Definition
Representation
Data Type | Number |
---|---|
Format | N[N] |
Maximum character length | 2 |
Values
Value | Meaning | Start Date | End Date | |
---|---|---|---|---|
Permissible Values | 1 | Cardiovascular | ||
2 | Respiratory | |||
3 | Neoplastic | |||
4 | Renal insufficiency | |||
5 | Diabetes | |||
6 | Alcoholism | |||
7 | Tobacco consumption | |||
Supplementary Values | 97 | Not applicable-no comorbidities present | ||
98 | Unknown whether comorbidities are present | |||
99 | Comorbidities are present but type not stated/inadequately described |
Comments
Guide for use:
Record each comorbid condition, as defined by the Colinet criteria, present in the patient at the time of diagnosis for lung cancer.
The criteria were developed specifically for non-small cell lung cancer where comorbidities may be an important variable in treatment decisions and prognosis, however, record each comorbid condition for all lung cancers.
Colinet criteria for comorbidities
CODE 1 Cardiovascular
Defined as the presence of one or more of the following:
- congestive heart failure,
- ischaemic cardiopathy with/without myocardial infarction,
- severe valvular cardiopathy,
- arrhythmia requiring chronic treatment,
- history of cerebrovascular disease,
- hypertension, and/or
- peripheral vascular disease
CODE 2 Respiratory
Defined as the presence of one or more of the following:
- history of tuberculosis,
- history of pleural effusion or pneumonia,
- asthma,
- pulmonary embolism,
- chronic pulmonary insufficiency (as defined by a chronic hypoxemia less than 60 mmHg, and/or
- chronic obstructive pulmonary disease (COPD) inducing a FEV1 less than 1.5l)
CODE 3 Neoplastic
Defined as a previous personal history of cancer excluding basal cell carcinoma of the skin and in situ carcinoma of the cervix.
CODE 4 Renal insufficiency
Defined as a creatinine clearance lower than 60 ml/min.
CODE 5 Diabetes mellitus
Defined as diabetes treated with either oral hypoglycaemics or insulin.
CODE 6 Alcoholism
Defined as a daily consumption of:
- more than 80g of alcohol (8 standard drinks) for men
- more than 40g of alcohol (4 standard drinks) for women
CODE 7 Tobacco consumption
Defined as a lifelong consumption of an equivalent of at least 100 cigarettes.
Comments:
The Colinet system provides criteria to define comorbidities and a scoring system whereby each comorbidity is weighted and assigned a score, then scores are added to provide the Simplified Comorbidity Score (SCS). For instance, Colinet et al. 2005 found that an SCS greater than 9 was found to be an independent prognostic factor of poor outcome in NSCLC (non-small-cell lung cancer).
For the purpose of this data item, record each comorbidity as defined by the Colinet criteria but do not score them.References
This content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.
Related content
Relation | Count |
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Data Elements implementing this Value Domain | 1 |