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Title

Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 (NSCLC-SAQ V1.0)

CDISC Reference

Questionnaire Supplement to the Study Data Tabulation Model Implementation Guide for Human Clinical Trials

QRS Short Name

NSCLC-SAQ V1.0

QRS Permission StatusApproved
TeamLung Cancer Standards Team and CDISC Questionnaires, Ratings, and Scales (QRS) Subteam
Supplement Version1.0
StatusFinal
Date2021-0109-2507
Notes
  • This supplement is intended to be used with other CDISC user guides for specific therapeutic/disease areas and follows the CDISC Study Data Tabulation Model Implementation Guide for Human Clinical Trials.
  • This instrument is a US FDA Qualified Clinical Outcome Assessment (COA)
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    instrument.


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Revision History

DateVersion
2021-0109-25071.0

© 2021 Clinical Data Interchange Standards Consortium, Inc. All rights reserved. 

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  1. Each of the 7 items is rated on a 5-point verbal rating scale

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    from either "No <symptom> at All" to "Very Severe <symptom>", or from "Never" to "Always" (depending on the item's question structure), relative to either intensity or frequency. For the NSCLC-SAQ V1.0, QSORRES is populated with the text description of the rating scale response chosen.  

  2. No score is displayed for any item on the instrument in either the paper form or the electronic format; however, the user manual for the CRF includes the standardized representation of zero (e.g., "No Coughing at All”, “No Pain at All”, “Never”) through 4 (e.g., “Very Severe Coughing”, "Very Severe Pain", “Always”). Because (a) electronic administration is expected frequently, (b) instructions are provided in the user manual

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    for scoring from C-Path's PRO Consortium, and (c) the numeric score for each question is expected to be submitted with the data, CDISC will represent the standardized scores in QSSTRESC and QSSTRESN.

  3. The time period of evaluation for the NSCLC-SAQ V1.0 is populated in the QSEVLINT field in ISO 8601 format when the evaluation interval can be precisely described as duration. The evaluation interval for the NSCLC-SAQ V1.0 is the past 7 days.

  4. If no response is provided for an item, then QSORRES, QSSTRESC, and QSSTRESN are all set to null and QSSTAT = “NOT DONE”.

  5. A total score, ranging from 0-20, and 5 subscores, not collected on the NSCLC-SAQ V1.0 CRF but documented in the user manual, are considered as captured data and are not considered as derived in the example below.

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     These scores may be submitted in SDTM or derived in the Analysis Data Model (ADaM) per scoring instructions from  user manual.

    1. If operationally defined by the sponsor, it is the sponsor's responsibility to set the --DRVFL flag based on their eCRF process to derive subtotals and total scores. An investigator-derived score will be considered a captured score and not flagged. When subtotal and total scores are derived by the sponsor, the derived flag (--DRVFL) is set to Y.

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      However, when the subtotal and total scores are received from a central provider or vendor, the value would go into QSORRES and
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      would be null (See SDTMIG Section: 4.1.8.1, Origin Metadata for Variables).

    2. If scores are received by the sponsor, it is recommended that they are submitted to SDTM and verified in ADaM.

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  6. Terminology
    1. QSCAT, QSTESTCD, and QSTEST values are included in CDISC Controlled Terminology.

    2. A full list of value sets for the result field is provided in Section 4, SDTM Mapping Strategy.

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Dataset wrap
Nameqs


Dataset2


YY
RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSLOBXFLVISITNUMQSDTCQSEVLINT
1STUDYXQS2324-P00011NSCLC101NSCLC1-Rate Coughing at WorstNSCLC-SAQ V1.0Moderate Coughing22
Y1

2015-05-15

-P7D
2STUDYXQS2324-P00012NSCLC102NSCLC1-Rate Worst Pain in Chest

NSCLC-SAQ V1.0

Mild Pain11
Y12015-05-15-P7D
3STUDYXQS2324-P00013NSCLC103NSCLC1-Rate Worst Pain Other Than ChestNSCLC-SAQ V1.0Mild Pain11
Y12015-05-15-P7D
4STUDYXQS2324-P00014NSCLC104NSCLC1-Short of Breath Usual ActivitiesNSCLC-SAQ V1.0Sometimes22
Y12015-05-15-P7D
5STUDYXQS2324-P00015NSCLC105NSCLC1-How Often Low EnergyNSCLC-SAQ V1.0Sometimes22
Y12015-05-15-P7D
6STUDYXQS2324-P00016NSCLC106NSCLC1-How Often Tire EasilyNSCLC-SAQ V1.0Sometimes22
Y12015-05-15-P7D
7STUDYXQS2324-P00017NSCLC107NSCLC1-How Often Poor AppetiteNSCLC-SAQ V1.0Never00
Y12015-05-15-P7D
8STUDYXQS2324-P00018NSCLC108NSCLC1-Cough Domain SubscoreNSCLC-SAQ V1.0222
Y12015-05-15-P7D
9STUDYXQS2324-P00019NSCLC109NSCLC1-Fatigue Domain SubscoreNSCLC-SAQ V1.0222
Y12015-05-15-P7D
10STUDYXQS2324-P000110NSCLC110NSCLC1-Pain Domain SubscoreNSCLC-SAQ V1.0111
Y12015-05-15-P7D
11STUDYXQS2324-P000111NSCLC111NSCLC1-Dyspnea Domain SubscoreNSCLC-SAQ V1.0222
Y12015-05-15-P7D
12STUDYXQS2324-P000112NSCLC112NSCLC1-Appetite Domain SubscoreNSCLC-SAQ V1.0000
Y12015-05-15-P7D
13STUDYXQS2324-P000113NSCLC108NSCLC1-Total ScoreNSCLC-SAQ V1.0

7

77
Y12015-05-15-P7D
14STUDYXQS2324-P00021NSCLC101NSCLC1-Rate Coughing at WorstNSCLC-SAQ V1.0


NOT DONE
1

2015-05-15


15STUDYXQS2324-P00022NSCLC102NSCLC1-Rate Worst Pain in Chest

NSCLC-SAQ V1.0




NOT DONEY
12015-05-15
16STUDYXQS2324-P00023NSCLC103NSCLC1-Rate Worst Pain Other Than ChestNSCLC-SAQ V1.0


NOT DONE
Y112015-05-15
................................................
26STUDYXQS2324-P000213NSCLC108NSCLC1-Total ScoreNSCLC-SAQ V1.0




NOT DONE
12015-05-15




4 SDTM Mapping Strategy

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