Question Index: Disease Outcomes


Questions

Year(s) Asked on Long Forms

(Click on year to view PDF of questionnaire.)

Questionnaires>>Home 1986 1987 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008
PAT x   x                    
Appendectomy x
Active liver disease or cirrhosis x                      
Hayfever, other allergy x    
High blood pressure x x x x x x x x x x x x
Diabetes mellitus x x x x x x x x x x x x
Elevated cholesterol x x x x x x x x x x x x
Elevated triglycerides x   x x x x x x x x x x x
Coronary artery bypass or coronary angioplasty x x x x x x x x x x x x
Myocardial infarction (heart attack); Hospitalized for this MI? x x x x x x x x x x x x
Angina pectoris; Confirmed by angiogram? x   x x x x x x x x x x x
Perpheral venous thrombosis x x x x x   x
Deep vein thrombosis     x x x x x x x
TIA x x x x x x x x x x x
Stroke x x x x x x x x x x x x
Carotid artery surgery x x x x x x x x x x x x
Intermittent claudication x x x x x x x x x x x x
Surgery or angioplasty for arterial disease of the leg x x x x x x x x x x x x
Pulmonary embolus x   x x x x x x x x x x x
Aortic aneurysm x   x x x x x x x x x x x
Heart-rhythm disturbance x x x x x x x x x x    
Gout x x x x x x x x x x x x
Rheumatoid arthritis x x x x x x x x x x x x
Other arthritis x x x x x x x x x x x x
Vasectomy x x x x x x x x x x    
Diverticulitis or diverticulosis x x x x x x x x x x x x
Prostatic enlargement, surgically treated (e.g. TURP) x x x x x x x x x x
Prostate cancer x x x x x x x x x x x x
Colon or rectal polyp x x x x x x x x x x x x
Cancer of colon or rectum x x x x x x x x x x x x
Basal cell skin cancer x x x x x x x x x x x x
Squamous cell skin cancer x x x x x x x x x x x x
Melanoma x x x x x x x x x x x x
Solar or actinic keratosis x x x x x x x x x x x x
Lymphoma or leukemia x x x x x x x x x x x x
Other cancer x x x x x x x x x x x x
Glaucoma x x x x x x x x x x x x
Cataract   x x x x x x x x
Cataract extraction x x x x x x x x x x x x
Macular degeneration x x x x x x x x x x x x
Osteoporosis x x x x x x x x x x x x
Hip replacement x x x x x x x x x x x
Fractures - hip/wrist, forearm x x x x x x x x x x x x
Peridontal disease with bone loss x x x x x x x x x x x
Leukoplakia or other oral precancerous lesion   x x x x x x x
Gallstones x x x x x x x x x
Gall bladder removal x x x x x x x x x x x x
Kidney stones x x x x x x x x x x x x
Gastric or duodenal ulcer x x x x x x x x x x x x
Ulcerative colitis or Chron's disease x x x x x x x x x x x x
Parkinson's disease x x x x x x x x x x
Multiple sclerosis   x x x x x    
Chronic renal failure x x x x x x x x x x
Alcohol dependence problem   x x x x x x x
Pneumonia (x-ray confirmed) x x x x x x x x x
Asthma x   x x x x x x x
Emphysema or chronic bronchitis   x x x x x x x
ALS   x x x x x
Active TB (x-ray confirmed)   x x    
Other major illness x x x x x x x x x x x x
Head injury (loss of consciousness)   x
Erectile function questions   x x x  
Paraesthesias / unpleasant leg sensations   x x
Pernicious anemia   x x x x
Congestive heart failure; time of diagnosis   x x x x
Shingles   x x x
Seizure (1 or more) / epilepsy   x x x
Hearing loss   x x  
Upper endoscopy (esophagus / stomach)   x x  
Helicobacter pylori infection   x    
Barrett's esophagus   x x x
MI (mark each hospitalization)   x    
Heartburn / acid reflux   x x  
Knee pain   x    
Atrial Fibrillation: 1hour or more     x x
Bladder cancer       x
Psoriasis, increased intraocular pressure: year diagnosis/procedure       x
Gastrointestinal bleeding requiring hospitalization/transfusion; site of bleeding and year     x x
Squamous/basal cell carcinoma lesions removed by surgery/cryotherapy/other       x
         
Questionnaires>>Home 1986 1987 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008



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