syndrome (PMS)?	N/A
PX070801_Rheumatoid_Arthritis_History
	PX070801350100	Have you had any of these more clinician-diagnosed illnesses? Rheumatoid arthritis, doctor diagnosis? show less	N/A
PX070801_Rheumatoid_Arthritis_Year
	PX070801350200	Year of Diagnosis, Rheumatoid arthritis, more doctor diagnosis? show less	N/A
PX070801_SLE_Systemic_Lupus_History
	PX070801340100	Have you had any of these more clinician-diagnosed illnesses? SLE (systemic lupus)? show less	N/A
PX070801_SLE_Systemic_Lupus_Year
	PX070801340200	Year of Diagnosis, SLE (systemic lupus)?	N/A
PX070801_Squamous_Cell_Skin_Cancer_History
	PX070801090100	Have you had any of these more clinician-diagnosed illnesses? Squamous cell skin cancer? show less	N/A
PX070801_Squamous_Cell_Skin_Cancer_Year
	PX070801090200	Year of Diagnosis, Squamous cell skin cancer?	N/A
PX070801_Stroke_CVA_History
	PX070801050100	Have you had any of these more clinician-diagnosed illnesses? Stroke (CVA)? show less	N/A
PX070801_Stroke_CVA_Year
	PX070801050200	Year of Diagnosis, Stroke (CVA)?	N/A
PX070801_Thyroid_Nodule_Benign_History
	PX070801320100	Have you had any of these more clinician-diagnosed illnesses? Thyroid nodule (benign)? show less	N/A
PX070801_Thyroid_Nodule_Benign_Year
	PX070801320200	Year of Diagnosis, Thyroid nodule (benign)?	N/A
PX070801_Transient_Ischemic_Attack_TIA_History
	PX070801040100	Have you had any of these more clinician-diagnosed illnesses? Transient ischemic attack (TIA)? show less	N/A
PX070801_Transient_Ischemic_Attack_TIA_Year
	PX070801040200	Year of Diagnosis, Transient ischemic attack more (TIA)? show less	N/A
PX070801_Ulcerative_Colitis_Crohns_History
	PX070801140100	Have you had any of these more clinician-diagnosed illnesses? Ulcerative colitis/Crohn's? show less	N/A
PX070801_Ulcerative_Colitis_Crohns_Year
	PX070801140200	Year of Diagnosis, Ulcerative colitis/Crohn's?	N/A
PX070801_Uterine_Fibroids_Confirmed_Pelvic_Exam
	PX070801230300	Confirmed by pelvic exam?	N/A
PX070801_Uterine_Fibroids_Confirmed_Ultrasound_Hysterectomy
	PX070801230400	Confirmed by ultrasound/hysterectomy?	N/A
PX070801_Uterine_Fibroids_History
	PX070801230100	Have you had any of these more clinician-diagnosed illnesses? Uterine fibroids-1st diagnosis? show less	N/A
PX070801_Uterine_Fibroids_Year
	PX070801230200	Year of Diagnosis, Uterine fibroids-1st diagnosis?	N/A

Protocol - Pre-existing Conditions Associated with Cancer

Essential Protocols:

Description

Specific Instructions

Availability

Protocol

Personnel and Training Required

Equipment Needs

Requirements

Mode of Administration

Lifestage

Participants

Selection Rationale

Language

Standards

Derived Variables

Process and Review

Protocol Name from Source

Source

General References

Protocol ID

Variables