ID

18198

Description

Positronen-Emissionstomographie-gesteuerte Therapie aggressiver Non-Hodgkin-Lymphome (PETAL-Studie) Universitätsklinikum Essen (UK Essen) EudraCT-Nummer: 2006-001641-33 NCT00554164

Keywords

  1. 10/24/16 10/24/16 -
  2. 10/24/16 10/24/16 -
Uploaded on

October 24, 2016

DOI

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License

Creative Commons BY-NC 3.0

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Patient questionnaire PETAL Study NCT00554164

Patient questionnaire

  1. StudyEvent: ODM
    1. Patient questionnaire
Patient questionnaire
Description

Patient questionnaire

Phase
Description

Phase

Data type

text

Alias
UMLS CUI [1]
C0205390
Report completion date
Description

Report completion date

Data type

date

Alias
UMLS CUI [1]
C1549507
Physical Exertion
Description

Physical Exertion

Data type

integer

Alias
UMLS CUI [1]
C0031807
Ability to walk
Description

Ability to walk

Data type

integer

Alias
UMLS CUI [1]
C0559964
Walking (activity)
Description

Walking (activity)

Data type

integer

Alias
UMLS CUI [1]
C0080331
Bed rest
Description

Bed rest

Data type

integer

Alias
UMLS CUI [1]
C0004910
Assistance with eating
Description

Assistance with eating

Data type

integer

Alias
UMLS CUI [1]
C1822175
Work ability
Description

Work ability

Data type

integer

Alias
UMLS CUI [1]
C2960301
Free time activity limited
Description

Free time activity limited

Data type

integer

Alias
UMLS CUI [1]
C0683585
Dyspnea
Description

Dyspnea

Data type

integer

Alias
UMLS CUI [1]
C0013404
Pain
Description

Pain

Data type

integer

Alias
UMLS CUI [1]
C0030193
Need Rest
Description

Need Rest

Data type

integer

Alias
UMLS CUI [1]
C3641751
Sleep disturbances
Description

Sleep disturbances

Data type

integer

Alias
UMLS CUI [1]
C0037317
Weakness
Description

Weakness

Data type

integer

Alias
UMLS CUI [1]
C3714552
Loss of appetite
Description

Loss of appetite

Data type

integer

Alias
UMLS CUI [1]
C1971624
Nausea
Description

Nausea

Data type

integer

Alias
UMLS CUI [1]
C0027497
Vomiting
Description

Vomiting

Data type

integer

Alias
UMLS CUI [1]
C0042963
Congestion
Description

Congestion

Data type

integer

Alias
UMLS CUI [1]
C0700148
Diarrhea
Description

Diarrhea

Data type

integer

Alias
UMLS CUI [1]
C0011991
Fatigue
Description

Fatigue

Data type

integer

Alias
UMLS CUI [1]
C0015672
Impaired
Description

Impaired

Data type

integer

Alias
UMLS CUI [1]
C0221099
Unable to concentrate
Description

Unable to concentrate

Data type

integer

Alias
UMLS CUI [1]
C0235198
Emotional Strain
Description

Emotional Strain

Data type

integer

Alias
UMLS CUI [1]
C2987481
Grief reaction
Description

Grief reaction

Data type

integer

Alias
UMLS CUI [1]
C0018235
Excitability
Description

Excitability

Data type

integer

Alias
UMLS CUI [1]
C0235169
Mental Depression
Description

Mental Depression

Data type

integer

Alias
UMLS CUI [1]
C0011570
Memory performance
Description

Memory performance

Data type

integer

Alias
UMLS CUI [1]
C1285654
Disruptive family life
Description

Disruptive family life

Data type

integer

Alias
UMLS CUI [1]
C4060868
Living together impaired
Description

Living together impaired

Data type

integer

Alias
UMLS CUI [1,1]
C0682072
UMLS CUI [1,2]
C0221099
Financial problems
Description

Financial problems

Data type

integer

Alias
UMLS CUI [1]
C0549106
Personal health
Description

Personal health

Data type

integer

Alias
UMLS CUI [1]
C0683314
Quality of life
Description

Quality of life

Data type

integer

Alias
UMLS CUI [1]
C0034380

Similar models

Patient questionnaire

  1. StudyEvent: ODM
    1. Patient questionnaire
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Patient questionnaire
Phase
Item
Phase
text
C0205390 (UMLS CUI [1])
Report completion date
Item
Report completion date
date
C1549507 (UMLS CUI [1])
Item
Physical Exertion
integer
C0031807 (UMLS CUI [1])
Code List
Physical Exertion
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Ability to walk
integer
C0559964 (UMLS CUI [1])
Code List
Ability to walk
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Walking (activity)
integer
C0080331 (UMLS CUI [1])
Code List
Walking (activity)
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Bed rest
integer
C0004910 (UMLS CUI [1])
Code List
Bed rest
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Assistance with eating
integer
C1822175 (UMLS CUI [1])
Code List
Assistance with eating
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Work ability
integer
C2960301 (UMLS CUI [1])
Code List
Work ability
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Free time activity limited
integer
C0683585 (UMLS CUI [1])
Code List
Free time activity limited
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Dyspnea
integer
C0013404 (UMLS CUI [1])
Code List
Dyspnea
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Pain
integer
C0030193 (UMLS CUI [1])
Code List
Pain
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Need Rest
integer
C3641751 (UMLS CUI [1])
Code List
Need Rest
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Sleep disturbances
integer
C0037317 (UMLS CUI [1])
Code List
Sleep disturbances
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Weakness
integer
C3714552 (UMLS CUI [1])
Code List
Weakness
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Loss of appetite
integer
C1971624 (UMLS CUI [1])
Code List
Loss of appetite
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Nausea
integer
C0027497 (UMLS CUI [1])
Code List
Nausea
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Vomiting
integer
C0042963 (UMLS CUI [1])
Code List
Vomiting
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Congestion
integer
C0700148 (UMLS CUI [1])
Code List
Congestion
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Diarrhea
integer
C0011991 (UMLS CUI [1])
Code List
Diarrhea
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Fatigue
integer
C0015672 (UMLS CUI [1])
Code List
Fatigue
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Impaired
integer
C0221099 (UMLS CUI [1])
Code List
Impaired
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Unable to concentrate
integer
C0235198 (UMLS CUI [1])
Code List
Unable to concentrate
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Emotional Strain
integer
C2987481 (UMLS CUI [1])
Code List
Emotional Strain
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Grief reaction
integer
C0018235 (UMLS CUI [1])
Code List
Grief reaction
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Excitability
integer
C0235169 (UMLS CUI [1])
Code List
Excitability
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Mental Depression
integer
C0011570 (UMLS CUI [1])
Code List
Mental Depression
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Memory performance
integer
C1285654 (UMLS CUI [1])
Code List
Memory performance
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Disruptive family life
integer
C4060868 (UMLS CUI [1])
Code List
Disruptive family life
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Living together impaired
integer
C0682072 (UMLS CUI [1,1])
C0221099 (UMLS CUI [1,2])
Code List
Living together impaired
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Financial problems
integer
C0549106 (UMLS CUI [1])
Code List
Financial problems
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Personal health
integer
C0683314 (UMLS CUI [1])
Code List
Personal health
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)
Item
Quality of life
integer
C0034380 (UMLS CUI [1])
Code List
Quality of life
CL Item
not at all (1)
CL Item
somewhat  (2)
CL Item
moderate  (3)
CL Item
very much (4)

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