Protocol - Personal History of Kidney Failure
Description
This protocol includes three interviewer-administered questions from the Strong Heart Study about kidney failure, renal dialysis, and kidney transplantation.
Specific Instructions
None
Availability
Protocol
1. Has a medical person ever told you that you had kidney failure?
1 [ ] Yes
2 [ ] No (skip to end)
9 [ ] Unknown (skip to end)
1a. If "YES," are one or both working well now?
1 [ ] Yes
2 [ ] No
9 [ ] Unknown
1b. How old were you when you were first told by a medical person that you had kidney failure? Indicate the actual age.
|__|__|__|
999 [ ] Don’t Know
2. Are you currently on renal dialysis?
1 [ ] Yes
2 [ ] No
9 [ ] Unknown
3. Have you ever had a kidney transplant?
1 [ ] Yes
2 [ ] No
9 [ ] Unknown
Personnel and Training Required
The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.
Equipment Needs
These questions can be administered in a computerized or non-computerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.
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
Interviewer-administered questionnaire
Lifestage
Adult, Senior
Participants
An adult aged 18 or older
Selection Rationale
The protocol from the Strong Heart Study was vetted against similar protocols and chosen because it has been used in a major U.S. study and because the questions capture the date and history of kidney disease, history of kidney dialysis, and history of kidney transplantation.
Language
Chinese, English
Standards
| Standard | Name | ID | Source |
|---|---|---|---|
| Logical Observation Identifiers Names and Codes (LOINC) | Pers hx kidney failure proto | 62799-2 | LOINC |
| Human Phenotype Ontology | Reversible renal failure | HP:0004713 | HPO |
| Human Phenotype Ontology | Acute kidney injury | HP:0001919 | HPO |
| caDSR Form | PhenX PX140601 - Personal History Of Kidney Failure | 6169011 | caDSR Form |
Derived Variables
None
Process and Review
The Expert Review Panel #1 reviewed the measures in the Anthropometrics, Diabetes, Physical Activity and Physical Fitness, and Nutrition and Dietary Supplements domains.
Guidance from the ERP includes:
- No significant changes
Back-compatible: no changes to Data Dictionary
Previous version in Toolkit archive (link)
Protocol Name from Source
Strong Heart Study, Phase IV-Family Study, Medical History Form
Source
U.S. Department of Health and Human Services; National Institutes of Health; National Heart, Lung and Blood Institute. (2004). Strong Heart Study. Phase IV-Family Study. Medical History Form. Section B. Questions 8, 8a, 8b, 9, and 10.
General References
None
Protocol ID
140601
Variables
Export Variables| Variable Name | Variable ID | Variable Description | dbGaP Mapping | |
|---|---|---|---|---|
| PX140601_Dialysis | ||||
| PX140601020000 | Are you currently on renal dialysis? | N/A | ||
| PX140601_Kidneys_Working_Now | ||||
| PX140601010100 | If YES, are one or both working well now? | N/A | ||
| PX140601_Kidney_Failure | ||||
| PX140601010000 | Has a medical person ever told you that you more | N/A | ||
| PX140601_Kidney_Failure_Age | ||||
| PX140601010200 | How old were you when you were first told by more | N/A | ||
| PX140601_Kidney_Failure_Age_Coded | ||||
| PX140601010201 | How old were you when you were first told by more | N/A | ||
| PX140601_Kidney_Transplant | ||||
| PX140601030000 | Have you ever had a kidney transplant? | N/A | ||
Measure Name
Personal History of Kidney Failure
Release Date
May 10, 2010
Definition
A questionnaire to determine if the respondent has a history of kidney failure.
Purpose
The risk of developing kidney disease is correlated with family history of kidney disease as well as several conditions (e.g., hypertension) and diseases (e.g., diabetes). Diabetes is the leading cause of chronic kidney disease in the United States.
Keywords
diabetes, kidney disease, kidney failure, dialysis, nephropathy, glomerulonephritis, SHS
Measure Protocols
| Protocol ID | Protocol Name |
|---|---|
| 140601 | Personal History of Kidney Failure |
Publications
Webel, A. R., et al. (2016) Social resources, health promotion behavior, and quality of life in adults living with HIV. Appl Nurs Res. 2016 May; 30: 204-9. doi: 10.1016/j.apnr.2015.08.001