Form 33 - Medical History Update Faints, Falls, Exams, Procedures
| File Name | Data as of | Population | Data collected | One row per | Rows |
|---|---|---|---|---|---|
| f33x_ctos_inv.dat | 2/19/2023 | CT+OS | Main, Ext1, Ext2 | Form | 3,231,329 |
ID - WHI Participant Common ID Col 1
F33DAYS - F33 Days since randomization/enrollment Col 2
F33VTYP - Visit Type Col 3
F33VY - Visit year Col 4 Visit year for which this form was collected.
F33VCLO - Closest to visit within visit type and year Col 5 Closest to visit within visit type and year
F33WHOM - F33 Completed by whom Col 6 Who is completing this form Usage Notes: Not collected on very early versions of Form 33 used in the Main WHI Study. Response values "2-Family or friend" and "3-Health care provider" are not options on the Form 33 version used in the WHI Extension 2.
F33FAINT - F33 Fainted or Blacked out Col 7 Since your last medical update, have you fainted, blacked out, or lost consiousness? Usage Notes: Not collected on versions of Form 33 used in the WHI Extensions.
F33FALLS - F33 Times Fallen collected in the WHI Main Study Col 8 Since your last medical update, how many times did you fall and land on the floor or ground?
F33FALLSX2 - F33 Times Fallen collected in WHI Extension 2 Col 9 Since your last medical update, how many times did you fall and land on the floor or ground? Do not include falls due to sports.
PHYSEXAM - Physical Exam or check up Col 10 Since your last medical update, which of the following exams, tests, or procedures have you had: Physical exam or check up Usage Notes: Not collected on very early versions of Form 33 used in the Main WHI Study. Not collected on versions of Form 33 used in the WHI Extensions.
EYEEXAM - F33 Eye exam Col 11 Since your last medical update, which of the following exams, tests, or procedures have you had: Eye exam Usage Notes: Not collected on very early versions of Form 33 used in the Main WHI Study. Not collected on versions of Form 33 used in the WHI Extensions.
BRSTEXAM - Breast Exam Col 12 Since your last medical update, which of the following exams, tests, or procedures have you had: Breast exam
MAMMOGRM - F33 Mammogram Col 13 Since your last medical update, which of the following exams, tests, or procedures have you had: Mammogram
BRSTBPSY - F33 Breast Biopsy Aspiration Col 14 Since your last medical update, which of the following exams, tests, or procedures have you had: Test of breast tissue or fluid for disease (Breast biopsy or aspiration)
BRSTOTH - F33 Other breast examintation tests such as MRI Col 15 Since your last medical update, which of the following exams, tests, or procedures have you had: Other breast examination tests such as MRI or ultrasound Usage Notes: Not collected on versions of Form 33 used prior to the WHI Extensions.
RCTLEXAM - Rectal Exam Col 16 Since your last medical update, which of the following exams, tests, or procedures have you had: Rectal exam Usage Notes: Not collected on versions of Form 33 used in the WHI Extension 2.
HEMOCLT - Hemoccult Col 17 Since your last medical update, which of the following exams, tests, or procedures have you had: Test for the presence of blood in your stool or bowel movement (Hemoccult, guaiac)
FLEXSIG - Flex Sig Col 18 Since your last medical update, which of the following exams, tests, or procedures have you had: Tube inserted into your bowel from below to check for bowel problems (Sigmoidoscopy, flex. sig., or colonoscopy)
BARIUM - Barium Enema Col 19 Since your last medical update, which of the following exams, tests, or procedures have you had: Barium enema x-ray Usage Notes: Not collected on very early versions of Form 33 used in the Main WHI Study. Not collected on versions of Form 33 used in the WHI Extension 2.
BPCHECK - Blood Pressure Check Col 20 Since your last medical update, which of the following exams, tests, or procedures have you had: Blood pressure check Usage Notes: Not collected on very early versions of Form 33 used in the Main WHI Study. Not collected on versions of Form 33 used in the WHI Extensions.
CHOLCHK - Blood Cholesterol Test Col 21 Since your last medical update, which of the following exams, tests, or procedures have you had: Blood cholesterol test Usage Notes: Not collected on very early versions of Form 33 used in the Main WHI Study. Not collected on versions of Form 33 used in the WHI Extensions.
ECG - ECG Col 22 Since your last medical update, which of the following exams, tests, or procedures have you had: Electrocardiogram (ECG) Usage Notes: Not collected on versions of Form 33 used in the WHI Extensions.
PAPSMR - Pap Smear Col 23 Since your last medical update, which of the following exams, tests, or procedures have you had: Pap smear Usage Notes: Not collected on versions of Form 33 used in the WHI Extensions.
DANDC - D and C Col 24 Since your last medical update, which of the following exams, tests, or procedures have you had: Dilation and Curettage (D and C, womb scrape) Usage Notes: Not collected on versions of Form 33 used in the WHI Extension 2.
ENDOBPSY - Endometrial biopsy Col 25 Since your last medical update, which of the following exams, tests, or procedures have you had: Endometrial biopsy
HYSTEREC - Hysterectomy Col 26 Since your last medical update, which of the following exams, tests, or procedures have you had: Removal of the uterus or womb (Hysterectomy)
BONEDENS - F33 Bone density scan (e.g. DEXA) Col 27 Since your last medical update, which of the following exams, tests, or procedures have you had: Bone density scan (e.g. DEXA) Usage Notes: Not collected on versions of Form 33 used prior to the WHI Extensions. Not collected on latest version of Form 33.
NUMHOSP - Number of hospital visits Col 28 The number of hospital visits the participant indicated occurred since her last medical update.
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Form 33 (Medical History Update) was sent annually to OS participants and semiannually to CT participants during the main WHI study period. It is updated annually for all for all CT+OS participants during the extension studies.