Population: All participants Number of Obs: Variable # Sas Name: Sas Label: Categories: Variable # Sas Name: F2VNUM. Sas Label: Categories:

Transcription

1 Data File: formdat Last Update: 4/6/ umber of Obs: 689 Participant ID ID Participant ID Study: Administration F Days since randomization/enrollment Min Max Mean Std Dev FDAYS F Days since randomization/enrollment Study: Administration F Visit number umber of the visit where this form was collected 689 Min Max 3 Mean 44 Std Dev FVUM Visit number Study: Administration F Contact type The method used to collect form data 3 8 Phone Mail Visit Other 65,83 55,559 4,6, FCOT Contact type Study: Administration F Living in area next 3 years Do you think you will be living in this area for the next three years? o 4 6,8 4 5 AREA3Y Living in area for next 3 years Demographic: Geographic Study: Eligibility-OS Page of 7

2 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F In any other study Are you now in any other research study? o 57,3 4, OTHSTDY In other research study Study F Excluded study Is study on CC list of excluding studies? o 4,769 57, Usage otes: 7 EXSTDY Excluded study Sub-question of F V3 Q9 "In any other study" Study Study: Eligibility-OS F Cancer - breast Did a doctor ever say that you had breast cancer? o 56,663 5, BRCA_F Breast cancer ever Medical History: Breast Medical History: Cancer F Cancer - colon rectum Did a doctor ever say that you had colon, rectum, bowel or intestinal cancer? o 6, COLO_F Colorectal cancer ever Medical History: Cancer Page of 7

3 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F yr cancer - colon rectum Were you told that you had this cancer in the last years? o , COLOY Colorectal cancer last years Usage otes: Sub-question of F V3 Q "Cancer-colon,rectum" Medical History: Cancer F Cancer - endometrial Did a doctor ever say that you had endometrial cancer (cancer of the lining of the uterus or womb)? o 59,449, EDO_F Endometrial cancer ever Medical History: Cancer F yr cancer - endometrial Were you told that you had this cancer in the last years? o, , EDOY Endometrial cancer last years Usage otes: Sub-question of F V3 Q "Cancer-endometrial" Medical History: Cancer F Cancer - skin Did a doctor ever say that you had skin cancer? o 44,55 7, SKI_F Skin cancer ever Medical History: Cancer Page 3 of 7

4 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Cancer - melanoma Was the skin cancer a melanoma? o 59,55, MELA_F Melanoma cancer ever Medical History: Cancer F yr cancer - melanoma Were you told that you had this melanoma in the last years? o, , MELAY Melanoma cancer last years Usage otes: Sub-question of F V3 Q3 "Cancer-skin" Sub-question of F V3 Q3 "Cancer-melanoma" Medical History: Cancer F yr cancer - other In the past years, did a doctor ever say that you had any other cancers? o 56,59 964, , OTHCAY Any other cancer than listed last yrs Medical History: Cancer F Racial or ethnic group How would you describe your racial or ethnic group? If you are of mixed blood, which group do you identify with most? 7 American Indian or Alaskan ative 75 4 RACE Asian or Pacific Islander 4,9 6 Racial or ethnic group 3 Black or African-American 4, Hispanic/Latino 6,5 4 Demographic 5 White (not of Hispanic origin) 33, Other, Page 4 of 7

5 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Heard about study How did you hear about the study? (Mark one If you heard in more than one way, mark the one that made you decide to contact us) 8 Mailed letter 83, HEARSTDY Brochure 6,896 4 Reason for contacting study 3 TV 5, Radio,883 Study: Interest 5 ewspaper or Magazine 4, Meeting,847 7 Friend or Relative 5, Other,58 6,896 F Female hormones ever Did you ever use any female hormones like estrogen (Premarin) or progesterone (Provera)?These might be pills, skin patches, implants, creams, suppositories, shots, or birth control pills (This does not include birth control pills you used before you were 5) o 5,647 4,98 4, HORM Female hormones ever Usage otes: ot collected on all versions of Form 9 Reproductive: Hormones F Female hormones now Are you using female hormones now? o 36,58 68,4 57, Usage otes: HORMW Female hormones now Sub-question of F V3 Q7 "Female hormones ever" ot collected on all versions of Form Reproductive: Hormones F Hormones last 3 months Have you used female hormones in the last 3 months? o 33,89,87 6, Usage otes: HORM3M Female hormones last 3 months Sub-question of F V3 Q7 "Female hormones ever" Sub-question of F V3 Q7 "Female hormones now" ot collected on all versions of Form Reproductive: Hormones Page 5 of 7

6 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Osteoporosis related break Have you ever had an osteoporosis-related fracture or broken bone? (Osteoporosis is a condition where bones become brittle and weak as a woman ages) o,4,83 58, Usage otes: OSTEOBK Osteoporosis-related fracture ever Sub-question of F V3 Q7 "Female hormones ever" ot collected on all versions of Form Medical History: Bone/Fractures F Hormones to treat break Did a doctor give you hormones to treat the fracture or broken bone? o, , 983 Usage otes: 3 HORMBK Hormones to treat osteoporosis fracture Sub-question of F V3 Q7 "Female hormones ever" Sub-question of F V3 Q73 "Osteoporosis-related fracture" ot collected on all versions of Form Medical History: Bone/Fractures Medical History: Medications Reproductive: Hormones F Ever had a hysterectomy Did you ever have a hysterectomy? (This is an operation to take out your uterus or womb) o 94,36 67, HYST Hysterectomy ever Reproductive F Hysterectomy in last 3 mon Was your hysterectomy within the last 3 months? o 66, , HYST3M Hysterectomy last 3 months Usage otes: Sub-question of F V3 Q8 "Ever had a hysterectomy" 5 Reproductive Page 6 of 7

7 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Age at hysterectomy How old were you when you had your hysterectomy? Less than 3 3, , , , , , , or older 3,634 94, HYSTAGE Age at hysterectomy Usage otes: Sub-question of F V3 Q8 "Ever had a hysterectomy" 6 Reproductive F Last bleeding or spotting When was the last time you had any menstrual bleeding or spotting? (Your best guess) Still having menstrual bleeding 3 4 Within last 6 months 7 to months ago Over months ago 7,68 3,865,57 45,783, MESELST Last time had any menstrual bleeding Reproductive: Menstrual F Meals away from home How many of your meals are prepared away from your home each week, that is, meals that you eat in a restaurant, or as "take-out", or at friends' or relatives' houses? Less than meals each week or more meals each week 56,75 5, MEALOUT or more meals prepared away from home Diet F Malabsorption diet Are you following a special diet prescribed by a doctor for malabsorption, celiac sprue (sometimes this is called a gluten-free diet), ulcerative colitis, or Crohn's disease? (We know that these may be unfamiliar words If you have not been told to follow one of these diets, mark o) o 56, , MALDIET Special malabsorption diet Usage otes: ot collected on all versions of Form 9 Diet Page 7 of 7

8 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Low fiber diet Are you following a special low-fiber or low-residue diet (low in fruits, vegetables, and grains) that was prescribed for you by your doctor? o 56, , LFDIETF Special low-fiber diet Usage otes: ot collected on all versions of Form 3 Diet F Sugar diabetes Did a doctor ever say that you had sugar diabetes or high blood sugar when you were not pregnant? 3 o 5,8 94 DIAB 9,68 59 Diabetes ever 9 Medical History: Diabetes F Age when st told diabetes How old were you when you were first told you had sugar diabetes? (Don't include diabetes you had only when pregnant) 3 Less than 4 DIABAGE -9 7 Age first told had diabetes Usage otes: Sub-question of F V3 Q3 "Sugar diabetes" , ,339 Medical History: Diabetes , or older ,6 94 F Hospitalized for diabetes Were you ever hospitalized for a diabetic coma? o 9, , DIABCOMA Hospitalized for a diabetic coma Usage otes: Sub-question of F V3 Q3 "Sugar diabetes" Medical History: Diabetes Page 8 of 7

9 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Special diet for diabetes Did a doctor ever tell you to keep a special diet for your diabetes? o,96 3 7, ,38 94 DBDIETF Special diet for diabetes Usage otes: Sub-question of F V3 Q3 "Sugar diabetes" 34 Diet Medical History: Diabetes F Ever taken insulin Did you ever take insulin shots? o 6,863,7 5, Usage otes: 35 ISULI Insulin shots ever Sub-question of F V3 Q3 "Sugar diabetes" Medical History: Diabetes Medical History: Medications F Taking insulin now Are you using insulin now? o 559, 59, Usage otes: 36 ISULIW Insulin shots now Sub-question of F V3 Q3 "Sugar diabetes" Sub-question of F V3 Q34 "Ever taken insulin" Medical History: Diabetes Medical History: Medications F Pills for diabetes Did you ever take pills for your diabetes to lower your blood sugar? o, ,68 4 5, DIABPILL Pills for diabetes ever Usage otes: Sub-question of F V3 Q3 "Sugar diabetes" 37 Medical History: Diabetes Medical History: Medications Page 9 of 7

10 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Sugar diabetes now Do you have sugar diabetes or high blood sugar now? o,7 7,389 5, Usage otes: 38 DIABW Diabetes now Sub-question of F V3 Q3 "Sugar diabetes" Medical History: Diabetes F Blood clot in legs Did a doctor ever say that you had a blood clot in your legs? This is sometimes called deep vein thrombosis or DVT This does not include varicose veins or phlebitis o 56,9 5, DVT DVT ever F Leg clot in last 6 mon Did you have a blood clot in your leg in the last 6 months? o 5, , DVT6M DVT last 6 months Usage otes: Sub-question of F V3 Q4 "Blood clot in legs" 4 F Leg clot mo after accident Did this blood clot occur within one month after a serious accident, fracture, injury, or operation? o,9,94 56, Usage otes: 4 DVTACCM DVT month after accident Sub-question of F V3 Q4 "Blood clot in legs" ot collected on all versions of Form F Blood clot in lung Did a doctor ever say that you had a blood clot in your lung? This is sometimes called a pulmonary embolus or PE o 6,39, PE Pulmonary embolism ever Page of 7

11 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Lung clot in last 6 mon Did you have a blood clot in your lung in the last 6 months? o, ,4 99 PE6M Pulmonary embolism last 6 months Usage otes: Sub-question of F V3 Q5 "Blood clot in lung" 43 F Lung clot mo aftr accident Did this blood clot occur within one month after a serious accident, fracture, injury, or operation? o , Usage otes: 44 PEACCM Pulmonary embolism mo after accident Sub-question of F V3 Q5 "Blood clot in lung" ot collected on all versions of Form F Stroke ever Did a doctor ever say that you had a stroke? o 59,589, STROKE Stroke ever F Stroke in last 6 months Did you have a stroke in the last 6 months? o,8 7 59, Usage otes: 46 STROKE6M Stroke last 6 months Sub-question of F V3 Q6 "Stroke ever" F Small stroke ever Did a doctor ever say that you had a small stroke that lasted less than 4 hours? This is sometimes called a transient ischemic attack or TIA 47 o 58, 978 TIA 3,57 TIA ever 8 Page of 7

12 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Small stroke in last 6 mon Did you have a TIA in the last 6 months? o 3, , Usage otes: 48 TIA6M TIA last 6 months Sub-question of F V3 Q7 "Small stroke ever" F Heart attack ever Did a doctor ever say that you had a heart attack? This is sometimes called a coronary, myocardial infarction, or MI 49 o 58,9 977 MI 3,73 3 MI ever 87 F Age at first heart attack How old were you when you had your first heart attack? (Your best guess) Less than or older 6 58,7, , Usage otes: 5 MIAGE Age first had MI Sub-question of F V3 Q8 "Heart attack ever" F Heart attack in last 6 mon Did you have a heart attack in the last 6 months? o 3, ,3 977 MI6M MI last 6 months Usage otes: Sub-question of F V3 Q8 "Heart attack ever" 5 Page of 7

13 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Sickle cell anemia Did a doctor ever say that you had any of the following health problems? (Please mark o or for each problem listed) Sickle cell anemia? o 6,8 6 5 SCAEMIA Sickle cell anemia ever Medical History: Other Disease/Condition Study: Eligibility-OS F Heart failure Did a doctor ever say that you had any of the following health problems? (Please mark o or for each problem listed) Heart failure? o 6,443, CHF_F Heart failure ever Study: Eligibility-OS F Liver disease Did a doctor ever say that you had any of the following health problems? (Please mark o or for each problem listed) Liver disease (chronic active hepatitis, cirrhosis, or yellow jaundice)? o 57,987 3, LIVERDIS Liver disease ever Medical History: Other Disease/Condition Study: Eligibility-OS F Bleeding problem Did a doctor ever say that you had any of the following health problems? (Please mark o or for each problem listed) Bleeding problem? o 57,6 4, BLDPROB Bleeding problem ever Page 3 of 7

14 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Lost 5 lbs in last 6 month Have you lost 5 or more pounds in the last 6 months without trying? o 6, L5LBS6M Lost 5 lbs in the last 6 mo w/o trying Medical History: Height/Weight History Physical Measurements: Height/Weight History F Kidney dialysis Are you on kidney dialysis or a kidney machine for kidney or renal failure? o 6, DIALYSIS Kidney dialysis for kidney failure Medical History: Other Disease/Condition Study: Eligibility-OS F Other long term illness Do you have any other long-term or chronic illness? o,856 49, OTHCHRO Other long-term illness Medical History: Other Disease/Condition F Hard to be in study Are there any reasons, like serious emotional problems, mental illness, or too much stress, that would make it hard for you to be in a research study? 59 o 49,69 95 HARDSTDY Problems make it hard to participate,9 75 Usage otes: ot collected on all versions of Form Study: Interest F Able to get to clinic Will you be able to come to our clinic? o 37 6, COMECC Able to come to clinic Study Page 4 of 7

15 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Special kind of help What kind of help would you need to come to our clinic? 3 8 Transportation Child care Adult care Other 5 6,794 Usage otes: 6 HELPCC Kind of help needed to come to clinic Sub-question of F V3 Q34 "Able to get to clinic" Study F Interested in diet Do you think you might be interested in the Dietary Change part of the study? o 3, , Don't know 3,5 93 3, ITDM Interested in DM part of study Study: Interest F Available for meetings If you join the dietary part of the study, you will be placed in a dietary change or usual diet group You may be attending regular group meetings Will you be available for regular meetings for the next year? o 3,836,488 35, Usage otes: 63 AVAILDM Available for regular dietary meetings Sub-question of F V3 Q35 "Interested in diet" ot collected on all versions of Form Study: Interest F Interested in HRT Do you think you might be interested in the Hormone Replacement part of the study? o 76, , Don't know 46, 85 3, ITHRT Interested in HRT part of study Study: Interest Page 5 of 7

16 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Consider only study pills If you join the hormone part of the study, you may be placed into the hormone or no-hormone (placebo) group Would you consider taking only the hormone pills given to you by Clinical Center staff if you join the hormone part of the study? o 9 Don't know,45 36,89 36,64 85, Usage otes: 65 AVAILHRT Consider taking only HRT from CC Sub-question of F V3 Q36 "Interested in HRT" ot collected on all versions of Form Reproductive: Hormones Study F Talk to doctor If you are currently on hormones, are you interested in talking to your doctor about the Hormone Replacement part of the study? o 9 ot on hormones Don't know 5,45,53 33,95 9,774 9, Usage otes: 66 TALKDOC Interested in talking to Dr about HRT Sub-question of F V3 Q36 "Interested in HRT" ot collected on all versions of Form Study F Send HRT info to doctor Would you like us to send information about the Hormone Replacement part of the study to your doctor? o 3,97 33,53 97, Usage otes: 67 HRTIFDR Send HRT info to Doctor Sub-question of F V3 Q36 "Interested in HRT" ot collected on all versions of Form Study F eed help with forms Will you need someone to help you fill out forms if you join this study? o 4,73,94 6, HELPFILL eed someone to help fill out forms Usage otes: ot collected on all versions of Form Study Page 6 of 7

17 Data File: formdat Last Update: 4/6/ umber of Obs: 689 F Age at screening Age at screening Computed from Form birthdate 689 Min Max Mean Std Dev AGE Age at screening Computed Variables Demographic Study: Eligibility-OS HRT use ever Computed from Form, questions 7 and 7 Combines questions 7 and 7 into a three category HRT use variable (never, past, current) ever used hormones Past homone user Current hormone user 5,647 36,58 68,4 4, HORMSTAT HRT use ever Computed Variables Medical History: Medications Reproductive: Hormones Hysterectomy age group Computed from Form, questions 8 and 8 Collapses age at hysterectomy categories from question 8 into four groups Set to missing if no hysterectomy, or age at hysterectomy is missing < ,596 9,6 8,47 7,8 94, AGEHYST Hysterectomy age group Computed Variables Reproductive Diabetes treated (pills or shots) Computed from Form, question 3, 34 and 36 Indicator for whether the participant has ever been treated for diabetes with pills or shots o 54,497 7, DIABTRT Diabetes treated (pills or shots) Computed Variables Medical History: Diabetes Medical History: Medications Page 7 of 7