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. 2014 Oct 11;9:150. doi: 10.1186/s13023-014-0150-4

Table 1.

Structure of the Case Report Form and registry items

Basic information Date
Hospital
ID of hospital
Name
Date of birth
Sex
Address
Phone
E-mail
Nationality
Signed up for other registries?
Attending any clinical trials?
Family history Family history
Consanguinity
Diagnosis Muscle biopsy
Genetic analysis* facility ( )
Complications
Patient status Body weight and height
Age and symptoms at onset
Walking capability and wheelchair use
Grip power
Respiratory function (VC,%VC, FVC,%FVC, mechanical support)
Cardiac functions (EF, ES)
Creatine kinase level

Gray cells are for patients to fill out, and white cells are to be filled out by physicians.

VC: vital capacity, FVC: forced vital capacity, EF: ejection fraction, FS: fraction shortening.