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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
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Versões (4)
  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 -
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26 de agosto de 2012

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Licença :
Creative Commons BY-NC 3.0 Legacy
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Brain and Central Nervous System Tumors NCT00626990 On-Study - RTOG 0834: Medical Outcome Scale: Cognitive - 2797747v1.0

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1 Formulários  
  1. StudyEvent: RTOG 0834: Medical Outcome Scale: Cognitive
    1. No Instruction available.
Unnamed Module 1
Amended Data
Unamed Module 2
Time point
3 itens adicionais na visualização detalhada.
Was patient questionnaire completed
Reason Questionnaire was not Completed
4 itens adicionais na visualização detalhada.
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
3 itens adicionais na visualização detalhada.
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)
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