Protocol - Cancer Screenings
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.
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.
Availability
This protocol is freely available; permission not required for use.
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
[ ] Dont know
2. During the past three years, have you had a test for blood in the stool?
[ ] No
[ ] Yes, once
[ ] Yes, more than once
[ ] Dont 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
[ ] Dont know
Questions for Females Only:
4. During the past three years, have you had a mammogram?
[ ] No
[ ] Yes, once
[ ] Yes, more than once
[ ] Dont know
5. During the past three years, have you had a pap smear?
[ ] No
[ ] Yes, once
[ ] Yes, more than once
[ ] Dont know
6. During the past three years, have you had a pelvic examination?
[ ] No
[ ] Yes, once
[ ] Yes, more than once
[ ] Dont know
7. During the past three years, have you had an ultrasound or scan of your ovaries?
[ ] No
[ ] Yes, once
[ ] Yes, more than once
[ ] Dont 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
[ ] Dont 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
[ ] Dont 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
[ ] Dont know
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
Men and women, aged 55–74 years old*
*While this protocol was used in a study of men and women aged 55–74 years old, the Cancer Working Group deems it appropriate to use with the general population aged 18 years or older.
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
| Standard | Name | ID | Source |
|---|---|---|---|
| Logical Observation Identifiers Names and Codes (LOINC) | Cancer screenings proto | 62575-6 | LOINC |
| Human Phenotype Ontology | Neoplasm | HP:0002664 | HPO |
| caDSR Form | PhenX PX070901 - Cancer Screenings | 5962891 | caDSR Form |
Derived Variables
None
Process and Review
Not applicable.
Protocol Name from Source
Prostate, Lung, Colorectal and Ovarian (PLCO), Cancer Screening Trial, Baseline Questionnaire for Male (BQMC) & Female (BQM3), 10/99
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 Name | Variable ID | Variable Description | dbGaP Mapping | |
|---|---|---|---|---|
| PX070901_Blood_Stool | ||||
| PX070901020000 | During the past three years, have you had a more | N/A | ||
| PX070901_Chest_X_Ray | ||||
| PX070901010000 | During the past three years, have you had a more | N/A | ||
| PX070901_Colonoscopy_Sigmoidoscopy_Barium_Enema | ||||
| PX070901030000 | During the past three years, have you had a more | N/A | ||
| PX070901_Digital_Rectal_Examination_Prostate | ||||
| PX070901090000 | During the past three years, have you had a more | N/A | ||
| PX070901_Mammogram | ||||
| PX070901040000 | During the past three years, have you had a more | N/A | ||
| PX070901_Ovarian_Cancer_Blood_Test_CA125 | ||||
| PX070901080000 | During the past three years, have you had a more | N/A | ||
| PX070901_Ovary_Ultrasound_Scan | ||||
| PX070901070000 | During the past three years, have you had an more | N/A | ||
| PX070901_Pap_Smear | ||||
| PX070901050000 | During the past three years, have you had a more | Variable Mapping | ||
| PX070901_Pelvic_Examination | ||||
| PX070901060000 | During the past three years, have you had a more | N/A | ||
| PX070901_Prostate_Cancer_Blood_Test_PSA | ||||
| PX070901100000 | During the past three years, have you had a more | N/A | ||
Measure Name
Cancer Screenings
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.
Keywords
cancer, screening, mammogram, pap smear, pelvic examination, PSA, colonoscopy, ultrasound, barium enema, colon, rectum, x-ray, ovarian cancer, prostate, sigmoidoscopy, digital rectal examination, scan, ovaries, CA-125, prostate, lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial.
Measure Protocols
| Protocol ID | Protocol Name |
|---|---|
| 70901 | Cancer Screenings |