Description:

RTOG 0825 Phase III GBM Neurocognitive Evaluation Summary Form (CS) 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=5BE60D36-11E5-00FF-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5BE60D36-11E5-00FF-E044-0003BA3F9857

  1. 12/18/14 12/18/14 - Martin Dugas
  2. 1/9/15 1/9/15 - Martin Dugas
Uploaded on:

January 9, 2015

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Creative Commons BY-NC 3.0 Legacy
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GBM Neurocognitive Evaluation Summary Form (CS) RTOG 0825 Phase III

INSTRUCTIONS: This sheet represents a summary of results for the Hopkins Verbal Learning Test - Revised (HVLT-R) Controlled Oral Word Association (COWA), and Trail Making Test Parts A and B

Header Module
Amended Data
Time point of this assessment
Hopkins Verbal Learning Test - Revised Administration
HVLT-R reason not completed
Trail Making Test Part A
Sample A completed
Trail Making Test A reason not complete
Trail Making Test Part A
Sample B completed
Trail Making Test B reason not completed
Contolled Oral Word Association (cowa)
COWA reason not completed
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