Protocol for Imaging in Takayasu's Arteritis
Demographics (19)
- _18yearsorolder - Is the subject 18 years or older (phv00404642.v1.p1)
- Death_Age - Age in days of death (phv00404637.v1.p1)
- DoNotWishToPartcipate_Age - Subject or family does not wish to participate in further study: Age in days (phv00404587.v1.p1)
- LastVisit_Age - Age in days at last visit (phv00404683.v1.p1)
- MDInvestigatorNotified_Age - MD or investigator notified age in days (phv00404672.v1.p1)
- PETCT_Age - Age in days at PET-CT (phv00404673.v1.p1)
- PIRemovedSubjectFromStudy_Age - PI removed subject from study: Age in days (phv00404588.v1.p1)
- ProtocolTermination_Age - Age in days at protocol termination (phv00404684.v1.p1)
- registration_age - Age at registration (phv00404689.v1.p1)
- start_age - Age at study start (phv00404688.v1.p1)
- SubjectDied_Age - Age in days at death (phv00404591.v1.p1)
- SubjectLosttofollowup_Age - Subject lost to follow up age in days (phv00404589.v1.p1)
- SubjRejoinedStudy_Age - Subject rejoined the study age in days (phv00404590.v1.p1)
- visit_age - Computed age (in days) at visit (where DOB provided) (phv00404636.v1.p1)
- visit_age - Computed Age (in days) at visit (where DOB provided) (phv00404586.v1.p1)
- visit_age - Computed Age (in days) at visit (where DOB provided) (phv00404662.v1.p1)
- visit_age - Computed age (in days) at visit (where DOB provided) (phv00404671.v1.p1)
- visit_age - Computed age (in days) at visit (where DOB provided) (phv00404682.v1.p1)
- visit_age - Computed age (in days) at visit (where DOB provided) (phv00404700.v1.p1)
Reproductive Health (2)
- pregnancytest - If the subject is a woman of childbearing potential is she willing to undergo a serum pregnancy test prior to imaging (phv00404643.v1.p1)
- Waspregnancytestingdonetoday - Q2. Was pregnancy testing done today (phv00404693.v1.p1)
Other (125)
- AbleToGiveInformedConsent - Is the subject or subject's legal representative able to give informed consent (phv00404644.v1.p1)
- ActionTakenbyMDInvestigator - Action taken by MD investigator (phv00404666.v1.p1)
- Activedisea_MusculoskelSympWInfl - Active disease: Musculoskeletal symptoms (with inflammatory features including joint swelling or morning stiffness) in combination with an ESR of > 40 mm in the first hour by the Westergren method or a CRP measurement above the laboratory normal limit (phv00404652.v1.p1)
- Activediseas_MusculoskelSymptoms - Active disease: Musculoskeletal symptoms (phv00404651.v1.p1)
- Activedisease_Headachethatisapre - Active disease: Headache that is a) present for more than one day; b) non-fleeting; c) not fully relieved with non-narcotic analgesics; and d) not typical for any pre-existing form of headaches the patient may have experienced (such as migraines or tension) (phv00404647.v1.p1)
- Activedisease_Ischemicretinopath - Active disease: Ischemic retinopathy, optic neuropathy, or visual loss (phv00404648.v1.p1)
- Activedisease_Malaiseandfatigue - Active disease: Malaise and fatigue (phv00404649.v1.p1)
- Activedisease_MalaiseFatigueWESR - Active disease: Malaise and fatigue in combination with an ESR of more than 40 mm in the first hour by the Westergren method or a CRP measurement above the laboratory normal limit (phv00404650.v1.p1)
- Activedisease_Newsignssymptomsof - Active disease: New signs/symptoms of limb ischemia, including pain, claudication, new pulselessness, or diminished pulse (phv00404653.v1.p1)
- Activedisease_Othersymptomsign - Active disease: Other symptoms/signs attributed by the investigator to Takayasu's arteritis that necessitate reinstitution or increase in GC for the treatment of Takayasu's Arteritis (phv00404654.v1.p1)
- Activedisease_Sustainedfeverof38 - Active disease: Sustained fever of more than 380 C for more than 1 week (phv00404655.v1.p1)
- Activedisease_Tonguejawpainandor - Active disease: Tongue/jaw pain and/or claudication (phv00404656.v1.p1)
- Activedisease_Transientcerebrali - Active disease: Transient cerebral ischemia or stroke (phv00404657.v1.p1)
- Activedisease_Vascularpaintender - Active disease: Vascular pain/tenderness producing symptoms such as carotidynia, scalp tenderness, or temporal artery abnormalities (tenderness or nodularity). Such vascular symptoms should be present for more than one day and be non-fleeting. (phv00404658.v1.p1)
- AnyIncidentalFindings - Were there any incidental findings (phv00404664.v1.p1)
- complywithimagingstudies - Is the subject willing to comply with the schedule for imaging studies and follow-up procedures (phv00404646.v1.p1)
- consent - Consent group (phv00404556.v1.p1)
- consentformsigned - Was the consent form signed and dated by the subject or subjects legal representative (phv00404645.v1.p1)
- DeathCertificateReceived - Has the death certificate been received (phv00404594.v1.p1)
- DeathPlace - Place of death (phv00404593.v1.p1)
- DeathSourceNotificat_Coroner - Death source notification: Coroner (phv00404623.v1.p1)
- DeathSourceNotificat_Friend - Death source notification: Friend (phv00404624.v1.p1)
- DeathSourceNotificat_Funeralparl - Death source notification: Funeral parlor/home (phv00404625.v1.p1)
- DeathSourceNotificat_Healthcarep - Death source notification: Health care provider (phv00404626.v1.p1)
- DeathSourceNotificat_Medicalexam - Death source notification: Medical examiner (phv00404627.v1.p1)
- DeathSourceNotificat_Medicalreco - Death source notification: Medical record (phv00404628.v1.p1)
- DeathSourceNotificat_Newspaper - Death source notification: Newspaper (phv00404629.v1.p1)
- DeathSourceNotificat_Other - Death source notification: Other (phv00404630.v1.p1)
- DeathSourceNotificat_Patientsfam - Death source notification: Patient's family (phv00404631.v1.p1)
- DocumentationType - Type of documentation (phv00404619.v1.p1)
- DoesNotWishToPartcip_CompFamSit - Does not wish to participate: Complicated family situation (phv00404569.v1.p1)
- DoesNotWishToPartcip_CostExpense - Does not wish to participate: Cost / expense to the family (phv00404570.v1.p1)
- DoesNotWishToPartcip_FamilyPriva - Does not wish to participate: Family concern regarding privacy / confidentiality (phv00404571.v1.p1)
- DoesNotWishToPartcip_InconvTravl - Does not wish to participate: Inconvenience to travel (phv00404572.v1.p1)
- DoesNotWishToPartcip_OtherSpecif - Does not wish to participate: Other (Specify reason): (phv00404573.v1.p1)
- DoesNotWishToPartcip_SubjFamCon - Does not wish to participate: Subject / family withdrew consent (phv00404575.v1.p1)
- DoesNotWishToPartcip_SubjFamTim - Does not wish to participate: Subject/family lacks time required on study (phv00404574.v1.p1)
- DoesNotWishToPartcip_Testingdiff - Does not wish to participate: Testing difficult / traumatic for the subject (phv00404576.v1.p1)
- DoNotWishPaticipateReasonOther - Subject family does not wish to participate in further study: Reasons, other (phv00404559.v1.p1)
- form_name - Form name (phv00404632.v1.p1)
- form_name - Form Name (phv00404582.v1.p1)
- form_name - Form Name (phv00404659.v1.p1)
- form_name - Form name (phv00404668.v1.p1)
- form_name - Form name (phv00404678.v1.p1)
- form_name - Form name (phv00404697.v1.p1)
- Form_Status - Form status (phv00404635.v1.p1)
- Form_Status - Form Status (phv00404585.v1.p1)
- Form_Status - Form Status (phv00404661.v1.p1)
- Form_Status - Form status (phv00404670.v1.p1)
- Form_Status - Form status (phv00404681.v1.p1)
- Form_Status - Form status (phv00404699.v1.p1)
- Has5503InfoSpecimenBeenCollected - Q1. Have the 5503 VCRC Longitudinal Protocol for Takayasus Arteritis information and specimens been collected (phv00404691.v1.p1)
- ICD10CauseOfDeath - ICD10 code for cause of death (phv00404563.v1.p1)
- IfNoWhyNot - Have the 5503 VCRC Longitudinal Protocol for Takayasus Arteritis information and specimens been collected. If no, please explain why not (phv00404692.v1.p1)
- IfYesPleaseIndicateReason - If no, please indicate reason (phv00404695.v1.p1)
- Ifyesresults - If yes, results (phv00404694.v1.p1)
- IfYesWhichTreatmentWasParticip - If yes which study treatment was the participant on (phv00404621.v1.p1)
- ImmCauseOfDeath1 - Immediate cause of death 1 (phv00404609.v1.p1)
- ImmCauseOfDeath2 - Immediate cause of death 2 (phv00404611.v1.p1)
- ImmCauseOfDeath3 - Immediate cause of death 3 (phv00404613.v1.p1)
- ImmCauseOfDeath4 - Immediate cause of death 4 (phv00404615.v1.p1)
- ImmCauseOfDeathCode1 - Immediate cause of death code 1 (phv00404610.v1.p1)
- ImmCauseOfDeathCode2 - Immediate cause of death code 2 (phv00404612.v1.p1)
- ImmCauseOfDeathCode3 - Immediate cause of death code 3 (phv00404614.v1.p1)
- ImmCauseOfDeathCode4 - Immediate cause of death code 4 (phv00404616.v1.p1)
- InfRegardingCauseOfDeath - Information regarding cause of death (phv00404620.v1.p1)
- InvestigatorDecisionSpecify - Investigator decision specify (phv00404676.v1.p1)
- MannerOfDeath - Manner of death (phv00404608.v1.p1)
- maskid - Masked participant identifier (phv00404592.v1.p1)
- maskid - Masked Participant Identifier (phv00404557.v1.p1)
- maskid - Masked Participant Identifier (phv00404638.v1.p1)
- maskid - Masked participant identifier (phv00404663.v1.p1)
- maskid - Masked participant identifier (phv00404674.v1.p1)
- maskid - Masked participant identifier (phv00404690.v1.p1)
- maskid - Masked Participant Identifier (phv00404685.v1.p1)
- maskid - (Masked) Subject Identifier (unique key) (phv00404555.v1.p1)
- MDInvestigatorNotified - MD investigator notified (phv00404667.v1.p1)
- Participant_Cycle_Number - Participant cycle # (phv00404633.v1.p1)
- Participant_Cycle_Number - Participant cycle # (phv00404583.v1.p1)
- Participant_Cycle_Number - Participant cycle # (phv00404679.v1.p1)
- ParticipantAlsoRcvingPrednison - Was the participant also receiving prednisone (phv00404622.v1.p1)
- PhysicianOpinionOnDeathInput - Study physicians opinion as to immediate cause of death input (phv00404595.v1.p1)
- PhysicianOpinionOnDeathOutput - Study physicians opinion as to immediate cause of death output (phv00404596.v1.p1)
- PhysOpinionContribCauseInput1 - Study physicians opinion as to contributing causes of death input 1 (phv00404597.v1.p1)
- PhysOpinionContribCauseInput2 - Study physicians opinion as to contributing causes of death input 2 (phv00404598.v1.p1)
- PhysOpinionContribCauseInput3 - Study physicians opinion as to contributing causes of death input 3 (phv00404599.v1.p1)
- PhysOpinionContribCauseOutput1 - Study physicians opinion as to contributing causes of death output 1 (phv00404600.v1.p1)
- PhysOpinionContribCauseOutput2 - Study physicians opinion as to contributing causes of death output 2 (phv00404601.v1.p1)
- PhysOpinionContribCauseOutput3 - Study physicians opinion as to contributing causes of death output 3 (phv00404602.v1.p1)
- PIRemovedSubjectFrom_OtherSpecif - PI removed subject from study: Other (Specify reason): (phv00404577.v1.p1)
- PIRemovedSubjectFrom_Studystoppe - PI removed subject from : Study stopped by sponsor/IRB/DSMB (phv00404578.v1.p1)
- PIRemovedSubjectFrom_Subjecthass - PI removed subject from: Subject has stable disease (phv00404579.v1.p1)
- PIRemovedSubjectFrom_Subjectnolo - PI removed subject from Subject no longer has disease (phv00404580.v1.p1)
- PIRemovedSubjectFrom_Unsafeforsu - PI removed subject from: Unsafe for subject to remain in study (phv00404581.v1.p1)
- PIRemovedSubjectFromStudy - PI removed subject from study (phv00404568.v1.p1)
- PIRemovedSubjectFromStudyReaso2 - PI removed subject from study: Reasons, other (phv00404562.v1.p1)
- PleaseSpecifyTheAbnormalities - Please specify the abnormalities below (phv00404665.v1.p1)
- PresenceofACR - Presence of adapted American College of Rheumatology ACR criteria for classification of TAK as defined by the 5503 VCRC Longitudinal Protocol for Takayasu's Arteritis (phv00404639.v1.p1)
- Protocol - RDCRN Protocol# (phv00404687.v1.p1)
- question2checked - Are any of the items in question 2 checked (phv00404640.v1.p1)
- reason - Reason (phv00404696.v1.p1)
- ReasonThatParticipationTermina - Reason that participation in protocol terminated (phv00404675.v1.p1)
- RevisedDiagnosis - Revised diagnosis please indicate the revision (phv00404677.v1.p1)
- Status - Participant Status (phv00404686.v1.p1)
- StudyCenterChange - Change of study center (phv00404564.v1.p1)
- StudyCenterChangeReason - Reason for change (phv00404558.v1.p1)
- SubjCauseOfDeathCode - Cause of death code (phv00404561.v1.p1)
- SubjectCauseOfDeath - Cause of death (phv00404560.v1.p1)
- SubjectDied - Subject died (phv00404565.v1.p1)
- subjectenrolledin5503 - Is the subject enrolled in the VCRC Longitudinal Protocol 5503 VCRC Longitudinal Protocol for Takayasus Arteritis (phv00404641.v1.p1)
- SubjectRejoinedStudy - Subject rejoined the study as of (phv00404567.v1.p1)
- SubjLostToFollowup - Subject lost to follow-up (phv00404566.v1.p1)
- UnderlyingCauseOfDeath - Underlying cause of death (phv00404617.v1.p1)
- UnderlyingCauseOfDeathCode - Underlying cause of death code (phv00404618.v1.p1)
- Visit - Visit (phv00404634.v1.p1)
- Visit - Visit (phv00404584.v1.p1)
- Visit - Visit (phv00404660.v1.p1)
- Visit - Visit (phv00404669.v1.p1)
- Visit - Visit (phv00404680.v1.p1)
- Visit - Visit (phv00404698.v1.p1)
- WasPatientOnExpTreatAtTimeDeath - Was patient on experimental treatment at time of death (phv00404607.v1.p1)
- WasVasFactorInCauseOfDeath - Was vasculitis a factor in the cause of death (phv00404603.v1.p1)
- WasVasFactorInCauseOfDeathExpl - Was vasculitis a factor in the cause of death explain (phv00404604.v1.p1)
- WasVasTreatFactorInCauseOfDeath - Was vasculitis treatment a factor in the cause of death (phv00404605.v1.p1)
- WasVasTxFactorInCauseOfDeathExpl - Was vasculitis treatment a factor in the cause of death explain (phv00404606.v1.p1)