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## COMI_BACK_EN.txt
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Date : 27.4.2015
IV_DATE_QUESTION (Date of evaluation)
Type : date
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IV_LOCATION_QUESTION (Location)
Type : radiobutton
Data type : integer
Answers:
1 = general
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IV_PROCEDURE_QUESTION (Examination interval)
Type : dropdown
Data type : integer
Answers:
1 = before surgery
2 = 4 weeks
3 = 6 weeks
4 = 2 months
5 = 3 months
6 = 6 months
7 = 9 months
8 = 1 year
9 = 2 years
10 = 3 years
11 = 4 years
12 = 5 years
13 = other
Rules:
Include question rules:
Value 13 (other) activates question(s)
- OTHER_IV_PROC_QUESTION (Please specify other examination interval)
Exclude question rules:
Value 1 (before surgery) deactivates question(s)
- ASSESSMENT_RESULT (11. Overall, how much did the treatment that you received (the operation) help your back problem?)
- COMPLICATIONS (8a. Did any COMPLICATIONS arise as a consequence of your operation IN OUR HOSPITAL
(e.g. problems with wound healing, paralysis, sensory disturbances)?)
- COMPL_BOTHERSOME (8b. How bothersome were these complications?)
- FURTHER_OPS (9. SINCE THE OPERATION in our hospital, have you had any FURTHER operation(s) on your lumbar
spine (back) in our or in other hospitals?)
- OTHER_COMPLICATIONS (If yes,please describe these)
- SATISFACTION (10. OVER THE COURSE OF TREATMENT for your back problem, how satisfied were you with your overall
medical care IN OUR HOSPITAL?)
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OTHER_IV_PROC_QUESTION (Please specify other examination interval)
Type : string
Depends on question(s):
IV_PROCEDURE_QUESTION
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LOCATION (1. Which of the following problems troubles you THE MOST?)
Type : radiobutton
Data type : integer
Answers:
1 = back pain
2 = leg/buttock pain (sciatica)
3 = sensory disturbances in the back/leg/buttocks e.g. tingling, pins and needles, numbness
4 = none of the above
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PAIN_BACK (2.a How severe was your BACK PAIN in the last week?)
Type : real
Min-Max answers : 0 to 10
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PAIN_LEG (2.b How severe was your LEG PAIN (SCIATICA)/BUTTOCK PAIN in the last week?)
Type : real
Min-Max answers : 0 to 10
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BACK_NORMAL_TASKS (3. During the PAST WEEK, how much did your back problem INTERFERE WITH YOUR NORMAL WORK
(including both work outside the home and housework)?)
Type : dropdown
Data type : integer
Answers:
1 = not at all
2 = a little bit
3 = moderately
4 = quite a bit
5 = extremely
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BACK_REST (4. If you had to spend THE REST OF YOUR LIFE WITH THE SYMPTOMS YOU HAVE RIGHT NOW,
how would you feel about it?)
Type : dropdown
Data type : integer
Answers:
1 = very satisfied
2 = somewhat satisfied
3 = neither satisfied nor dissatisfied
4 = somewhat dissatisfied
5 = very dissatisfied
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LIFE_QUALITY (5. Please reflect ON THE LAST WEEK. How would you rate your quality of life?)
Type : dropdown
Data type : integer
Answers:
1 = very good
2 = good
3 = moderate
4 = bad
5 = very bad
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BACK_USUAL_ACT (6. DURING THE PAST 4 WEEKS, how many days did you CUT DOWN ON THE THINGS YOU USUALLY DO
(work, housework, school, recreational activities) because of your back problem))
Type : dropdown
Data type : integer
Answers:
1 = none
2 = between 1 and 7 days
3 = between 8 and 14 days
4 = between 15 and 21 days
5 = more than 21 days
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BACK_WORK (7. DURING THE PAST 4 WEEKS, how many days did your back problem KEEP YOU FROM GOING TO WORK
(job, school, housework)?)
Type : dropdown
Data type : integer
Answers:
1 = none
2 = between 1 and 7 days
3 = between 8 and 14 days
4 = between 15 and 21 days
5 = more than 21 days
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COMPLICATIONS (8a. Did any COMPLICATIONS arise as a consequence of your operation IN OUR HOSPITAL
(e.g. problems with wound healing, paralysis, sensory disturbances)?)
Type : dropdown
Data type : integer
Answers:
1 = no
2 = yes
Rules:
Exclude question rules:
Value 1 (no) deactivates question(s)
- COMPL_BOTHERSOME (8b. How bothersome were these complications?)
- OTHER_COMPLICATIONS (If yes,please describe these)
Depends on question(s):
IV_PROCEDURE_QUESTION
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OTHER_COMPLICATIONS (If yes,please describe these)
Type : string
Optional question
Depends on question(s):
IV_PROCEDURE_QUESTION, COMPLICATIONS
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COMPL_BOTHERSOME (8b. How bothersome were these complications?)
Type : dropdown
Data type : integer
Answers:
1 = not at all bothersome
2 = slightly bothersome
3 = moderately bothersome
4 = very bothersome
5 = extremely bothersome
Depends on question(s):
COMPLICATIONS, IV_PROCEDURE_QUESTION
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FURTHER_OPS (9. SINCE THE OPERATION in our hospital, have you had any FURTHER operation(s) on your lumbar
spine (back) in our or in other hospitals?)
Type : dropdown
Data type : integer
Answers:
1 = no
2 = yes, but at a different level of the spine
3 = yes, at the same level of the spine (same segment)
Depends on question(s):
IV_PROCEDURE_QUESTION
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SATISFACTION (10. OVER THE COURSE OF TREATMENT for your back problem, how satisfied were you with your overall
medical care IN OUR HOSPITAL?)
Type : dropdown
Data type : integer
Answers:
1 = very satisfied
2 = somewhat satisfied
3 = neither satisfied nor dissatisfied
4 = somewhat dissatisfied
5 = very dissatisfied
Depends on question(s):
IV_PROCEDURE_QUESTION
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ASSESSMENT_RESULT (11. Overall, how much did the treatment that you received (the operation) help your back problem?)
Type : dropdown
Data type : integer
Answers:
1 = helped a lot
2 = helped
3 = helped only little
4 = didnt help
5 = made things worse
Depends on question(s):
IV_PROCEDURE_QUESTION
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