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. 2015 Dec 20;45(3):713–713f. doi: 10.1093/ije/dyv317

Table 3.

MDA-CPSC data collection tools

A. PHDB modules Variables
Demographics Date of birth, sex, primary language, education level, religious preference, race/ethnicity and place of birth
Occupation Selection from a list of occupations
Exposures Exposures known or suspected to be associated with cancer risk, including: asbestos, dust, vehicle exhaust, solvents, ionizing radiation, radon, excessive sun exposure and selected chemicals
Tobacco and alcohol use history Frequency, type and duration
Past medical history Illnesses and conditions by age and year of occurrence. Subsections: heart and blood vessels, brain and nerves, lungs, stomach/intestines, kidney/bladder, blood disorders, immune system, joints/skeleton, liver, endocrine, psychological/psychiatric, skin disorders, genetic diseases and genitourinary
Past cancer history Age and year for previous cancers; summary of treatments received
Family history Cancer diagnoses and age/dates for first- and second-degree relatives
Review of systems Overview of current medical problems and comorbidities by system. Subsections: general, neurological, head and neck, breast, cardiovascular, respiratory, gastrointestinal, genitourinary, musculoskeletal, skin, endocrine, haematology/lymph, psychological, female and male
Substance misuse Use during the past 6 months, including: amphetamines, cocaine/crack, heroin, methamphetamines, hallucinogens, inhalants, marijuana and barbiturates
Symptom burden (MD Anderson Symptom Inventory; MDASI) Assesses 13 common cancer-related symptoms: pain, fatigue, nausea, vomiting, dry mouth, shortness of breath, lack of appetite, difficulty remembering, drowsiness, disturbed sleep, sadness, distress and numbness
Quality of Life (Short Form-12; SF-12) General health-related, 12-items, physical and mental components of health
B. Clinical data available for abstraction from EHR
Clinical characteristics Status of primary cancer, performance status, weight loss, comorbidities, laboratory values
Disease characteristics Clinical stage, pathology/histology, grade, tumour size, tumour markers, regional lymph node metastasis
Treatment Type: initial and adjuvant therapies, e.g. surgery, chemotherapy, radiation, hormonal, bone marrow / stem cell transplantDose: dates, schedule, administration methods and concurrent medications
Clinical endpoints Changes in tumour size, change in patient symptoms, emergency room visits and / or hospitalizations, overall response to treatment, duration of response, toxicity evaluation, time to recurrence and progression, survival and second neoplasms