CDE Detailed Report

Disease: Spinal Cord Injury
Sub-Domain: Epidemiology/Environmental History
CRF: Alcohol and Tobacco Use

Displaying 1 - 10 of 10
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C06102 Tobacco smoke history status TobccoSmkeHistStatus Qualitative categorization of the participant's/subject's smoking history Qualitative categorization of the participant's/subject's smoking history Smoking history Never smoked;Former smoker;Current smoker;Unknown Never smoked;Former smoker;Current smoker;Unknown Alphanumeric

When judging bronchopulmonary issues in individuals with spinal cord lesions, the influence of smoking is an important factor (Linn et al. 2003; Jain et al. 2006; Stolzmann et al. 2008).

Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Alcohol and Tobacco Use Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C06103 Tobacco smoke quit date TobccoSmkeQuitDate Date (and time, if applicable and known) the participant/subject quit smoking Date (and time, if applicable and known) the participant/subject quit smoking Which year did you quit smoking? Date or Date & Time

If a former smoker,

Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Alcohol and Tobacco Use Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C06106 Tobacco cigar smoke daily average value TobccoCigrSmkeDailyAvgVal If participant is a former or current smoker, documents the average number of cigars he/she smokes or did smoke on a daily basis If participant is a former or current smoker, documents the average number of cigars he/she smokes or did smoke on a daily basis On average, how many cigars do (did) you smoke on a daily basis Numeric Values Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Alcohol and Tobacco Use Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C06107 Tobacco pipe bowl smoke daily average value TobccoPipeBwlSmkeDailyAvgVal If participant is a former or current smoker, documents the average number of pipe bowls he/she smokes or did smoke on a daily basis If participant is a former or current smoker, documents the average number of pipe bowls he/she smokes or did smoke on a daily basis On average, how many pipe bowls do (did) you smoke on a daily basis Numeric Values Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Alcohol and Tobacco Use Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C06108 Tobacco smoke pack-year value TobccoSmkePckYrVal If participant is a former or current cigarette smoker, documents the number of pack-years of smoking [(average number smoked daily)/20] x (number of years smoked) = pack-years] If participant is a former or current cigarette smoker, documents the number of pack-years of smoking [(average number smoked daily)/20] x (number of years smoked) = pack-years] Number of pack-years of smoking Numeric Values Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Alcohol and Tobacco Use Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

pack-years
C18153 Data unknown text DataUnknwnTxt The free-text field to Mark an "X" in to record if data are unknown or not available. The free-text field to Mark an "X" in to record if data are unknown or not available. Or data. Unknown Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Alcohol and Tobacco Use Epidemiology/Environmental History Participant History and Family History 20

Free-Form Entry

C19502 Tobacco cigarettes smoke daily average value TobccoCigrtSmkeDailyAvgVal Tobacco cigarettes smoked daily average number If participant is a former or current smoker, documents the average number of cigarettes he/she smokes or did smoke on a daily basis On average, how many cigarettes do (did) you smoke on a daily basis? Numeric Values

If a former or current smoker, on average how many cigarettes do (did) you smoke on a daily basis?

Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. Adult;Pediatric Supplemental 3.00 2013-07-17 09:26:36.973 Alcohol and Tobacco Use Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C00707 Alcohol consume six or more drinks frequency AlcConsume6MoreDrinkFreq The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol. The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another. How often do you have six or more drinks on one occasion? Never;Less than monthly;Monthly;Weekly;Daily or almost daily;Unknown Never;Less than monthly;Monthly;Weekly;Daily or almost daily;Unknown Alphanumeric Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT. The Alcohol Use Disorders. Identification Test. Guidelines for Use in Primary Care. 2nd edition, 2001. Department of Mental Health and Substance Dependence, World Health Organization, Geneva, Switzerland. Adult;Pediatric Supplemental 3.00 2013-07-18 16:35:19.49 Alcohol and Tobacco Use Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

3171659
C00718 Tobacco use duration TobcoUseDur Duration in years participant/subject has used tobacco products (e.g. cigarettes, cigars, chewing tobacco or pipe) Duration in years participant/subject has used tobacco products (e.g. cigarettes, cigars, chewing tobacco or pipe) For how many years did (have) you smoked Numeric Values

For former or current cigarette smokers only, the number of pack-years of smoking [(average number smoked daily)/20] x (number of years smoked) = pack-years

Biering-SØrensen F, Krassioukov A, Alexander MS, Donovan W, Karlsson AK, Mueller G, Perkash I, William Sheel A, Wecht J, Schilero GJ.International Spinal Cord Injury Pulmonary Function Basic Data Set. Spinal Cord. 2012 Jun; 50(6):418-21. Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Alcohol and Tobacco Use Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

0 99 year
C00730 Alcohol use frequency AlcUseFreq The frequency of consumption of alcohol by the participant. The frequency of consumption of alcohol by the participant. How often do you have a drink containing alcohol? Monthly or less;2 to 4 times a month;2 to 3 times a week;4 or more times a week;Unknown;Never Monthly or less;2 to 4 times a month;2 to 3 times a week;4 or more times a week;Unknown;Never Alphanumeric

The number of occurrences of alcohol use within a given time period.

Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT. The Alcohol Use Disorders. Identification Test. Guidelines for Use in Primary Care. 2nd edition, 2001. Department of Mental Health and Substance Dependence, World Health Organization, Geneva, Switzerland. Adult;Pediatric Supplemental 3.00 2013-07-18 16:35:19.49 Alcohol and Tobacco Use Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

3171627
CSV