Descripción:

RTOG 0825: QOL M.D. Anderson Symptom Inventory Temozolomide and Radiation Therapy With or Without Bevacizumab in Treating Patients With Newly Diagnosed Glioblastoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5BABD9A9-3DF8-0152-E044-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5BABD9A9-3DF8-0152-E044-0003BA3F9857
Palabras clave:
  1. 26/8/12 26/8/12 -
  2. 9/1/15 9/1/15 - Martin Dugas
  3. 9/1/15 9/1/15 - Martin Dugas
  4. 20/9/21 20/9/21 -
Subido en:

20 de septiembre de 2021

DOI:
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Licencia :
Creative Commons BY-NC 3.0 Legacy
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Brain and Central Nervous System Tumors NCT00884741 On-Study - RTOG 0825: QOL M.D. Anderson Symptom Inventory - 2800871v1.0

INSTRUCTIONS: This sheet is the cover page used for the submission of the QOL questionnaires. It needs to be completed by the medical staff (nurse, data manager, physician, etc.) and should be submitted with each questionnaire

Unnamed Module 1
Amended Data
Unamed Module 2
Time point of this assessment (please check box that applies to this assessment)
Was patient questionnaire completed
Reason Questionnaire was not Completed
Specify method of completion
Did the patient require any assistance in completing the questionnaire?
Specify the person who assisted the patient
Extent of assistance given
M.d. Anderson Symptom Inventory (mdasi-bt)
Part Ii

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