Descrição:

RTOG 0834/EORTC 26053_22054/NCIC CTG CEC.1: Medical Outcome Scale: Cognitive Radiation Therapy With or Without Temozolomide in Treating Patients With Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5AF816A5-3103-0942-E044-0003BA3F9857

Link:
https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5AF816A5-3103-0942-E044-0003BA3F9857
Palavras-chave:
  1. 26/08/2012 26/08/2012 -
  2. 09/01/2015 09/01/2015 - Martin Dugas
  3. 09/01/2015 09/01/2015 - Martin Dugas
  4. 08/07/2015 08/07/2015 -
Transferido a:

26 de agosto de 2012

DOI:
Para um pedido faça login.
Licença :
Creative Commons BY-NC 3.0 Legacy
Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

Brain and Central Nervous System Tumors NCT00626990 On-Study - RTOG 0834: Medical Outcome Scale: Cognitive - 2797747v1.0

No Instruction available.

  1. StudyEvent: RTOG 0834: Medical Outcome Scale: Cognitive
    1. No Instruction available.
Unnamed Module 1
Amended Data
Unamed Module 2
Time point
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
Unnamed2
How much of the time did you have difficulty reasoning and solving problems (During the past month - e.g., difficulty making plans, making decisions, learning new things)
How much of the time did you forget (During the past month - e.g., things that happen recently, where you put things, appointments)
How much of the time did you have trouble keeping your attention on any activity for long (During the past month)
How much of the time did you have difficulty doing activities involving concentration and thinking (During the past month)
How much of the time did you become confused and start several actions at a time (During the past month)
How much of the time did you react slowly to things that were said and done (During the past month)

Similar models

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial