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Protocol - Cancer Screenings

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Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Description:

These self-administered questions ask about different cancer screening tests a respondent may have had in the past 3 years. The protocol includes the following screenings: mammogram, pap smear, pelvic examination, Prostate Specific Antigen (PSA) test, colonoscopy, ultrasound of the ovaries, barium enema, chest x-ray, sigmoidoscopy, and digital rectal examination.

Protocol:

Questions for both Males and Females:

1. During the past three years, have you had a chest x-ray?

[ ] No

[ ] Yes, once

[ ] Yes, more than once

[ ] Don't know

2. During the past three years, have you had a test for blood in the stool?

[ ] No

[ ] Yes, once

[ ] Yes, more than once

[ ] Don't know

3. During the past three years, have you had a colonoscopy, sigmoidoscopy, or barium enema to examine the colon and rectum?

[ ] No

[ ] Yes, once

[ ] Yes, more than once

[ ] Don't know

Questions for Females Only:

4. During the past three years, have you had a mammogram?

[ ] No

[ ] Yes, once

[ ] Yes, more than once

[ ] Don't know

5. During the past three years, have you had a pap smear?

[ ] No

[ ] Yes, once

[ ] Yes, more than once

[ ] Don't know

6. During the past three years, have you had a pelvic examination?

[ ] No

[ ] Yes, once

[ ] Yes, more than once

[ ] Don't know

7. During the past three years, have you had an ultrasound or scan of your ovaries?

[ ] No

[ ] Yes, once

[ ] Yes, more than once

[ ] Don't know

8. During the past three years, have you had a blood test for ovarian cancer, for example, CA-125?

[ ] No

[ ] Yes, once

[ ] Yes, more than once

[ ] Don't know

Questions for Males Only:

9 During the past three years, have you had a digital rectal examination of the prostate?

[ ] No

[ ] Yes, once

[ ] Yes, more than once

[ ] Don't know

10. During the past three years, have you had a blood test for prostate cancer, for example, PSA?

[ ] No

[ ] Yes, once

[ ] Yes, more than once

[ ] Don't know

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

All respondents are asked questions 1–3. Only female respondents are asked questions 4–8, and only male respondents are asked questions 9 and 10.

While not currently performed as part of routine cancer screening, the Working Group recommends including questions about two additional cancer screening procedures: Helical computed tomography (CT) scan and whole body scan.

Research Domain Information

Release Date:

December 30, 2009

Definition

Measure to assess an individual's cancer screenings during the past 3 years

Purpose

The purpose of this measure is to assess cancer screenings in the past 3 years.

Selection Rationale

This protocol was selected because it includes the major cancer screening tests that are currently widely performed. This protocol has also been used in a major U.S. cancer screening study.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Person Cancer Screening History Text2961250CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Cancer screenings proto62575-6LOINC

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

U.S. Department of Health and Human Services. National Institutes of Health. National Cancer Institute. Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial: Baseline Questionnaire for Male Participants (BQM3). Version Date: 10/99, page 6, questions 44 and 45 (source for questions 3, 9, and 10). U.S. Department of Health and Human Services. National Institutes of Health. National Cancer Institute. Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial: Baseline Questionnaire for Female Participants (BQF3). Version Date: 10/99, pages 6–7, questions 55–62 (source for questions 1 and 2, 4–8).

General References

None

Protocol ID:

70901

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX070901_Chest_X_RayPX070901010000During the past three years, have you had a chest x-ray?4N/A
PX070901_Blood_StoolPX070901020000During the past three years, have you had a test for blood in the stool?4N/A
PX070901_Colonoscopy_Sigmoidoscopy_Barium_EnemaPX070901030000During the past three years, have you had a colonoscopy, sigmoidoscopy, or barium enema to examine the colon and rectum?4N/A
PX070901_MammogramPX070901040000During the past three years, have you had a mammogram?4N/A
PX070901_Pap_SmearPX070901050000During the past three years, have you had a pap smear?4N/A
PX070901_Pelvic_ExaminationPX070901060000During the past three years, have you had a pelvic examination?4N/A
PX070901_Ovary_Ultrasound_ScanPX070901070000During the past three years, have you had an ultrasound or scan of your ovaries?4N/A
PX070901_Ovarian_Cancer_Blood_Test_CA125PX070901080000During the past three years, have you had a blood test for ovarian cancer, for example, CA-125?4N/A
PX070901_Digital_Rectal_Examination_ProstatePX070901090000During the past three years, have you had a digital rectal examination of the prostate?4N/A
PX070901_Prostate_Cancer_Blood_Test_PSAPX070901100000During the past three years, have you had a blood test for prostate cancer, for example, PSA?4N/A