IKNL Profiles > Quality of life lymphoma > Quality of life multiple myeloma May 2010

Publisher
IKNL Profiles study
Creator
Simone Oerlemans, Lonneke van de Poll - Franse
Created
Oct 28 2015
Description
Panel
iknl
Begin date
May 01 2010

Name English Dutch
Intro1 Life after cancer. Please fill in the questionnaire by yourself, in your own pace. You can answer the questions by checking the box/number …
02q01 What is currently your marital status?
02q02 Indicate below which is your highest education level.
06q01 Do you have a paid job at this moment?
06q02 Paid job hours/week
06q06 If you do not have a paid job, which of the following reasons is most applicable to your situation?
06q08 Percentage of incapacity
06q09 Due to cancer?
03q01 Do you smoke?
03q02 How long has it been you've quit smoking?
03q03 Number of cigarettes per day
03q04 Number of cigars per week
03q05 Number of packages of pipe tobacco (50 grams) per week
03q06 Can you state how many glasses of alcoholic drinks you drank on average per week in the past 12 months?
03q07 How long has it been you've quit drinking alcohol?
03q08 Number of glasses of beer per week
03q09 Number of glasses of wine or port wine per week
03q10 Number of glasses of liquor per week (eg. cognac, gin, whiskey, liquor)
04q01 - 04q08 Can you indicate in the table below how many hours you have spend on average on a weekly basis on the following activities in the past summ…
04q09 Have you done weekly sporting activities in the past year?
05q01 How many times did you have contact with your general practitioner in the past 12 months?
05q02 How many of these contact moments had to do with cancer or the aftermath of cancer?
05q03 How many times did you have contact with your specialist in the past 12 months?
05q04 How many of these contact moments had to do with cancer or the aftermath of cancer?
05q05 Do you still have follow up appointments?
05q06 Did you discuss with your specialist how often you have to come back from this moment on?
05q07 Do you feel comfortable with this follow up scheme?
05q08 Did you receive care after the treatment of your illness?
05q09 - 05q20 From who did you receive care after the treatment of your ilness?
07q01 - 07q14 Below you see a list of chronic conditions and diseases. Please indicate for each condition or disease whether you have it now or have had …
07q15 - 07q28 Please indicate for each condition if you are treated for it or not.
07q29 - 07q42 Please indicate for each condition whether it interferes with your activities or not.
06q07 Which changes have you experienced in your work situation due to cancer?
53q01 Did you have trouble finding (additional) health insurance, because of cancer?
53q02 You have indicated that you have had trouble getting (additional) health insurance. What was the outcome?
53q03 Did you have trouble getting life insurance, because of cancer?
53q04 You have indicated that you have had trouble getting life insurance. What was the outcome?
53q05 Did you have trouble getting mortgage, because of cancer?
53q06 You have indicated that you have had trouble getting mortgage. What was the outcome?
Intro2 Instruction: We are interested in certain things about you and your health. Please answer each question by checking the box in the indicate…
09q01 - 09q30 During the past week
12q01 - 12q20 Symptoms or problems. Patients sometimes report that they have the following symptoms or problems. Please indicate the extent to which you …
23q01- 23q10 Fatique
Intro4 Anxiety and depression. The following questions are about how you feel right now. Please choose the answer that best describes your current…
24q01 I feel tense or ‘wound up’
24q02 I still enjoy the things I used to enjoy
24q03 I get a sort of frightened feeling as if something awful is about to happen
24q04 I can laugh and see the funny side of things
24q05 Worrying thoughts go through my mind
24q06 I feel cheerful
24q07 I can sit at ease and feel relaxed
24q08 I feel as if I am slowed down
24q09 I get a sort of frightened feeling like ‘butterflies’ in the stomach
24q10 I have lost interest in my appearance
24q11 I feel restless, as if I have to be on the move
24q12 I look forward with enjoyment to things
24q13 I get sudden feelings of panic
24q14 I can enjoy a good book or radio or TV program

Variable Dataset English Dutch
mm10a01pat_id mm10a_EN_1.0 Patient identifier
mm10a1response mm10a_EN_1.0 Response status
mm10a01gend mm10a_EN_1.0 Gender
mm10a01ageinc mm10a_EN_1.0 Age category at time of diagnosis
mm10a01ageques mm10a_EN_1.0 Age category at time of study
mm10a1yrsdiag mm10a_EN_1.0 Time passed since diagnosis
mm10a01treatment mm10a_EN_1.0 Primary treatment
mm10a01BMI mm10a_EN_1.0 Body mass index
mm10a01SES3 mm10a_EN_1.0 Sociaal Economic Status
mm10a01mode mm10a_EN_1.0 Questionnaire filled in online or on paper
mm10a02q01 mm10a_EN_1.0 What is currently your marital status?
mm10a02q02 mm10a_EN_1.0 Indicate below which is your highest education level.
mm10a06q01 mm10a_EN_1.0 Do you have a paid job at this moment?
mm10a06q02 mm10a_EN_1.0 Paid job hours/week
mm10a06q06 mm10a_EN_1.0 If you do not have a paid job, which of the following reasons is most applicable to your situation?
mm10a06q08 mm10a_EN_1.0 Percentage of incapacity
mm10a06q09 mm10a_EN_1.0 Due to cancer?
mm10a03q01 mm10a_EN_1.0 Do you smoke?
mm10a03q02 mm10a_EN_1.0 How long has it been you've quit smoking?
mm10a03q03 mm10a_EN_1.0 Number of cigarettes per day
mm10a03q04 mm10a_EN_1.0 Number of cigars per week
mm10a03q05 mm10a_EN_1.0 Number of packages of pipe tobacco (50 grams) per week
mm10a03q06 mm10a_EN_1.0 Can you state how many glasses of alcoholic drinks you drank on average per week in the past 12 months?
mm10a03q07 mm10a_EN_1.0 How long has it been you've quit drinking alcohol?
mm10a03q08 mm10a_EN_1.0 Number of glasses of beer per week
mm10a03q09 mm10a_EN_1.0 Number of glasses of wine or port wine per week
mm10a03q10 mm10a_EN_1.0 Number of glasses of liquor per week (eg. cognac, gin, whiskey, liquor)
mm10a04q01 mm10a_EN_1.0 Going for a walk in the summer (also walking to work, shopping, and walking in leisure time)
mm10a04q02 mm10a_EN_1.0 Going for a walk in the winter (also walking to work, shopping, and walking in leisure time)
mm10a04q03 mm10a_EN_1.0 Riding a bike in the summer (also riding a bike to work, shopping, and cycling in leisure time)
mm10a04q04 mm10a_EN_1.0 Riding a bike in the winter (also riding a bike to work, shopping, and cycling in leisure time)
mm10a04q05 mm10a_EN_1.0 Gardening in the summer
mm10a04q06 mm10a_EN_1.0 Gardening in the winter
mm10a04q07 mm10a_EN_1.0 Keeping house in the summer (for example laundry, cleaning, cooking, taking care of children)
mm10a04q08 mm10a_EN_1.0 Keeping house in the winter (for example laundry, cleaning, cooking, taking care of children)
mm10a04q09 mm10a_EN_1.0 Have you done weekly sporting activities in the past year?
mm10a05q01 mm10a_EN_1.0 How many times did you have contact with your general practitioner in the past 12 months?
mm10a05q02 mm10a_EN_1.0 How many of these contact moments had to do with cancer or the aftermath of cancer?
mm10a05q03 mm10a_EN_1.0 How many times did you have contact with your specialist in the past 12 months?
mm10a05q04 mm10a_EN_1.0 How many of these contact moments had to do with cancer or the aftermath of cancer?
mm10a05q05 mm10a_EN_1.0 Do you still have follow up appointments?
mm10a05q06 mm10a_EN_1.0 Did you discuss with your specialist how often you have to come back from this moment on?
mm10a05q07 mm10a_EN_1.0 Do you feel comfortable with this follow up scheme?
mm10a05q08 mm10a_EN_1.0 Did you receive care after the treatment of your illness?
mm10a05q09 mm10a_EN_1.0 Did you get extra care from a psychologist?
mm10a05q10 mm10a_EN_1.0 Did you get extra care from a sexologist?
mm10a05q11 mm10a_EN_1.0 Did you get extra care from a social worker?
mm10a05q12 mm10a_EN_1.0 Did you get extra care from pastoral care?
mm10a05q13 mm10a_EN_1.0 Did you get extra care from your general practitioner?
mm10a05q14 mm10a_EN_1.0 Did you get extra care from a dietist
mm10a05q15 mm10a_EN_1.0 Did you get extra care from a physiotherapist?
mm10a05q16 mm10a_EN_1.0 Did you get extra care from recovery and balance?
mm10a05q17 mm10a_EN_1.0 Did you get extra care from creative therapy?
mm10a05q18 mm10a_EN_1.0 Did you get extra care from an oncological nurse?
mm10a05q19 mm10a_EN_1.0 Did you get extra care from a peer group
mm10a05q20 mm10a_EN_1.0 Did you get extra care from someone else?
mm10a07q01 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Heart condition
mm10a07q02 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Stroke
mm10a07q03 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: High blood pressure
mm10a07q04 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Asthma, chonic bronchitis, COPD
mm10a07q05 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Diabetes
mm10a07q06 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Ulcer
mm10a07q07 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Kidney disease
mm10a07q08 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Liver disease
mm10a07q09 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Anemia or other blood condition
mm10a07q10 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Thyroid disease
mm10a07q11 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Depression
mm10a07q12 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Arthritis
mm10a07q13 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Backache
mm10a07q14 mm10a_EN_1.0 Please indicate for each condition or disease whether you have it now or have had it in the past 12 months: Rheumatism
mm10a07q15 mm10a_EN_1.0 Are you being treated for your heart condition?
mm10a07q16 mm10a_EN_1.0 Are you being treated for your stroke?
mm10a07q17 mm10a_EN_1.0 Are you being treated for your high blood pressure?
mm10a07q18 mm10a_EN_1.0 Are you being treated for your asthma, chronic bronchitis or COPD?
mm10a07q19 mm10a_EN_1.0 Are you being treated for your diabetes?
mm10a07q20 mm10a_EN_1.0 Are you being treated for your ulcer?
mm10a07q21 mm10a_EN_1.0 Are you being treated for your kidney disease?
mm10a07q22 mm10a_EN_1.0 Are you being treated for your liver disease?
mm10a07q23 mm10a_EN_1.0 Are you being treated for your anemia or other blood condition?
mm10a07q24 mm10a_EN_1.0 Are you being treated for your thyroid disease?
mm10a07q25 mm10a_EN_1.0 Are you being treated for your depression?
mm10a07q26 mm10a_EN_1.0 Are you being treated for your arthritis?
mm10a07q27 mm10a_EN_1.0 Are you being treated for your backache?
mm10a07q28 mm10a_EN_1.0 Are you being treated for your rheumatism?
mm10a07q29 mm10a_EN_1.0 Does your heart condition interfere with your activities?
mm10a07q30 mm10a_EN_1.0 Does your stroke interfere with your activities?
mm10a07q31 mm10a_EN_1.0 Does your high blood pressure interfere with your activities?
mm10a07q32 mm10a_EN_1.0 Does your asthma, chronic bronchitis or COPD interfere with your activities?
mm10a07q33 mm10a_EN_1.0 Does your diabetes interfere with your activities?
mm10a07q34 mm10a_EN_1.0 Does your ulcer interfere with your activities?
mm10a07q35 mm10a_EN_1.0 Does your kidney disease interfere with your activities?
mm10a07q36 mm10a_EN_1.0 Does your liver disease interfere with your activities?
mm10a07q37 mm10a_EN_1.0 Does your anemia or other blood condition interfere with your activities?
mm10a07q38 mm10a_EN_1.0 Does your thyroid disease interfere with your activities?
mm10a07q39 mm10a_EN_1.0 Does your depression interfere with your activities?
mm10a07q40 mm10a_EN_1.0 Does your arthritis interfere with your activities?
mm10a07q41 mm10a_EN_1.0 Does your backache interfere with your activities?
mm10a07q42 mm10a_EN_1.0 Does your rheumatism interfere with your activities?
mm10a06q07 mm10a_EN_1.0 Which changes have you experienced in your work situation due to cancer?
mm10a53q01 mm10a_EN_1.0 Did you have trouble finding (additional) health insurance, because of cancer?
mm10a53q02 mm10a_EN_1.0 You have indicated that you have had trouble getting (additional) health insurance. What was the outcome?
mm10a53q03 mm10a_EN_1.0 Did you have trouble getting life insurance, because of cancer?
mm10a53q04 mm10a_EN_1.0 You have indicated that you have had trouble getting life insurance. What was the outcome?
mm10a53q05 mm10a_EN_1.0 Did you have trouble getting mortgage, because of cancer?
mm10a53q06 mm10a_EN_1.0 You have indicated that you have had trouble getting mortgage. What was the outcome?
mm10a09q01 mm10a_EN_1.0 Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?
mm10a09q02 mm10a_EN_1.0 Do you have any trouble taking a long walk?
mm10a09q03 mm10a_EN_1.0 Do you have any trouble taking a short walk outside of the house?
mm10a09q04 mm10a_EN_1.0 Do you need to stay in bed or a chair during the day?
mm10a09q05 mm10a_EN_1.0 Do you need help with eating, dressing, washing yourself or using the toilet?
mm10a09q06 mm10a_EN_1.0 Were you limited in doing either your work or other daily activities?
mm10a09q07 mm10a_EN_1.0 Were you limited in pursuing your hobbies or other leisure time activities
mm10a09q08 mm10a_EN_1.0 Were you short of breath?
mm10a09q09 mm10a_EN_1.0 Have you had pain?
mm10a09q10 mm10a_EN_1.0 Did you need to rest?
mm10a09q11 mm10a_EN_1.0 Have you had trouble sleeping?
mm10a09q12 mm10a_EN_1.0 Have you felt weak?
mm10a09q13 mm10a_EN_1.0 Have you lacked appetite?
mm10a09q14 mm10a_EN_1.0 Have you felt nauseated?
mm10a09q15 mm10a_EN_1.0 Have you vomited?
mm10a09q16 mm10a_EN_1.0 Have you been constipated?
mm10a09q17 mm10a_EN_1.0 Have you had diarrhea?
mm10a09q18 mm10a_EN_1.0 Were you tired?
mm10a09q19 mm10a_EN_1.0 Did pain interfere with your daily activities?
mm10a09q20 mm10a_EN_1.0 Have you had difficulty in concentrating on things, like reading a newspaper or watching television?
mm10a09q21 mm10a_EN_1.0 Did you feel tense?
mm10a09q22 mm10a_EN_1.0 Did you worry?
mm10a09q23 mm10a_EN_1.0 Did you feel irritable?
mm10a09q24 mm10a_EN_1.0 Did you feel depressed?
mm10a09q25 mm10a_EN_1.0 Have you had difficulty remembering things?
mm10a09q26 mm10a_EN_1.0 Has your physical condition or medical treatment interfered with your family life?
mm10a09q27 mm10a_EN_1.0 Has your physical condition or medical treatment interfered with your social activities?
mm10a09q28 mm10a_EN_1.0 Has your physical condition or medical treatment caused you financial difficulties?
mm10a09q29 mm10a_EN_1.0 How would you rate your overall health during the past week?
mm10a09q30 mm10a_EN_1.0 How would you rate your overall quality of life during the past week?
mm10a09s01 mm10a_EN_1.0 Global health status/QoL
mm10a09s02 mm10a_EN_1.0 Physical Function
mm10a09s03 mm10a_EN_1.0 Role Functiong
mm10a09s04 mm10a_EN_1.0 Emotional Function
mm10a09s05 mm10a_EN_1.0 Cognitive Function
mm10a09s06 mm10a_EN_1.0 Social Function
mm10a09s07 mm10a_EN_1.0 Fatigue
mm10a09s08 mm10a_EN_1.0 Nausea / vomiting
mm10a09s09 mm10a_EN_1.0 Pain
mm10a09s10 mm10a_EN_1.0 Dyspnoea
mm10a09s11 mm10a_EN_1.0 Insomnia
mm10a09s12 mm10a_EN_1.0 Appetite loss
mm10a09s13 mm10a_EN_1.0 Constipation
mm10a09s14 mm10a_EN_1.0 Diarrhea
mm10a09s15 mm10a_EN_1.0 Financial problems
mm10a12q01 mm10a_EN_1.0 Have you had bone aches or pain?
mm10a12q02 mm10a_EN_1.0 Have you had pain in your back?
mm10a12q03 mm10a_EN_1.0 Have you had pain in your hip?
mm10a12q04 mm10a_EN_1.0 Have you had pain in your arm or shoulder?
mm10a12q05 mm10a_EN_1.0 Have you had pain in your chest?
mm10a12q06 mm10a_EN_1.0 If you had pain did it increase with activity?
mm10a12q07 mm10a_EN_1.0 Did you feel drowsy?
mm10a12q08 mm10a_EN_1.0 Did you feel thirsty?
mm10a12q09 mm10a_EN_1.0 Have you felt ill?
mm10a12q10 mm10a_EN_1.0 Have you had a dry mouth?
mm10a12q11 mm10a_EN_1.0 Have you lost any hair?
mm10a12q12 mm10a_EN_1.0 Answer this question only if you lost any hair: Were you upset by the loss of your hair?
mm10a12q13 mm10a_EN_1.0 Did you have tingling hands or feet?
mm10a12q14 mm10a_EN_1.0 Did you feel restless or agitated?
mm10a12q15 mm10a_EN_1.0 Have you had acid indigestion or heartburn?
mm10a12q16 mm10a_EN_1.0 Have you had burning or sore eyes?
mm10a12q17 mm10a_EN_1.0 Have you felt physically less attractive as a result of your disease or treatment?
mm10a12q18 mm10a_EN_1.0 Have you been thinking about your illness?
mm10a12q19 mm10a_EN_1.0 Have you been worried about dying?
mm10a12q20 mm10a_EN_1.0 Have you worried about your health in the future?
mm10a23q01 mm10a_EN_1.0 I am bothered by fatigue
mm10a23q02 mm10a_EN_1.0 I get tired very quickly
mm10a23q03 mm10a_EN_1.0 I don’t do much during the day
mm10a23q04 mm10a_EN_1.0 I have enough energy for everyday life
mm10a23q05 mm10a_EN_1.0 Physically, I feel exhausted
mm10a23q06 mm10a_EN_1.0 I have problems starting things
mm10a23q07 mm10a_EN_1.0 I have problems thinking clearly
mm10a23q08 mm10a_EN_1.0 I feel no desire to do anything
mm10a23q09 mm10a_EN_1.0 Mentally, I feel exhausted
mm10a23q10 mm10a_EN_1.0 When I am doing something, I can concentrate quite well
mm10a23s01 mm10a_EN_1.0 FAS total score
mm10a24q01 mm10a_EN_1.0 I feel tense or ‘wound up’
mm10a24q02 mm10a_EN_1.0 I still enjoy the things I used to enjoy
mm10a24q03 mm10a_EN_1.0 I get a sort of frightened feeling as if something awful is about to happen
mm10a24q04 mm10a_EN_1.0 I can laugh and see the funny side of things
mm10a24q05 mm10a_EN_1.0 Worrying thoughts go through my mind
mm10a24q06 mm10a_EN_1.0 I feel cheerful
mm10a24q07 mm10a_EN_1.0 I can sit at ease and feel relaxed
mm10a24q08 mm10a_EN_1.0 I feel as if I am slowed down
mm10a24q09 mm10a_EN_1.0 I get a sort of frightened feeling like ‘butterflies’ in the stomach
mm10a24q10 mm10a_EN_1.0 I have lost interest in my appearance
mm10a24q11 mm10a_EN_1.0 I feel restless, as if I have to be on the move
mm10a24q12 mm10a_EN_1.0 I look forward with enjoyment to things
mm10a24q13 mm10a_EN_1.0 I get sudden feelings of panic
mm10a24q14 mm10a_EN_1.0 I can enjoy a good book or radio or TV program
mm10a24s01 mm10a_EN_1.0 Anxiety total score
mm10a24s02 mm10a_EN_1.0 Depression total score