Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia

• • AUA Symptom Index and Quality of Life Assessment Result

    • • ["Assessment, Performed": "American Urological Association Symptom Index [AUASI]"] AUASIAssessment
          let LastAUASIOnDate: Last(["Assessment, Performed": "American Urological Association Symptom Index [AUASI]"] AUASI
              where AUASI.relevantDatetime same day as AUASIAssessment.relevantDatetime
                and AUASI.result is not null
              sort by relevantDatetime
          ),
          LastQOLOnDate: Last(["Assessment, Performed": "If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that [IPSS]"] QOLAssessment
              where QOLAssessment.relevantDatetime same day as AUASIAssessment.relevantDatetime
                and QOLAssessment.result is not null
              sort by relevantDatetime
          )
          return {
            relevantDatetime: LastAUASIOnDate.relevantDatetime,
            result: ( LastAUASIOnDate.result as Integer ) + ( LastQOLOnDate.result as Integer )
          }

       

  • BMI Exam Result Greater Than 40 During Measurement Period and On or Before Follow Up USS Assessment

    • • ["Physical Exam, Performed": "Estimated BMI greater than 40"] BMIExam
          with "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis" FollowUpUSSAssessment
            such that BMIExam.relevantDatetime during "Measurement Period"
              and BMIExam.relevantDatetime on or before FollowUpUSSAssessment.relevantDatetime
              and BMIExam.result > 40 'kg/m2'

       

  • Denominator

    • • "Initial Population"

       

  • Denominator Exclusions

    • • exists ( "Urinary Retention Diagnosis Starts Within 1 Year After Initial BPH Diagnosis" )
          or ( "Has Initial BPH Diagnosis Starts During or Within 30 Days After End of Hospitalization" is not null )
          or ( "Morbid Obesity Diagnosis or BMI Exam Result Greater Than 40 Starts On or Before Follow Up USS Assessment" )

       

  • Documented IPSS Assessment Result

    • • ["Assessment, Performed": "International Prostate Symptom Score [IPSS]"] IPSSAssessment
          where IPSSAssessment.result is not null
          return {
            relevantDatetime: ( IPSSAssessment.relevantDatetime ),
            result: IPSSAssessment.result as Integer
          }

       

  • Has Initial BPH Diagnosis Starts During or Within 30 Days After End of Hospitalization

    • • "Initial BPH Diagnosis Within 6 Months Before or After Start of Measurement Period Prevalence Period" InitialBPHDiagnosis
          with ["Encounter, Performed": "Hospital Services for urology care"] InHospitalServices
            such that InitialBPHDiagnosis.prevalencePeriod starts during Interval[start of InHospitalServices.relevantPeriod, 
            end of InHospitalServices.relevantPeriod + 31 days )

       

  • Has Qualifying BPH Diagnosis

    • • "Initial BPH Diagnosis Within 6 Months Before or After Start of Measurement Period Prevalence Period" is not null

       

  • Has Qualifying Encounter

    • • exists ["Encounter, Performed": "Office Visit"] ValidEncounter
          where ValidEncounter.relevantPeriod during "Measurement Period"

       

  • Initial BPH Diagnosis Within 6 Months Before or After Start of Measurement Period Prevalence Period

    • • First(["Diagnosis": "Benign prostatic hyperplasia with lower urinary tract symptoms"] NewBPHDiagnosis
            where NewBPHDiagnosis.prevalencePeriod starts during Interval[start of "Measurement Period" - 6 months, 
            end of "Measurement Period"]
        )

       

  • Initial Population

    • • ( "Patient is Male" )
          and "Has Qualifying Encounter"
          and "Has Qualifying BPH Diagnosis"
          and "Urinary Symptom Score Within 1 Month after Initial BPH Diagnosis" is not null
          and "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis" is not null

       

  • Morbid Obesity Diagnosis On or Before Follow Up USS Assessment

    • • ["Diagnosis": "Morbid Obesity"] MorbidObesity
          with "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis" FollowUpUSSAssessment
            such that MorbidObesity.prevalencePeriod overlaps "Measurement Period"
              and MorbidObesity.prevalencePeriod starts on or before FollowUpUSSAssessment.relevantDatetime

       

  • Morbid Obesity Diagnosis or BMI Exam Result Greater Than 40 Starts On or Before Follow Up USS Assessment

    • • exists "Morbid Obesity Diagnosis On or Before Follow Up USS Assessment"
          or exists "BMI Exam Result Greater Than 40 During Measurement Period and On or Before Follow Up USS Assessment"

       

  • Numerator

    • • "Urinary Symptom Score Improvement Greater Than or Equal To 3"

       

  • Patient is Male

    • • exists ["Patient Characteristic Sex": "Male"]

       

  • SDE Ethnicity

    • • ["Patient Characteristic Ethnicity": "Ethnicity"]

       

  • SDE Payer

    • • ["Patient Characteristic Payer": "Payer"]

       

  • SDE Race

    • • ["Patient Characteristic Race": "Race"]

       

  • SDE Sex

    • • ["Patient Characteristic Sex": "ONC Administrative Sex"]

       

  • Urinary Retention Diagnosis Starts Within 1 Year After Initial BPH Diagnosis

    • • ["Diagnosis": "Urinary retention"] UrinaryRetention
          with "Initial BPH Diagnosis Within 6 Months Before or After Start of Measurement Period Prevalence Period" InitialBPHDiagnosis
            such that UrinaryRetention.prevalencePeriod starts 1 year or less on or after day of start of InitialBPHDiagnosis.prevalencePeriod

       

  • Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis

    • • Last("Urinary Symptom Score Tuple Return" LastUSSAssessment
            with "Initial BPH Diagnosis Within 6 Months Before or After Start of Measurement Period Prevalence Period" InitialBPHDiagnosis
              such that months between start of InitialBPHDiagnosis.prevalencePeriod and LastUSSAssessment.relevantDatetime in Interval[6, 12]
            sort by relevantDatetime
        )

       

  • Urinary Symptom Score Improvement

    • • from
          "Urinary Symptom Score Within 1 Month after Initial BPH Diagnosis" FirstUSSAssessment,
          "Urinary Symptom Score 6 to 12 Months After Initial BPH Diagnosis" FollowUpUSSAssessment
          let USSChange: FirstUSSAssessment.result - FollowUpUSSAssessment.result
          return USSChange

       

  • Urinary Symptom Score Improvement Greater Than or Equal To 3

    • • ( "Urinary Symptom Score Improvement" USSImprovement
            where USSImprovement >= 3
        ) is not null

       

  • Urinary Symptom Score Tuple Return

    • • "Documented IPSS Assessment Result"
          union "AUA Symptom Index and Quality of Life Assessment Result"

       

  • Urinary Symptom Score Within 1 Month after Initial BPH Diagnosis

    • • First("Urinary Symptom Score Tuple Return" InitialUSSAssessment
            with "Initial BPH Diagnosis Within 6 Months Before or After Start of Measurement Period Prevalence Period" InitialBPHDiagnosis
              such that InitialUSSAssessment.relevantDatetime 1 month or less on or after day of start of InitialBPHDiagnosis.prevalencePeriod
            sort by relevantDatetime
        )

       

Functions

None