ID

23120

Beschreibung

Goserelin in Preventing Ovarian Failure in Women Receiving Chemotherapy for Breast Cancer https://clinicaltrials.gov/ct2/show/NCT00068601 Breast Cancer NCT00068601 Pre-Study - Southwest Oncology Group PreStudy (S0230) - 2170510v3.0

Link

https://clinicaltrials.gov/ct2/show/NCT00068601

Stichworte

Versionen (2)
  1. 26.08.12 26.08.12 -
  2. 24.06.17 24.06.17 - Martin Dugas
Hochgeladen am

24. Juni 2017

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY 4.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Breast Cancer Goserelin in Preventing Ovarian Failure NCT00068601 SWOG S0230

Englisch

Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section.

1 Formulare  
Disease Description
Beschreibung

Disease Description

Alias
UMLS CUI-1
C3259023
Date of Initial Diagnosis of Primary Tumor
Beschreibung

First Positive Biopsy Date

Datentyp

date

Alias
UMLS CUI [1]
C4296634
Stage
Beschreibung

Breast Tumor Stage

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C3262
NCI Thesaurus ObjectClass-2
C12971
NCI Thesaurus ValueDomain
C16899
NCI Thesaurus Property
C38027
UMLS CUI [1,1]
C1300072
UMLS CUI [1,2]
C0678222
Date of last menses (Please fill in the following values if the Patient has not had regular menses within the past 6 weeks)
Beschreibung

last menstrual period

Datentyp

date

Alias
UMLS CUI [1]
C0425932
Laboratory Tests
Beschreibung

Laboratory Tests

Alias
UMLS CUI-1
C0022885
FSH level
Beschreibung

FSH value

Datentyp

float

Maßeinheiten
  • IU/L
Alias
UMLS CUI [1]
C0202022
IU/L
Laboratory lower limit for post menopausal FSH
Beschreibung

FSH LLN

Datentyp

float

Maßeinheiten
  • IU/L
Alias
NCI Thesaurus ObjectClass
C25294
NCI Thesaurus Property
C20200
NCI Thesaurus Property-2
C2286
NCI Thesaurus ValueDomain
C25712
NCI Thesaurus ValueDomain-2
C25555
UMLS CUI [1,1]
C0202022
UMLS CUI [1,2]
C1518030
IU/L
Estradiol level
Beschreibung

Estradiol

Datentyp

float

Maßeinheiten
  • pg/mL
Alias
UMLS CUI [1]
C0014912
pg/mL
Laboratory upper limit for post menopausal estradiol
Beschreibung

Estradiol ULN

Datentyp

float

Maßeinheiten
  • pg/mL
Alias
UMLS CUI [1,1]
C0014912
UMLS CUI [1,2]
C1519815
pg/mL
Planned Chemotherapy regimen (select one)
Beschreibung

Chemotherapy Type

Datentyp

integer

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C25320
NCI Thesaurus ObjectClass-2
C15632
NCI Thesaurus Property
C25382
UMLS CUI [1,1]
C0392920
UMLS CUI [1,2]
C1301732
Other anthracycline-based regimen, specify chemotherapy agents and duration
Beschreibung

Other anthracycline-based regimen, specify

Datentyp

text

Alias
UMLS CUI [1,1]
C0282564
UMLS CUI [1,2]
C0205394
CCRR Module For Southwest Oncology Group Prestudy (s0230)
Beschreibung

CCRR Module For Southwest Oncology Group Prestudy (s0230)

Alias
UMLS CUI-1
C1320722
SWOG Patient ID
Beschreibung

SWOG Patient ID (L, F, M)

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C25699
UMLS CUI [1,1]
C2348585
UMLS CUI [1,2]
C1519429
Insitution/Affiliate
Beschreibung

Institution Name

Datentyp

text

Alias
NCI Thesaurus ObjectClass
C25454
NCI Thesaurus ObjectClass-2
C21541
NCI Thesaurus Property
C25364
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ValueDomain-2
C21541
UMLS CUI [1]
C1301943
Physician
Beschreibung

Registered Investigator Name

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus Property
C25364
NCI Thesaurus ObjectClass
C17089
NCI Thesaurus ObjectClass-2
C25644
UMLS CUI [1]
C2826892
Group Name
Beschreibung

Participating Group Name

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ObjectClass
C25608
NCI Thesaurus ObjectClass-2
C17005
NCI Thesaurus Property
C25364
UMLS CUI [1]
C2347449
Study No.
Beschreibung

Protocol ID

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C25320
NCI Thesaurus Property
C25608
NCI Thesaurus Property-2
C25364
UMLS CUI [1]
C2826693
Patient ID
Beschreibung

Patient Identifier Number

Datentyp

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25608
NCI Thesaurus Property-2
C25364
UMLS CUI [1]
C2348585
Height
Beschreibung

Patient Height

Datentyp

float

Maßeinheiten
  • cm
Alias
NCI Thesaurus ValueDomain
C25209
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25347
UMLS CUI [1]
C0489786
cm
Performance Status
Beschreibung

Performance Status

Datentyp

integer

Alias
UMLS CUI [1]
C1520224
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section.

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Disease Description
C3259023 (UMLS CUI-1)
First Positive Biopsy Date
Item
Date of Initial Diagnosis of Primary Tumor
date
C4296634 (UMLS CUI [1])
Item
Stage
text
C3262 (NCI Thesaurus ObjectClass)
C12971 (NCI Thesaurus ObjectClass-2)
C16899 (NCI Thesaurus ValueDomain)
C38027 (NCI Thesaurus Property)
C1300072 (UMLS CUI [1,1])
C0678222 (UMLS CUI [1,2])
CL.1
Code List
Stage
CL Item
T1*, N0, M0 (I)
CL Item
Ii, According To Current AJCC Guidelines (II)
CL Item
T0, N2, M0 Or T1*, N2, M0 Or T2, N2, M0 Or T3, N1, M0 Or T3, N2, M0 (IIIA)
last menstrual period
Item
Date of last menses (Please fill in the following values if the Patient has not had regular menses within the past 6 weeks)
date
C0425932 (UMLS CUI [1])
Item Group
Laboratory Tests
C0022885 (UMLS CUI-1)
FSH value
Item
FSH level
float
C0202022 (UMLS CUI [1])
FSH LLN
Item
Laboratory lower limit for post menopausal FSH
float
C25294 (NCI Thesaurus ObjectClass)
C20200 (NCI Thesaurus Property)
C2286 (NCI Thesaurus Property-2)
C25712 (NCI Thesaurus ValueDomain)
C25555 (NCI Thesaurus ValueDomain-2)
C0202022 (UMLS CUI [1,1])
C1518030 (UMLS CUI [1,2])
Estradiol
Item
Estradiol level
float
C0014912 (UMLS CUI [1])
Estradiol ULN
Item
Laboratory upper limit for post menopausal estradiol
float
C0014912 (UMLS CUI [1,1])
C1519815 (UMLS CUI [1,2])
Item
Planned Chemotherapy regimen (select one)
integer
C25284 (NCI Thesaurus ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C15632 (NCI Thesaurus ObjectClass-2)
C25382 (NCI Thesaurus Property)
C0392920 (UMLS CUI [1,1])
C1301732 (UMLS CUI [1,2])
CL.2
Code List
Planned Chemotherapy regimen (select one)
CL Item
AC (1)
CL Item
CAF (2)
CL Item
TAC (3)
CL Item
CEF (4)
CL Item
AC followed by a Taxane (5)
Other anthracycline-based regimen, specify
Item
Other anthracycline-based regimen, specify chemotherapy agents and duration
text
C0282564 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
CCRR Module For Southwest Oncology Group Prestudy (s0230)
C1320722 (UMLS CUI-1)
Southwest Oncology Group Identifier Number
Item
SWOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI [1,1])
C1519429 (UMLS CUI [1,2])
Institution Name
Item
Insitution/Affiliate
text
C25454 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
C1301943 (UMLS CUI [1])
Registered Investigator Name
Item
Physician
text
C25191 (NCI Thesaurus ValueDomain)
C25364 (NCI Thesaurus Property)
C17089 (NCI Thesaurus ObjectClass)
C25644 (NCI Thesaurus ObjectClass-2)
C2826892 (UMLS CUI [1])
Participating Group Name
Item
Group Name
text
C25191 (NCI Thesaurus ValueDomain)
C25608 (NCI Thesaurus ObjectClass)
C17005 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C2347449 (UMLS CUI [1])
Protocol ID
Item
Study No.
text
C25337 (NCI Thesaurus ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C2826693 (UMLS CUI [1])
Patient Identifier Number
Item
Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25608 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C2348585 (UMLS CUI [1])
Patient Height
Item
Height
float
C25209 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C25347 (NCI Thesaurus Property)
C0489786 (UMLS CUI [1])
Item
Performance Status
integer
C1520224 (UMLS CUI [1])
CL.4
Code List
Performance Status
CL Item
0 (0)
C0919414 (NCI Metathesaurus)
CL Item
1 (1)
CL Item
2 (2)
C66833 (NCI Thesaurus)
C0205448 (UMLS 2011AA)
CL Item
3 (3)
CL Item
4 (4)
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video