ID

926

Descrizione

PACCT-1 TAILORx On-Study Form Hormone Therapy With or Without Combination Chemotherapy in Treating Women Who Have Undergone Surgery for Node-Negative Breast Cancer (The TAILORx Trial) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=05D9BCF6-1191-5BFE-E044-0003BA3F9857

collegamento

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=05D9BCF6-1191-5BFE-E044-0003BA3F9857

Keywords

  1. 26/08/12 26/08/12 -
  2. 09/01/15 09/01/15 - Martin Dugas
  3. 18/06/15 18/06/15 -
Caricato su

26 agosto 2012

DOI

Per favore, per richiedere un accesso.

Licenza

Creative Commons BY-NC 3.0 Legacy

Commenti del modello :

Puoi commentare il modello dati qui. Tramite i fumetti nei gruppi di articoli e articoli è possibile aggiungere commenti a quelli in modo specifico.

Commenti del gruppo di articoli per :

Commenti dell'articolo per :

Per scaricare i modelli di dati devi essere registrato. Per favore accesso o registrati GRATIS.

Breast Cancer NCT00310180 On-Study - PACCT-1 TAILORx On-Study Form - 2430915v1.0

No Instruction available.

  1. StudyEvent: PACCT-1 TAILORx On-Study Form
    1. No Instruction available.
Unnamed1
Reporting Period
Unnamed2
Menopausal status (NOTE: See TAILORx Forms Completion Guidelines for defintions)
Breast: Surgical Procedures
Most Extensive Primary Surgery (check one)
Was sentinel node sampling performed
Was axillary dissection performed?
Breast: Disease Description
Mammogram (Breast cancer was detectable by the following answer yes or no for each of the following:)
Physical Exam
Other
Tumor Laterality
Histologic Grade (For breast cancer, a combined histologic grade is used according to SBR/Elston classification)
Nuclear Grade
Receptor Status, ER (as defined by local laboratory; borderline results should be reported as positive)
Receptor Status, PgR
Pathologic N Stage (CRF says "TNM Nodal Staging" - CDE is Recommended Term)
After receiving the treatment assignment, indicate which treatment(s) patient has agreed to receive (Choose all that apply)
Footer Module

Similar models

Si prega di utilizzare questo modulo per feedback, domande e suggerimenti per miglioramenti.

I campi contrassegnati da * sono obbligatori.

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