ID
753
Description
CALGB: 40101 ON-STUDY FORM Four Versus Six Cycles of Cyclophosphamide/Doxorubicin or Paclitaxel in Adjuvant Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A4E097B4-CDDD-18B4-E034-080020C9C0E0
Link
Keywords
Versions (2)
- 8/26/12 8/26/12 -
- 3/23/15 3/23/15 - Martin Dugas
Uploaded on
August 26, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00041119 On-Study - CALGB: 40101 ON-STUDY FORM - 2040995v3.0
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- StudyEvent: CALGB: 40101 ON-STUDY FORM
Description
Unnamed2
Description
Patient'sName
Data type
text
Description
ParticipatingGroup
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17005
- UMLS 2011AA ObjectClass
- C1257890
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
PatientHospitalNumber
Data type
text
Description
ParticipatingGroupProtocolNo.
Data type
text
Description
MainMemberInstitution/Adjunct
Data type
text
Description
ParticipatingGroupPatientNo.
Data type
text
Description
Unnamed3
Description
MenopausalStatus
Data type
text
Description
PrimaryTumorLaterality
Data type
text
Description
ERStatus
Data type
text
Description
PgRStatus
Data type
text
Description
HistologicGrade
Data type
text
Description
HER-2neuStatus
Data type
text
Description
PathologicPrimaryTumorSize
Data type
double
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
T(diseasestage,pathologyreport)
Data type
text
Description
N(diseasestage,pathologyreport)
Data type
text
Description
M(diseasestage,pathologyreport)
Data type
text
Description
Unnamed4
Description
Unnamed5
Description
PriorHormonalTherapyInd
Data type
text
Description
Tamoxifen
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
Raloxifene
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
Other,specify(priorhormonaltherapy)
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
Other,specify(priorhormonaltherapy)
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
Prioradjuvantchemotherapyforthismalignancy?
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
specify(prioradjuvantchemotherapyforthismalignancy)
Data type
text
Description
Lab,Hematology,WBC
Data type
double
Description
ANC
Data type
double
Description
PlATELETS
Data type
text
Description
SerumCreatinine
Data type
double
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
Lab,Hepatic,Bilirubin
Data type
double
Description
Bilirubin
Data type
double
Alias
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
Description
Unnamed6
Description
Dateoffirstpositivebiopsy
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Description
Typeofbiopsy
Data type
text
Description
Mostextensiveprimarysurgery
Data type
text
Description
PrimarySurgeryDate
Data type
date
Description
Sentinelnodebiopsy
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
Description
date(sentinelnodebiopsy)
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Description
Ifdone,sentinelnodebiopsyresults
Data type
text
Description
AxillaryDissectionInd
Data type
text
Description
date(axillarydissectionperformed)
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Description
Totalnumberofaxillarylymphnodesexamined
Data type
double
Description
Numberofpositiveaxillarylymphnodes
Data type
double
Description
CompletedBy
Data type
text
Description
DateCompleted
Data type
date
Description
Ccrr Module For Calgb: 40101 On-study Form
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- StudyEvent: CALGB: 40101 ON-STUDY FORM
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