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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
Date20212022-0310-0111
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. 


Revision History

DateVersion
20212022-0310-01111.0 Draft

© 2021 2022 Clinical Data Interchange Standards Consortium, Inc. All rights reserved. 

1 Introduction

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

CDISC does did not modify this questionnaires, ratings, and scales (QRS) instruments instrument to meet Clinical Data Acquisition Standards Harmonization (CDASH) case report form (CRF) standards.

...

The CDISC Intellectual Property Policy can be found on the CDISC web site at: https://www.cdisc.org/about/bylaws.

1.1 Representations and Warranties, Limitations of Liability, and Disclaimers

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.

...

Copyright 1995 and 2005 EORTC Quality of Life Group. All rights reserved. Version 1.0.

3 The QS Domain Model

3.1 Assumptions for the QS Domain Model

All assumptions and business rules described in the SDTMIG QS domain are applicable to this supplement. Additional assumptions specific to the EORTC QLQ-C15-PAL V1.0 are listed below.

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".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.

3.2 Example for the EORTC QLQ-C15-PAL V1.0 QS Domain Model

The EORTC QLQ-C15-PAL V1.0 example below shows the terminology used to implement the instrument in the QS domain. This example shows the data for 1 subject collected at the baseline and the second visit for a EORTC QLQ-C15-PAL V1.0 instrument. The example uses CDISC Controlled Terminology for QSTESTCD, QSTEST, and QSCAT. All original results are represented with preferred terminology in QSORRES. This result is then transformed into the standard numeric score in QSSTRESN and a character representation of the standard numeric score in QSSTRESC.

Info

We are unable to make the example consistently show blue in the Wiki. All examples are updated for each QRS instrument so we ask that you please review the example below.

...

Nameqs
  1. QSTESTCD = "EOR0215" item is represented as a Numeric Rating Scale 7-Point item. Visual analog or numeric rating scales used within a questionnaire with a range of text and numeric values are indicated in the SUPPQS domain with:

    QNAM=QSANTXLO      QNAM=QSANTXHI

    QNAM=QSANVLLO     QNAM=QSANVLHI

    By storing this information in SUPPQS, it is available for interpretation purposes.  The SDS QS Team is researching alternative methods to handle this data in the future, but until a new method is identified, this will be the recommended approach.

    1. The low and high anchor text is stored in QSORRES with the numeric values stored in QSSTRESC and QSSTRESN.  All other numeric values are stored in QSORRES, QSSTRESC and QSSTRESN.
  2. 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.

3.2 Example for the EORTC QLQ-C15-PAL V1.0 QS Domain Model

The EORTC QLQ-C15-PAL V1.0 example below shows the terminology used to implement the instrument in the QS domain. This example shows the data for 1 subject collected at the baseline and the second visit for a EORTC QLQ-C15-PAL V1.0 instrument. The example uses CDISC Controlled Terminology for QSTESTCD, QSTEST, and QSCAT. All original results, matching the CRF item response text, are represented in QSORRES.This result is then represented as a standard numeric score in QSSTRESN and as a standard character representation in QSSTRESC.

Info

We are unable to make the example consistently show blue in the Wiki. All examples are updated for each QRS instrument so we ask that you please review the example below.

...


The table represents the items from the

EORTC QLQ-C15-PAL V1.0 instrument. Rows 16-30 show the subject was not evaluated on this instrument at visit 2. Since the visit was missed, the reason for not completing the visit was not collected, no date is assumed for when the visit would have occurred.

Dataset wrap
Nameqs
Dataset2
Not at All11Y12015-11-12STUDYXQS2324-P00012EOR0202EOR02-Stay in Bed/Chair During the DayEORTC QLQ-C15-PAL V1.0A Little22Y12015-11-13
RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSMETHODQSLOBXFLVISITNUMQSDTCQSEVLINT
1
STUDYXQS2324-P0001
3
1
EOR0203
EOR0201EOR02-
Need Help Eating/Dressing/Washing
Trouble Taking Short Walk OutsideEORTC QLQ-C15-PAL V1.0
Quite a Bit3
Not at All11
3


Y12015-11-1
4

2STUDYXQS2324-P0001
4
2
EOR0204
EOR0202EOR02-
Were You Short of Breath
Stay in Bed/Chair During the DayEORTC QLQ-C15-PAL V1.0
Very Much
A Little
4
2
45
2

Y12015-11-1
-P1W

3STUDYXQS2324-P0001
5
3
EOR0205
EOR0203EOR02-
Have You Had Pain
Need Help Eating/Dressing/WashingEORTC QLQ-C15-PAL V1.0
Not at All1
Quite a Bit33
16


Y12015-11-1
-P1W

4STUDYXQS2324-P0001
6
4
EOR0206
EOR0204EOR02-
Have You Had Trouble Sleeping
Were You Short of BreathEORTC QLQ-C15-PAL V1.0
A Little
Very Much
2
4
2
4

Y12015-11-1-P1W
7
5STUDYXQS2324-P0001
7
5
EOR0207
EOR0205EOR02-Have You
Felt Weak
Had PainEORTC QLQ-C15-PAL V1.0
Quite a Bit3
Not at All11
3


Y12015-11-1-P1W
8
6STUDYXQS2324-P0001
8
6
EOR0208
EOR0206EOR02-Have You
Lacked Appetite
Had Trouble SleepingEORTC QLQ-C15-PAL V1.0
Very Much
A Little
4
2
4
2

Y12015-11-1-P1W
9
7STUDYXQS2324-P0001
9
7
EOR0209
EOR0207EOR02-Have You Felt
Nauseated
WeakEORTC QLQ-C15-PAL V1.0
Not at All1
Quite a Bit33
1


Y12015-11-1-P1W
10
8STUDYXQS2324-P0001
10
8
EOR0210
EOR0208EOR02-Have You
Been Constipated
Lacked AppetiteEORTC QLQ-C15-PAL V1.0
A Little
Very Much
2
4
2
4

Y12015-11-1-P1W
11
9STUDYXQS2324-P0001
11
9
EOR0211
EOR0209EOR02-
Were
Have You
Tired
Felt NauseatedEORTC QLQ-C15-PAL V1.0
Quite a Bit3
Not at All11
3


Y12015-11-1-P1W
12
10STUDYXQS2324-P0001
12
10
EOR0212
EOR0210EOR02-
Pain Interfere Daily Activities
Have You Been ConstipatedEORTC QLQ-C15-PAL V1.0
Very Much
A Little
4
2
4
2

Y12015-11-1-P1W
13
11STUDYXQS2324-P0001
13
11
EOR0213
EOR0211EOR02-
Did
Were You
Feel Tense
TiredEORTC QLQ-C15-PAL V1.0
Not at All1
Quite a Bit33
1


Y12015-11-1-P1W
14
12STUDYXQS2324-P0001
14
12
EOR0214
EOR0212EOR02-
Did You Feel Depressed
Pain Interfere Daily ActivitiesEORTC QLQ-C15-PAL V1.0
A Little
Very Much
2
4
2
4

Y12015-11-1-P1W
15
13STUDYXQS2324-P0001
15
13
EOR0215
EOR0213EOR02-
Rate Your Overall Quality of Life
Did You Feel TenseEORTC QLQ-C15-PAL V1.0
Excellent
Not at All
7
1
7
1

Y12015-11-1-P1W
16
14STUDYXQS2324-P0001
16
14
EOR0201
EOR0214EOR02-
Trouble Taking Short Walk Outside
Did You Feel DepressedEORTC QLQ-C15-PAL V1.0A Little
NOT DONE
22

Y12015-11-1-
8
P1W
17
15STUDYXQS2324-P0001
17
15
EOR0202
EOR0215EOR02-
Stay in Bed/Chair During the Day
Rate Your Overall Quality of LifeEORTC QLQ-C15-PAL V1.0
NOT DONE
Excellent77
NUMERICAL RATING SCALE 7-POINTY1
2
2015-11-
818
1-P1W
16STUDYXQS2324-P0001
18
16
EOR0203
EOR0201EOR02-
Need Help Eating/Dressing/Washing19
Trouble Taking Short Walk OutsideEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8


17
STUDYXQS2324-P0001
19
17
EOR0204
EOR0202EOR02-
Were You Short of Breath
Stay in Bed/Chair During the DayEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W20


18STUDYXQS2324-P0001
20
18
EOR0205
EOR0203EOR02-
Have You Had Pain21
Need Help Eating/Dressing/WashingEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W


19STUDYXQS2324-P0001
21
19
EOR0206
EOR0204EOR02-
Have You Had Trouble Sleeping
Were You Short of BreathEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W22


20STUDYXQS2324-P0001
22
20
EOR0207
EOR0205EOR02-Have You
Felt Weak23
Had PainEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W


21STUDYXQS2324-P0001
23
21
EOR0208
EOR0206EOR02-Have You
Lacked Appetite24
Had Trouble SleepingEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W


22STUDYXQS2324-P0001
24
22
EOR0209
EOR0207EOR02-Have You Felt
Nauseated25
WeakEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W


23
STUDYXQS2324-P0001
25
23
EOR0210
EOR0208EOR02-Have You
Been Constipated26
Lacked AppetiteEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W


24STUDYXQS2324-P0001
26
24
EOR0211
EOR0209EOR02-
Were
Have You
Tired27
Felt NauseatedEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W


25STUDYXQS2324-P0001
27
25
EOR0212
EOR0210EOR02-
Pain Interfere Daily Activities28
Have You Been ConstipatedEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W


26STUDYXQS2324-P0001
28
26
EOR0213
EOR0211EOR02-
Did
Were You
Feel Tense29
TiredEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W


27STUDYXQS2324-P0001
29
27
EOR0214
EOR0212EOR02-
Did You Feel Depressed30
Pain Interfere Daily ActivitiesEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W


28
STUDYXQS2324-P0001
30
28
EOR0215
EOR0213EOR02-
Rate Your Overall Quality of Life
Did You Feel TenseEORTC QLQ-C15-PAL V1.0


NOT DONE

2
2015-11-8-P1W

4 SDTM Mapping Strategy



29STUDYXQS2324-P000129EOR0214EOR02-Did You Feel DepressedEORTC QLQ-C15-PAL V1.0


NOT DONE

2

30STUDYXQS2324-P000130EOR0215EOR02-Rate Your Overall Quality of LifeEORTC QLQ-C15-PAL V1.0


NOT DONENUMERICAL RATING SCALE 7-POINT
2

The anchor text and numeric values for data collection needs to be populated in SUPPQS as follows. The standard terminology for QNAM and QLABEL are listed below.

Dataset wrap
Namesuppqs
Dataset2
tableidsuppqs.ept
STUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
STUDYXQS2324-P0001QSTESTCDEOR0215QSANTXLOAnchor Text LowVERY POORCRF
STUDYXQS2324-P0001QSTESTCDEOR0215QSANTXHIAnchor Text HighEXCELLENTCRF
STUDYXQS2324-P0001QSTESTCDEOR0215QSANVLLOAnchor Value Low1CRF
STUDYXQS2324-P0001QSTESTCDEOR0215QSANVLHIAnchor Value High7CRF


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.

QSTESTCD ="EOR0201" QSTEST = "EOR02-Trouble Taking Short Walk Outside" through

...

. It also provides guidance on how the result variables (QSORRES, QSSTRESC, and QSSTRESN) should be populated.

QSTESTCD ="EOR0201" QSTEST = "EOR02-Trouble Taking Short Walk Outside" through

QSTESTCD = "EOR0214" QSTEST = "EOR02-Did You Feel Depressed"

QSORRESQSSTRESCQSSTRESN
Not at All11
A Little22
Quite a Bit33
Very Much44


QSTESTCD = "EOR0215" QSTEST = "EOR02-

...

Rate Your Overall Quality of Life"

QSORRESQSSTRESCQSSTRESN
Not at AllVery poor11
A Little222
3Quite a Bit333
Very Much44

QSTESTCD = "EOR0215" QSTEST = "EOR02-Rate Your Overall Quality of Life"

...

444
555
666
Excellent77


5 Supplemental Qualifier Name Codes

The following table contains additional standard name codes for use in the Supplement Qualifiers for Questionnaires (SUPPQS) special purpose dataset.

Dataset wrap
Namesuppqs
QNAMQLABELQVAL
QSANTXLOAnchor Text Low

VERY POOR

QSANTXHI

Anchor Text High

EXCELLENT

QSANVLLO

Anchor Value Low

1

QSANVLHI

Anchor Value High

...

7

End of Document