DBS Form

DBS Form and Dictionary

DBS Form

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DBS Form

Variable / Field Name Field Label Choices, Calculations, OR Slider Labels
park_med_adcid_v2 Site: 39 ADCID (Stanford)
park_med_ptid_v2 Subject ID: PTID
park_med_visitnum_v2 Visit number: 1 (initial visit), 2 and up (Follow up visit) VISITNUM
park_med_study_id_v2 Udall Study ID
park_med_admin_date_v2 Data Administered Date
park_med_ent_by_v2 Data Entry By
dbs_dbs Has the participant had DBS for Parkinson's disease?
dbs_ablative Has the participant had an ablative procedure for Parkinson's disease?
dbs_text If the participant had brain surgery or other procedure for Parkinson's disease, complete items below: In instances that the participant has had a repeated surgery/procedure after the first intervention, if the first target site is the same as the second site (e.g., re-implantation of DBS at the same target), only the date of the first surgery/procedure needs to be entered. If the first target site is different from the second site (e.g., cryoablation thalamotomy followed by STN DBS), enter the dates of both surgeries/procedures.
dbs_dbslocation Deep Brain Stimulation (DBS) location: 1, Subthalamic nucleus (STN) | 2, Globus pallidus interna (GPi) | 3, Ventral Intermediate nucleus (Vim) | 4, Unknown location
right_or_left Right or Left? 1, Right | 2, Left | 3, both
dbs_right Right
dbs_left Left
dbs_ablativelocation Ablative procedure location: ΚΚΚ₯ focused ultrasound ΚΚΚ₯ gamma knife radiosurgery ΚΚΚ₯ cryoablation 1, Thalamotomy | 2, Pallidotomy
dbs_abl_right_or_left Right or Left? 1, Right | 2, Left | 3, Both
dbs_right_2 Right
dbs_left_2 Left
dbs_inplace DBS in place at visit?
dbs_inplace_notes Why not?
dbs_active DBS active at visit?
dbs_active_notes Why not?