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Protocol - Personal History of Gastrointestinal Conditions

Description

This self-administered questionnaire asks respondents about their personal history of several gastrointestinal conditions including colon or rectal polyps, gallbladder conditions, gastric ulcers, Barretts esophagus, ulcerative colitis/Crohns disease, colon or rectal cancer, pancreatic cancer, and gastrointestinal bleeding. The questionnaire also asks about a history of gastrointestinal procedures such as a colonoscopy, a sigmoidoscopy, and an upper endoscopy.

Specific Instructions

None

Availability

Protocol

1. In the past 2 years, have you had a…

1a. upper endoscopy (esophagus/stomach)?

[ ] No

[ ] Yes

1b. a (Virtual) CT colonoscopy?

[ ] No

[ ] Yes

1b1. a colonoscopy?

[ ] No

[ ] Yes

1b2. a sigmoidoscopy?

[ ] No

[ ] Yes

If Yes to 1b1 or 1b2:

1c. Initial reason(s) you had a colonoscopy/sigmoidoscopy?

[ ] visible blood

[ ] family history of colon cancer

[ ] Virtual (CT) colonography

[ ] occult fecal blood

[ ] diarrhea/constipation

[ ] prior polyps

[ ] abdominal pain

[ ] barium enema

[ ] asymptomatic or routine screening

2. Have you had any of the following clinician diagnosed conditions?*

2a. Diverticulitis or Diverticulosis

[ ] No

[ ] Yes

If Yes, year of diagnosis ________

2b. Colon or rectal polyp

[ ] No

[ ] Yes

If Yes, year of diagnosis ________

2c. Cancer of colon or rectum

[ ] No

[ ] Yes

If Yes, year of diagnosis ________

2d. Gall bladder removal

[ ] No

[ ] Yes

If Yes, year of diagnosis ________

2e. Gastric or duodenal ulcer

[ ] No

[ ] Yes

If Yes, year of diagnosis ________

2f. Barretts esophagus

[ ] No

[ ] Yes

If Yes, year of diagnosis ________

2g. Ulcerative colitis/Crohns disease

[ ] No

[ ] Yes

If Yes, year of diagnosis ________

3. Have you ever had gastrointestinal bleeding that required hospitalization or a transfusion?

[ ] Yes

[ ] No

If Yes

3a. What was the site of the bleeding? (Mark all that apply.)

[ ] Esophagus

[ ] Stomach

[ ] Duodenum

[ ] Colon/Rectum

[ ] Other

[ ] Site unknown

3b. What year(s) did this happen? (Mark all that apply.)

[ ] Before 1993

[ ] 1993–1997

[ ] 1998–1999

[ ] 2000–2001

[ ] 2002–2003

[ ] 2004–2005

2006[ ]+

*Editors Note: The Gastrointestinal Working Group (WG) slightly modified this question from the original protocol text. The original protocol obtains year of diagnosis by asking respondents to choose between four choices (Before 2006, 2006, 2007, or 2008). The Gastrointestinal WG removed the phrase "Since January 1, 2006" to allow collection of diagnoses that occurred prior to that time. The original response options were deleted and respondents are now asked to write in the four-digit year of diagnosis if they respond "Yes."

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement Category	Required
Major equipment	No
Specialized training	No
Specialized requirements for biospecimen collection	No
Average time of greater than 15 minutes in an unaffected individual	No

Mode of Administration

Self-administered questionnaire

Lifestage

Adult

Participants

Adult males in health professions* *Although this protocol was used in a study of men in health professions, the Gastrointestinal Working Group deems it appropriate to use with all adult men and women.

Selection Rationale

The Health Professionals Follow-Up Study has been conducted since 1986 and is a reliable and valid protocol.

Language

Chinese, English

Standards

Standard	Name	ID	Source
Logical Observation Identifiers Names and Codes (LOINC)	Pers hx GI conditions proto	62971-7	LOINC
Human Phenotype Ontology	Abnormality of the gastrointestinal tract	HP:0011024	HPO
caDSR Form	PhenX PX191001 - Personal History Of Gastrointestinal Conditions	6195045	caDSR Form

Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

National Heart, Lung, and Blood Institute (NHLBI) and National Cancer Institute (NCI), Health Professionals Follow-Up Study, 2008

Source

U.S. Department of Health and Human Services. National Institutes of Health. National Heart, Lung, and Blood Institute and National Cancer Institute. Health Professionals Follow-Up Study. 2008.

General References

None

Protocol ID

191001

Variables

Export Variables

Variable Name	Variable ID	Variable Description	dbGaP Mapping
PX191001_Barretts_Esophagus
	PX191001020600	Have you had any of the following clinician more diagnosed conditions? Barrett's esophagus? show less	N/A
PX191001_Barretts_Esophagus_Year_Of_Diagnosis
	PX191001020601	Have you had any of the following clinician more diagnosed conditions? Barrett's esophagus? If Yes, year of diagnosis show less	N/A
PX191001_Bleeding_Year_1993_1997
	PX191001030202	What year(s) did this happen? (Mark all that more apply.) 1993-1997 show less	N/A
PX191001_Bleeding_Year_1998_1999
	PX191001030203	What year(s) did this happen? (Mark all that more apply.) 1998-1999 show less	N/A
PX191001_Bleeding_Year_2000_2001
	PX191001030204	What year(s) did this happen? (Mark all that more apply.) 2000-2001 show less	N/A
PX191001_Bleeding_Year_2002_2003
	PX191001030205	What year(s) did this happen? (Mark all that more apply.) 2002-2003 show less	N/A
PX191001_Bleeding_Year_2004_2005
	PX191001030206	What year(s) did this happen? (Mark all that more apply.) 2004-2005 show less	N/A
PX191001_Bleeding_Year_Before_1993
	PX191001030201	What year(s) did this happen? (Mark all that more apply.) Before 1993 show less	N/A
PX191001_Bleeding_Year_Before_2006+
	PX191001030207	What year(s) did this happen? (Mark all that more apply.) 2006+ show less	N/A
PX191001_Cancer_Of_Colon_Or_Rectum
	PX191001020300	Have you had any of the following clinician more diagnosed conditions? Cancer of colon or rectum? show less	Variable Mapping
PX191001_Cancer_Year_Of_Diagnosis
	PX191001020301	Have you had any of the following clinician more diagnosed conditions? Cancer of colon or rectum? If Yes, year of diagnosis show less	Variable Mapping
PX191001_Colonoscopy
	PX191001010201	In the past 2 years, have you had... a more colonoscopy? show less	N/A
PX191001_Colon_Or_Rectal_Polyp
	PX191001020200	Have you had any of the following clinician more diagnosed conditions? Colon or rectal polyp? show less	Variable Mapping
PX191001_Diverticulitis_Or_Diverticulosis
	PX191001020100	Have you had any of the following clinician more diagnosed conditions? Diverticulitis or Diverticulosis? show less	Variable Mapping
PX191001_Diverticulitis_Year_Of_Diagnosis
	PX191001020101	Have you had any of the following clinician more diagnosed conditions? Diverticulitis or Diverticulosis? If Yes, year of diagnosis show less	N/A
PX191001_Gall_Bladder_Removal
	PX191001020400	Have you had any of the following clinician more diagnosed conditions? Gall bladder removal? show less	Variable Mapping
PX191001_Gall_Bladder_Removal_Year_OfDiagnosis
	PX191001020401	Have you had any of the following clinician more diagnosed conditions? Gall bladder removal? If Yes, year of diagnosis show less	N/A
PX191001_Gastric_Or_Duodenal_Ulcer
	PX191001020500	Have you had any of the following clinician more diagnosed conditions? Gastric or duodenal ulcer? show less	Variable Mapping
PX191001_Gastrointestinal_Bleeding
	PX191001030000	Have you ever had gastrointestinal bleeding more that required hospitalization or a transfusion? show less	N/A
PX191001_Polyp_Year_Of_Diagnosis
	PX191001020201	Have you had any of the following clinician more diagnosed conditions? Colon or rectal polyp? If Yes, year of diagnosis show less	N/A
PX191001_Reason_Had_Colonoscopy_Sigmoidoscopy_Abdominal_Pain
	PX191001010307	Initial reason(s) you had a more colonoscopy/sigmoidoscopy? Abdominal pain show less	N/A
PX191001_Reason_Had_Colonoscopy_Sigmoidoscopy_Barium_Enema
	PX191001010308	Initial reason(s) you had a more colonoscopy/sigmoidoscopy? Barium enema show less	N/A
PX191001_Reason_Had_Colonoscopy_Sigmoidoscopy_Diarrhea_Constipation
	PX191001010305	Initial reason(s) you had a more colonoscopy/sigmoidoscopy? Diarrhea/constipation show less	N/A
PX191001_Reason_Had_Colonoscopy_Sigmoidoscopy_Family_History
	PX191001010302	Initial reason(s) you had a more colonoscopy/sigmoidoscopy? Family history of colon cancer show less	N/A
PX191001_Reason_Had_Colonoscopy_Sigmoidoscopy_Fecal_Blood
	PX191001010304	Initial reason(s) you had a more colonoscopy/sigmoidoscopy? Occult fecal blood show less	N/A
PX191001_Reason_Had_Colonoscopy_Sigmoidoscopy_Prior_Polyps
	PX191001010306	Initial reason(s) you had a more colonoscopy/sigmoidoscopy? Prior polyps show less	N/A
PX191001_Reason_Had_Colonoscopy_Sigmoidoscopy_Routine_Screening
	PX191001010309	Initial reason(s) you had a more colonoscopy/sigmoidoscopy? Asymptomatic or routine screening show less	N/A
PX191001_Reason_Had_Colonoscopy_Sigmoidoscopy_Virtual_Colonography
	PX191001010303	Initial reason(s) you had a more colonoscopy/sigmoidoscopy? Virtual (CT) colonography show less	N/A
PX191001_Reason_Had_Colonoscopy_Sigmoidoscopy_Visible_Blood
	PX191001010301	Initial reason(s) you had a more colonoscopy/sigmoidoscopy? Visible blood show less	N/A
PX191001_Sigmoidoscopy
	PX191001010202	In the past 2 years, have you had... a more sigmoidoscopy? show less	N/A
PX191001_Site_Of_The_Bleeding_Colon/Rectum
	PX191001030104	What was the site of the bleeding? (Mark all more that apply.) Colon/Rectum show less	N/A
PX191001_Site_Of_The_Bleeding_Duodenum
	PX191001030103	What was the site of the bleeding? (Mark all more that apply.) Duodenum show less	N/A
PX191001_Site_Of_The_Bleeding_Esophagus
	PX191001030101	What was the site of the bleeding? (Mark all more that apply.) Esophagus show less	N/A
PX191001_Site_Of_The_Bleeding_Other
	PX191001030105	What was the site of the bleeding? (Mark all more that apply.) Other show less	N/A
PX191001_Site_Of_The_Bleeding_Stomach
	PX191001030102	What was the site of the bleeding? (Mark all more that apply.) Stomach show less	N/A
PX191001_Site_Of_The_Bleeding_Unkown
	PX191001030106	What was the site of the bleeding? (Mark all more that apply.) Unknown show less	N/A
PX191001_Ulcerative_ColitisCrohns_Disease
	PX191001020700	Have you had any of the following clinician more diagnosed conditions? Ulcerative colitis/Crohn's disease show less	Variable Mapping
PX191001_Ulcerative_ColitisCrohns_Year_Of_Diagnosis
	PX191001020701	Have you had any of the following clinician more diagnosed conditions? Ulcerative colitis/Crohn's disease? If Yes, year of diagnosis show less	Variable Mapping
PX191001_Ulcer_Year_Of_Diagnosis
	PX191001020501	Have you had any of the following clinician more diagnosed conditions? Gastric or duodenal ulcer? If Yes, year of diagnosis show less	N/A
PX191001_Upper_Endoscopy
	PX191001010100	In the past 2 years, have you had... an more upper endoscopy (esophagus/stomach)? show less	N/A
PX191001_Virtual_Ct_Colonoscopy
	PX191001010200	In the past 2 years, have you had... a more (Virtual) CT colonoscopy? show less	N/A

Gastrointestinal

Measure Name

Personal History of Gastrointestinal Conditions

Release Date

December 13, 2010

Definition

This is a measure to assess personal history of gastrointestinal conditions and procedures.

Purpose

Personal history of gastrointestinal conditions and procedures is important to investigate in order to track progress of a condition and predict risk factors for other related conditions.

Keywords

Gastrointestinal conditions, personal history, gallbladder, Crohns disease, ulcerative colitis, colon or rectal polyps, gastric ulcers, Barretts esophagus, gastrointestinal bleeding, Gastrointestinal

Measure Protocols

Protocol ID	Protocol Name
191001	Personal History of Gastrointestinal Conditions

Publications

There are no publications listed for this protocol.

Mapping for PX191001_Cancer_Of_Colon_Or_Rectum

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Cardiovascular Health Study (CHS) Cohort	phv00101560	COLON OR RECTUM CANCER
Cardiovascular Health Study (CHS) Cohort	phv00102737	COLON OR RECTUM CANCER
Cardiovascular Health Study (CHS) Cohort	phv00104176	COLON (BOWEL) OR RECTUM CANCER
Cardiovascular Health Study (CHS) Cohort	phv00107112	COLON OR RECTUM CANCER
Cardiovascular Health Study (CHS) Cohort	phv00108007	COLON OR RECTUM CANCER
Cardiovascular Health Study (CHS) Cohort	phv00108681	COLON OR RECTUM CANCER
Cardiovascular Health Study (CHS) Cohort	phv00109419	COLON OR RECTUM CANCER
Cardiovascular Health Study (CHS) Cohort	phv00110081	COLON OR RECTUM CANCER
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00090979	Has the patient ever been told by a healthcare provider that they have: colon or rectal cancer - ever had
NIA Long Life Family Study (LLFS)	phv00163285	Colon or rectal cancer diagnosed?
Women's Health Initiative	phv00078442	Colorectal cancer ever

Mapping for PX191001_Cancer_Year_Of_Diagnosis

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00090980	Has the patient ever been told by a healthcare provider that they have: colon or rectal cancer - year of diagnosis

Mapping for PX191001_Colon_Or_Rectal_Polyp

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Atherosclerosis Risk in Communities (ARIC) Cohort	phv00203075	Have you ever been diagnosed by a doctor as having a polyp or noncancerous tumor of the colon or rectum? Q23 [AFU Medical History Form, AMH]
Atherosclerosis Risk in Communities (ARIC) Cohort	phv00207697	Has a doctor ever told you that you had adenoma or polyp of the colon (large intestine)? Q8 [Medical History Questionnaire, exam 4]
Framingham Cohort	phv00004661	RECTAL EXAM - TOLD HAD COLON/RECTAL POLYPS - EVER
Women's Health Initiative	phv00080350	F33 Intestinal Polyps
Women's Health Initiative	phv00080408	F33 Intestinal Polyps
Women's Health Initiative	phv00156274	F33 Intestinal Polyps
Women's Health Initiative	phv00156362	F33 Intestinal Polyps
Women's Health Initiative	phv00170631	F33 Intestinal Polyps
Women's Health Initiative	phv00170713	F33 Intestinal Polyps
Women's Health Initiative	phv00193663	F33 Intestinal Polyps
Women's Health Initiative	phv00193775	F33 Intestinal Polyps

Mapping for PX191001_Diverticulitis_Or_Diverticulosis

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Women's Health Initiative	phv00077642	Diverticulitis
Women's Health Initiative	phv00077767	Diverticulitis
Women's Health Initiative	phv00077877	Diverticulitis
Women's Health Initiative	phv00078041	Diverticulitis
Women's Health Initiative	phv00078181	Diverticulitis
Women's Health Initiative	phv00078322	Diverticulitis
Women's Health Initiative	phv00078517	Diverticulitis ever

Mapping for PX191001_Gall_Bladder_Removal

dbGAP Study	dbGAP Variable	dbGAP Variable Description
CARDIA Cohort	phv00113106	GALL BLADDER REMOVED?

Mapping for PX191001_Gastric_Or_Duodenal_Ulcer

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Atherosclerosis Risk in Communities (ARIC) Cohort	phv00207695	Has a doctor ever told you that you had stomach or duodenal ulcer? Q7A [Medical History Questionnaire, exam 4]
CARDIA Cohort	phv00112998	STOMACH OR DUODENAL ULCER
CARDIA Cohort	phv00113081	HAS/HAD GASTRIC ULCER?
CARDIA Cohort	phv00114562	HAS(/D) GASTRIC ULCER? Q 1
CARDIA Cohort	phv00114565	HAS(/D) DUODENAL ULCER? Q 2
NHLBI Cleveland Family Study (CFS) Candidate Gene Association Resource (CARe)	phv00123504	95 Gastric of Duodenal Ulcer
Women's Health Initiative	phv00077641	Stomach or duodenal ulcer
Women's Health Initiative	phv00077766	Stomach or duodenal ulcer
Women's Health Initiative	phv00077876	Stomach or duodenal ulcer
Women's Health Initiative	phv00078040	Stomach or duodenal ulcer
Women's Health Initiative	phv00078180	Stomach or duodenal ulcer
Women's Health Initiative	phv00078321	Stomach or duodenal ulcer
Women's Health Initiative	phv00078516	Stomach of duodenal ulcer ever

Mapping for PX191001_Ulcerative_ColitisCrohns_Disease

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Collaborative Association Study of Psoriasis	phv00020022	Patient has IBD or Crohn's disease
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00090731	Ulcerative Colitis
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00090746	Crohn's Disease
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00090776	Irritable Bowel Syndrome
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00091006	Has the patient ever been told by a healthcare provider that they have: ulcerative colitis - ever had
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00091008	Has the patient ever been told by a healthcare provider that they have: Crohn's disease - ever had
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00091010	Has the patient ever been told by a healthcare provider that they have: indeterminate colitis - ever had
eMERGE Clinical Center at Partners HealthCare	phv00252009	Phenotype: Inflammatory Bowel Disease (IBD)
GenADA/LONG/Imaging (Genetic Alzheimer's Disease Associations)	phv00081411	INFLAMMATORY BOWEL DISORDER (CROHN'S, ULCERATIVE COLITIS): Subject History of disease
GenADA/LONG/Imaging (Genetic Alzheimer's Disease Associations)	phv00081542	INFLAMMATORY BOWEL DISORDER (CROHN'S, ULCERATIVE COLITIS): Subject History of disease
GenADA/LONG/Imaging (Genetic Alzheimer's Disease Associations)	phv00081734	INFLAMMATORY BOWEL DISORDER (CROHN'S, ULCERATIVE COLITIS): Subject history of disease
Genetic Multiple Sclerosis Associations - GeneMSA	phv00073080	Subject's history of disease - INFLAMMATORY BOWEL DISORDER (CROHNS - ULCERATIVE COLITIS)
Genome Wide Association Study in Familial Crohn's Disease	phv00190287	Inflammatory bowel disease affection status of participant [Affected, Unaffected]
NHLBI Cleveland Family Study (CFS) Candidate Gene Association Resource (CARe)	phv00123508	95 Ulcerative Colitis/Crohn's
Whole Genome Association Study of Bipolar Disorder	phv00011668	B3c3. Have you had any of the following conditions: ulcers or other bowel diseases? If yes: ulcerative colitis. (Participants with European ancestry). DIGS2
Women's Health Initiative	phv00078518	Ulcerative colitis ever

Mapping for PX191001_Ulcerative_ColitisCrohns_Year_Of_Diagnosis

dbGAP Study	dbGAP Variable	dbGAP Variable Description
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00091005	Has the patient ever been told by a healthcare provider that they have: Irritable Bowel Syndrome - year of diagnosis
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00091007	Has the patient ever been told by a healthcare provider that they have: ulcerative colitis - year of diagnosis
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00091009	Has the patient ever been told by a healthcare provider that they have: Crohn's disease - year of diagnosis
Diet, Genetic Factors, and the Gut Microbiome in Crohn's Disease	phv00091011	Has the patient ever been told by a healthcare provider that they have: indeterminate colitis - year of diagnosis
NIDDK IBD Genetics Consortium Ulcerative Colitis Genome-Wide Association Study	phv00162989	Year of diagnosis
The Role of the Gut Microbiota in Ulcerative Colitis	phv00091160	Year of inflammatory bowel disease diagnosis
Whole Genome Association Study of Bipolar Disorder	phv00011669	B3c3. Have you had any of the following conditions: ulcers or other bowel diseases? If yes: ulcerative colitis. YEAR OF ONSET. (Participants with European ancestry). DIGS2
Whole Genome Association Study of Bipolar Disorder	phv00014809	B 3.c.2. Crohn's Disease, (Participants with European ancestry). DIGS3
Whole Genome Association Study of Bipolar Disorder	phv00014810	B 3.c.2. Crohn's Disease Yr Onset, (Participants with European ancestry). DIGS3