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Scientific Concept of the National Cohort (status ... - Nationale Kohorte

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A.3.7.2 recontacting and tracking <strong>of</strong> study participants<br />

129<br />

A.3 Study design<br />

Personal identifying information such as name, date <strong>of</strong> birth, and address will be obtained<br />

prior to <strong>the</strong> invitation process at baseline, will be checked at <strong>the</strong> study center during recruitment,<br />

and recorded in a separate file. If not yet available, fur<strong>the</strong>r information such as <strong>the</strong><br />

participants’ cellular telephone numbers and e-mail addresses will be collected. This information<br />

may help to ensure that participants are not lost during follow-up.<br />

During <strong>the</strong> follow-up period, participants will be informed about interesting developments<br />

and results <strong>of</strong> <strong>the</strong> <strong>National</strong> <strong>Cohort</strong> by regular newsletters. These newsletters can also advise<br />

participants to communicate any changes in contact details actively to <strong>the</strong> study center.<br />

Every 2–3 years after <strong>the</strong> first visit in <strong>the</strong> study center, participants will be contacted by mail<br />

or e-mail, including a follow-up questionnaire. For subjects who do not respond to <strong>the</strong> initial<br />

follow-up questionnaire, a reminder letter will be sent. If a contact cannot be established by<br />

<strong>the</strong>se means, participants will be, where applicable, contacted by phone and a computerassisted<br />

telephone interview will be <strong>of</strong>fered at <strong>the</strong> same time or a later time scheduled. In<br />

addition, if <strong>the</strong> subjects do not (for various reasons) want to answer <strong>the</strong> questionnaire, a<br />

short version, assessing <strong>the</strong> health <strong>status</strong> related to <strong>the</strong> main diseases <strong>of</strong> interest, will be<br />

asked, to enable <strong>the</strong> comparison <strong>of</strong> a few core characteristics <strong>of</strong> responders and nonresponders.<br />

For all study subjects who do not respond to <strong>the</strong> follow-up procedure invitations (undelivered<br />

mail/e-mail, no contact or response) an inquiry at <strong>the</strong> residents’ registration <strong>of</strong>fice will<br />

be initiated that clarifies <strong>the</strong> vital <strong>status</strong> <strong>of</strong> <strong>the</strong> subject and whe<strong>the</strong>r subjects have moved<br />

away (all residents in Germany are required to provide <strong>the</strong>ir <strong>the</strong> new address once <strong>the</strong>y<br />

move away).<br />

In case <strong>of</strong> death, as <strong>the</strong> registries record <strong>the</strong> date and place <strong>of</strong> death, <strong>the</strong> date <strong>of</strong> death<br />

(population registries) and cause <strong>of</strong> death (public health <strong>of</strong>fice) will be obtained.<br />

For subjects who have moved, <strong>the</strong> new address will be obtained from <strong>the</strong> original registration<br />

<strong>of</strong>fice.<br />

In <strong>the</strong> study database, <strong>the</strong> tracking <strong>status</strong> for each study subject will <strong>the</strong>refore be regularly<br />

updated. The most likely <strong>status</strong> is ”full participant” (has sent back a completed questionnaire).<br />

The o<strong>the</strong>r final <strong>status</strong> categories are “dead”, “final drop out” (has left <strong>the</strong> study) or<br />

“permanently unavailable” (e.g., no permanent residence, has moved to ano<strong>the</strong>r country).<br />

A.3.7.3 follow-up procedures for ascertainment <strong>of</strong> vital <strong>status</strong> and incident<br />

diseases<br />

Prospective ascertainment <strong>of</strong> incident diseases will primarily be based on active follow-up<br />

procedures. These include <strong>the</strong> assessment <strong>of</strong> novel onset disease by means <strong>of</strong> questionnaires,<br />

which will be verified, for defined diseases, by contacting <strong>the</strong> participant’s pertinent<br />

physician(s).<br />

Questionnaires will be sent to <strong>the</strong> participants every 2–3 years (see above) to request<br />

information about any major, physician-diagnosed diseases that have occurred since <strong>the</strong><br />

baseline visit, including <strong>the</strong> treating physician and <strong>the</strong> date <strong>of</strong> diagnosis (see Table 3.15).<br />

For certain diseases, we will also use additional information obtained via questionnaire<br />

from <strong>the</strong> participant to increase <strong>the</strong> sensitivity <strong>of</strong> disease ascertainment (Table 3.15). For<br />

example, to increase sensitivity to detect incident cases <strong>of</strong> type 2 diabetes, we will also<br />

consider information on new onset <strong>of</strong> antidiabetic treatment.<br />

A.3

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