Questionnaires SENOMAC
In the SENOMAC trial, questionnaires concerning health-related quality of life, arm morbidity and function, and health economy are distributed at baseline and after 1, 3, 5 and 10 years.
For downloading the correct questionnaire to use at a specific follow-up, please use the documents provided under each subheading. For copies of EQ5D, please contact your CRO.
Please note that questionnaires which are not marked with the participant's individual patient number and the date of completion cannot be assigned to the correct individual and time point, making the participant's answers useless. Therefore, always mark the questionnaire with the correct patient number before handing it over or posting it to the participant, and remind the participant to fill in the date of completion!
You may give your participating patient the choice of either postal (paper) questionnaires (see links below) or a web version with the same content to be filled in online.
For the web version, remember that each patient has an own study number or "patient ID" consisting of 6 digits. The first three digits are your own site's specific code, the following three digits are the patient's number calculated as 001 for the first patient enrolled at your site, and increasing per patient (001, 002, 003 etc).
Webpage: https://data.dynareg.se/senomac
Organisation: the first three digits in all your site's patient IDs = your site-specific code
Användarnamn / user name: the name you received from the SENOMAC administration
Password: the password you received from the SENOMAC administration
Instructions for the use of web questionnaires
- Go to https://data.dynareg.se/senomac and log in as described above. Fill in the correct Patient ID (also called randomization or study number). If "None are registered in this patient yet - choose Fill in a new form" appears when you enter the Patient ID, select the "Fill in a new form", thereafter "QoL".
Please fill in the patient's initials and year of birth, then press Save. - For the selected patient, a list of survey codes is shown that have been assigned to the specific individual. You can print a letter with instructions for completion of each survey point (baseline, 1 year follow-up, 3-year follow-up, etc.) by clicking on the links to the right of the codes. There are different letters for each survey occasion, one initial letter and a letter as postal reminder.
- Press "Save and update survey data (for all patients)" to allow the system to verify the codes that are answered by this individual patient and all others in the system. This may take a little while; do not click on anything else while the system is updated / web page is loaded.
Additional information
Patients complete questionnaires themselves on http://www.incasvar.se with the unique code you gave that individual. This code is specific both per inidividual and per time point, i.e. baseline, 1-year follow-up, 3-year follow-up etc.
By clicking on "project report" and choose the report "SENOMAC Patient list for the logged in organisation", you can see a list over all your site's patients in the system. There you can easily follow which questionnaires have already been completed and for which you need to send a reminder. Reminders are always sent as a second letter containing a log-in code but must also contain a paper questionnaire and return envelope to give the patient both choices.
For technical support and questions, please contact:
Christofer Lagerros (IT designer for SENOMAC web questionnaire system), civilingenjör datateknik
E-mail: chrille@lagerros.se
Telephone: +46(0)733-249460
Open configuration options
Download your questionnaires here
Swedish
Return envelopes are addressed to Att:SENOMAC/ Matilda Appelgren, Bröstcentrum, Capio S:t Görans sjukhus, Sankt Göransplan 1, 112 19 Stockholm.
BASELINE
1-YEAR FOLLOW-UP
3-YEAR FOLLOW-UP
5-YEAR FOLLOW-UP
10-YEAR FOLLOW-UP
Danish
Return envelopes are addressed to Att:SENOMAC/ Matilda Appelgren, Bröstcentrum, Capio S:t Görans sjukhus, Sankt Göransplan 1, 112 19 Stockholm.
BASELINE
1-YEAR FOLLOW-UP
3-YEAR FOLLOW-UP
5-YEAR FOLLOW-UP
10-YEAR FOLLOW-UP
Deutsch
Completed questionnaires are sent to the German CRO monitoring the SENOMAC trial: CRO Dr. med. Kottmann, att: SENOMAC, Beverstr. 64, 59077 Hamm.
BASELINE
1-YEAR FOLLOW-UP
3-YEAR FOLLOW-UP
5-YEAR FOLLOW-UP
10-YEAR FOLLOW-UP
Greek
Completed questionnaires are sent to the Greek CRO monitoring the SENOMAC trial:
CROS&S I.K.E., Lomvardou 55, Gkyzi, Τ.Κ. 11474. Att: SENOMAC
CROS&S I.K.E., Λομβάρδου 55, Γκύζη, Τ.Κ. 11474. Att: SENOMAC.
BASELINE
1-YEAR FOLLOW-UP
3-YEAR FOLLOW-UP
5-YEAR FOLLOW-UP
10-YEAR FOLLOW-UP
Italian
Completed questionnaires are sent to the German CRO monitoring the SENOMAC trial: CRO Dr. med. Kottmann, att: SENOMAC, Beverstr. 64, 59077 Hamm, Germany.