ID

10623

Descripción

CALGB: 49808 RADIOTHERAPY REPORT FORM NCT00016276 Combination Chemotherapy, Surgery, and Radiation Therapy With or Without Dexrazoxane and Trastuzumab in Treating Women With Stage III or Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9E35395C-8724-227A-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9E35395C-8724-227A-E034-080020C9C0E0

Palabras clave

  1. 26/8/12 26/8/12 -
  2. 22/5/15 22/5/15 -
  3. 3/6/15 3/6/15 -
Subido en

3 de junio de 2015

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy

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CALGB: 49808 RADIOTHERAPY REPORT FORM NCT00016276

No Instruction available.

  1. StudyEvent: CALGB: 49808 RADIOTHERAPY REPORT FORM
    1. No Instruction available.
CALGB clinical trial administrative data
Descripción

CALGB clinical trial administrative data

CALGB Form
Descripción

CALGBForm

Tipo de datos

text

CALGB Study No
Descripción

CALGBProtocolNumber

Tipo de datos

text

CALGB Patient ID
Descripción

CALGBPatientID

Tipo de datos

text

From
Descripción

From

Tipo de datos

text

To (Date of last contact or death)
Descripción

To

Tipo de datos

text

Amended data?
Descripción

AmendedDataInd

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Patient clinical trial data
Descripción

Patient clinical trial data

Patient's Name
Descripción

Patient'sName

Tipo de datos

text

Participating Group
Descripción

ParticipatingGroup

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C17005
UMLS 2011AA ObjectClass
C1257890
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Patient Hospital Number
Descripción

PatientHospitalNumber

Tipo de datos

text

Participating Group Protocol No.
Descripción

ParticipatingGroupProtocolNo.

Tipo de datos

text

Main Member Institution/Adjunct
Descripción

MainMemberInstitution/Adjunct

Tipo de datos

text

Participating Group Patient No.
Descripción

ParticipatingGroupPatientNo.

Tipo de datos

text

Radiation Treatment
Descripción

Radiation Treatment

Has the patient received radiation therapy?
Descripción

Hasthepatientreceivedradiationtherapy?

Tipo de datos

text

If No, reason
Descripción

IfNo,reason

Tipo de datos

text

Date radiation therapy ended
Descripción

Dateradiationtherapyended

Tipo de datos

text

What was the total number of days the patient was treated with radiation?
Descripción

Whatwasthetotalnumberofdaysthepatientwastreatedwithradiation?

Tipo de datos

text

Was there a break in radiation treatment due to toxicity?
Descripción

Wasthereabreakinradiationtreatmentduetotoxicity?

Tipo de datos

text

If Yes, reason
Descripción

IfYes,reason

Tipo de datos

text

Date of last radiation therapy prior to break
Descripción

Dateoflastradiationtherapypriortobreak

Tipo de datos

text

Date of first radiation therapy after break
Descripción

Dateoffirstradiationtherapyafterbreak

Tipo de datos

text

Fields of radiation therapy (mark all that apply with an X)
Descripción

Fieldsofradiationtherapy

Tipo de datos

text

Fields of radiation therapy Other, specify
Descripción

FieldsofradiationtherapyOther,specify

Tipo de datos

text

Did patient begin taking tamoxifen during this reporting period?
Descripción

Didpatientbegintakingtamoxifenduringthisreportingperiod?

Tipo de datos

text

If Yes, date tamoxifen started
Descripción

IfYes,datetamoxifenstarted

Tipo de datos

text

Comments
Descripción

Comments

Comments
Descripción

Comments

Tipo de datos

text

Similar models

No Instruction available.

  1. StudyEvent: CALGB: 49808 RADIOTHERAPY REPORT FORM
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
CALGB clinical trial administrative data
CALGBForm
Item
CALGB Form
text
CALGBProtocolNumber
Item
CALGB Study No
text
CALGBPatientID
Item
CALGB Patient ID
text
From
Item
From
text
To
Item
To (Date of last contact or death)
text
Item
Amended data?
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
Code List
Amended data?
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Patient clinical trial data
Patient'sName
Item
Patient's Name
text
ParticipatingGroup
Item
Participating Group
text
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
PatientHospitalNumber
Item
Patient Hospital Number
text
ParticipatingGroupProtocolNo.
Item
Participating Group Protocol No.
text
MainMemberInstitution/Adjunct
Item
Main Member Institution/Adjunct
text
ParticipatingGroupPatientNo.
Item
Participating Group Patient No.
text
Item Group
Radiation Treatment
Item
Has the patient received radiation therapy?
text
Code List
Has the patient received radiation therapy?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
IfNo,reason
Item
If No, reason
text
Dateradiationtherapyended
Item
Date radiation therapy ended
text
Whatwasthetotalnumberofdaysthepatientwastreatedwithradiation?
Item
What was the total number of days the patient was treated with radiation?
text
Item
Was there a break in radiation treatment due to toxicity?
text
Code List
Was there a break in radiation treatment due to toxicity?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
IfYes,reason
Item
If Yes, reason
text
Dateoflastradiationtherapypriortobreak
Item
Date of last radiation therapy prior to break
text
Dateoffirstradiationtherapyafterbreak
Item
Date of first radiation therapy after break
text
Item
Fields of radiation therapy (mark all that apply with an X)
text
Code List
Fields of radiation therapy (mark all that apply with an X)
CL Item
Ipsilateral Breast (Ipsilateral breast)
CL Item
Supraclavicular Field (Supraclavicular field)
CL Item
Axillary Fields (Axillary fields)
CL Item
Internal Mammary Fields (Internal mammary fields)
CL Item
Ipsilateral Chest Wall (Ipsilateral chest wall)
CL Item
Other, Specify: (Other, specify)
FieldsofradiationtherapyOther,specify
Item
Fields of radiation therapy Other, specify
text
Item
Did patient begin taking tamoxifen during this reporting period?
text
Code List
Did patient begin taking tamoxifen during this reporting period?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
IfYes,datetamoxifenstarted
Item
If Yes, date tamoxifen started
text
Item Group
Comments
Comments
Item
Comments
text

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