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Title

European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 (EORTC QLQ-C15-PAL V1.0)

CDISC ReferenceQuestionnaire Supplement to the Study Data Tabulation Model Implementation Guide for Human Clinical Trials
QRS Short Name

EORTC QLQ-C15-PAL V1.0

QRS Permission StatusApproved
TeamProstate Cancer Standards Team and CDISC Questionnaires, Ratings, and Scales (QRS) Subteam
Supplement Version1.0
StatusDRAFT
Date2021-0309-0121
Notes
  • This supplement is intended to be used with other CDISC User Guides 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) instrument. 


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Revision History

DateVersion
2021-0309-01211.0 Draft

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

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This document is a supplement to the SDTMIG for Human Clinical Trials and is covered under Appendix F of that document, which describes representations, warranties, limitations of liability, and disclaimers. Please see Appendix F of the SDTMIG for a complete version of this material.

CDISC specifies how to structure the data that has been collected in a database, not what should be collected or how to conduct clinical assessments or protocols. CDISC disclaims any liability for your use of this material.

Although the United States Food and Drug Administration (US FDA) has provided input with regard to this supplement, this input does not constitute US FDA endorsement of any particular instrument.

2 Copyright Status

EORTC owns the copyright for the EORTC QLQ-C15-PAL V1.0 instrument and has granted CDISC permission to include this supplement in the CDISC library of QRS data standards supplements. EORTC will distribute the CDISC supplement package to sponsors when they are approved to use this instrument. Hence, CDISC developed QSTESTCD and QSTEST for each item based on the actual text on the instrument.

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The EORTC QLQ-C15-PAL V1.0 is a multiple-choice instrument that that clinicians may use to assess the quality of life of palliative cancer care subjects. It consists of 14 items, each rated on a 4-point Likert scale, plus 1 item rated on a 7-point numeric rating scale.

  1. The scale points include a 4-point Likert scale (1-4) and a 7-point numeric rating (1-7) and , with a definition of what is represented by the rating (e.g., 1 = "Not at all"). For the EORTC QLQ-C15-PAL V1.0, QSORRES is populated with the text description while the numeric rating is represented in the standardized character and numeric result variables QSSTRESC and QSSTRESN.

  2.  The time period of evaluation for the EORTC QLQ-C15-PAL 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 EORTC QLQ-C15-PAL V1.0 is the past week for QSTESTCD="EOR0204" thru "EOR0215".

  3. 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


RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSLOBXFLVISITNUMQSDTCQSEVLINT
1STUDYXQS2324-P00011EOR0201EOR02-Trouble Taking Short Walk OutsideEORTC QLQ-C15-PAL V1.0Not at All11
Y12015-11-1
2STUDYXQS2324-P00012EOR0202EOR02-Stay in Bed/Chair During the DayEORTC QLQ-C15-PAL V1.0A Little22
Y12015-11-1
3STUDYXQS2324-P00013EOR0203EOR02-Need Help Eating/Dressing/WashingEORTC QLQ-C15-PAL V1.0Quite a Bit33
Y12015-11-1
4STUDYXQS2324-P00014EOR0204EOR02-Were You Short of BreathEORTC QLQ-C15-PAL V1.0Very Much44
Y12015-11-1-P1W
5STUDYXQS2324-P00015EOR0205EOR02-Have You Had PainEORTC QLQ-C15-PAL V1.0Not at All11
Y12015-11-1-P1W
6STUDYXQS2324-P00016EOR0206EOR02-Have You Had Trouble SleepingEORTC QLQ-C15-PAL V1.0A Little22
Y12015-11-1-P1W
7STUDYXQS2324-P00017EOR0207EOR02-Have You Felt WeakEORTC QLQ-C15-PAL V1.0Quite a Bit33
Y12015-11-1-P1W
8STUDYXQS2324-P00018EOR0208EOR02-Have You Lacked AppetiteEORTC QLQ-C15-PAL V1.0Very Much44
Y12015-11-1-P1W
9STUDYXQS2324-P00019EOR0209EOR02-Have You Felt NauseatedEORTC QLQ-C15-PAL V1.0Not at All11
Y12015-11-1-P1W
10STUDYXQS2324-P000110EOR0210EOR02-Have You Been ConstipatedEORTC QLQ-C15-PAL V1.0A Little22
Y12015-11-1-P1W
11STUDYXQS2324-P000111EOR0211EOR02-Were You TiredEORTC QLQ-C15-PAL V1.0Quite a Bit33
Y12015-11-1-P1W
12STUDYXQS2324-P000112EOR0212EOR02-Pain Interfere Daily ActivitiesEORTC QLQ-C15-PAL V1.0Very Much44
Y12015-11-1-P1W
13STUDYXQS2324-P000113EOR0213EOR02-Did You Feel TenseEORTC QLQ-C15-PAL V1.0Not at All11
Y12015-11-1-P1W
14STUDYXQS2324-P000114EOR0214EOR02-Did You Feel DepressedEORTC QLQ-C15-PAL V1.0A Little22
Y12015-11-1-P1W
15STUDYXQS2324-P000115EOR0215EOR02-Rate Your Overall Quality of LifeEORTC QLQ-C15-PAL V1.0Excellent77
Y12015-11-1-P1W
16STUDYXQS2324-P000116EOR0201EOR02-Trouble Taking Short Walk OutsideEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8
17STUDYXQS2324-P000117EOR0202EOR02-Stay in Bed/Chair During the DayEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8
18STUDYXQS2324-P000118EOR0203EOR02-Need Help Eating/Dressing/WashingEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8
19STUDYXQS2324-P000119EOR0204EOR02-Were You Short of BreathEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
20STUDYXQS2324-P000120EOR0205EOR02-Have You Had PainEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
21STUDYXQS2324-P000121EOR0206EOR02-Have You Had Trouble SleepingEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
22STUDYXQS2324-P000122EOR0207EOR02-Have You Felt WeakEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
23STUDYXQS2324-P000123EOR0208EOR02-Have You Lacked AppetiteEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
24STUDYXQS2324-P000124EOR0209EOR02-Have You Felt NauseatedEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
25STUDYXQS2324-P000125EOR0210EOR02-Have You Been ConstipatedEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
26STUDYXQS2324-P000126EOR0211EOR02-Were You TiredEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
27STUDYXQS2324-P000127EOR0212EOR02-Pain Interfere Daily ActivitiesEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
28STUDYXQS2324-P000128EOR0213EOR02-Did You Feel TenseEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
29STUDYXQS2324-P000129EOR0214EOR02-Did You Feel DepressedEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W
30STUDYXQS2324-P000130EOR0215EOR02-Rate Your Overall Quality of LifeEORTC QLQ-C15-PAL V1.0


NOT DONE
22015-11-8-P1W




4 SDTM Mapping Strategy

This section is used for reference regarding the CRF data capture and to understand the alignment of the instrument to the SDTM QS domain. It also provides guidance on how the result variables (QSORRES, QSSTRESC, and QSSTRESN) should be populated.

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