ID
10071
Beskrivning
F1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Follow-up Form Late RT Interstitial Brachytherapy With or Without External-Beam Radiation Therapy in Treating Patients With Prostate Cancer NCT00063882 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AA8904F6-5E04-5881-E034-0003BA12F5E7
Länk
Nyckelord
Versioner (2)
- 2012-09-19 2012-09-19 -
- 2015-03-23 2015-03-23 - Martin Dugas
Uppladdad den
23 mars 2015
DOI
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Licens
Creative Commons BY-NC 3.0 Legacy
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Prostate Cancer NCT00063882
INSTRUCTIONS: Submit this form at the appropriate followup interval. Use -1 for unknown or not applicable unless otherwise specified in codetable. All dates to be reported mm-dd-yyyy unless otherwise indicated.
- StudyEvent: F1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Follow-up Form Late RT
Beskrivning
Cancer Follow-up Status
Alias
- UMLS CUI-1
- C0478532
Beskrivning
Patient'sVitalStatus
Datatyp
text
Beskrivning
DeathDate/LastContactDate
Datatyp
date
Beskrivning
CAUSE OF DEATH
Datatyp
text
Alias
- UMLS CUI-1
- C0007465
Beskrivning
DeathCauseText
Datatyp
text
Alias
- NCI Thesaurus Property
- C25638
- UMLS 2011AA Property
- C0392360
- NCI Thesaurus ObjectClass
- C28554
- UMLS 2011AA ObjectClass
- C0011065
- NCI Thesaurus Property-2
- C25251
- UMLS 2011AA Property-2
- C0205225
Beskrivning
CancerFollow-upStatusInd
Datatyp
text
Beskrivning
CancerFollow-upStatusDate
Datatyp
date
Alias
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25365
- UMLS 2011AA Property
- C0678257
Beskrivning
PerformanceStatus
Datatyp
text
Beskrivning
PSAValue
Datatyp
float
Alias
- UMLS CUI-1
- C0138741
Beskrivning
PSADate
Datatyp
date
Beskrivning
HASTHEPATIENTHADAPROSTATEBIOPSYSINCESUBMISSIONOFTHELASTFOLLOWUPFORM?
Datatyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C25704
- NCI Thesaurus ValueDomain-2
- C25180
- UMLS CUI-1
- C0194804
Beskrivning
Biopsy Date
Datatyp
date
Alias
- UMLS CUI-1
- C0011008
- UMLS CUI-2
- C0005558
Beskrivning
ProgressionInd
Datatyp
text
Beskrivning
ProgressionInd,Biochemical
Datatyp
text
Beskrivning
ProgressionDate,FirstBiochemical
Datatyp
date
Beskrivning
ProgressionPSAValue
Datatyp
float
Beskrivning
ProgressionInd,FirstLocal-Regional
Datatyp
text
Beskrivning
ProgressionDate,FirstLocal-Regional
Datatyp
date
Beskrivning
ProgressionSite
Datatyp
text
Beskrivning
AssessmentType
Datatyp
text
Beskrivning
AssessmentType,Specify
Datatyp
text
Beskrivning
ProgressionInd,FirstDistant
Datatyp
text
Beskrivning
ProgressionDate,FirstDistant
Datatyp
date
Beskrivning
ProgressionSite,FirstDistant
Datatyp
text
Beskrivning
Non-ProtocolTherapyInd
Datatyp
boolean
Alias
- UMLS CUI-1
- C1518384
- UMLS CUI-2
- C0087111
Beskrivning
Non-ProtocolTherapyAdministeredType
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ObjectClass-2
- C25590
- UMLS 2011AA ObjectClass
- C1518384
- NCI Thesaurus Property
- C25382
- UMLS 2011AA Property
- C1521801
Beskrivning
Radiationtoothersites,specify
Datatyp
text
Beskrivning
Other,specify
Datatyp
text
Beskrivning
SurgicalprocedurerelatedtopreviousRT,specify
Datatyp
text
Beskrivning
Non-ProtocolTherapyDate,First
Datatyp
date
Beskrivning
Specify(non-protocolprostatecancertherapy)
Datatyp
text
Beskrivning
NewPrimarySite
Datatyp
text
Beskrivning
NewCancerDiagnosisAnatomicSite
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus ObjectClass
- C25586
- UMLS 2011AA ObjectClass
- C0205314
- NCI Thesaurus ObjectClass-2
- C9305
- UMLS 2011AA ObjectClass-2
- C0006826
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Beskrivning
NewPrimaryCancerDate
Datatyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
Beskrivning
Specify(newprimarysite)
Datatyp
text
Beskrivning
LateAdverseEventInd REPORT ANY NEW OR CONTINUING EVENTS WHICH BEGAN >180 DAYS FROM THE START OF RT. If the toxicity is new, record the date it first appeared. Do not report tumor effects or those from non-protocol treatment or intercurrent disease. Code the most severe grade noted. USE THE RTOG/EORTC LATE RADIATION MORBIDITY SCORING SCHEMA Appendix IV. 8 = not evaluable, 9 = unknown, -1 = not applicable. If toxicity is grade 3 or greater, give detailed description of toxicity and provide any treatment given in the comments section.
Datatyp
boolean
Alias
- UMLS CUI-1
- C0877248
- UMLS CUI-2
- C0205087
Beskrivning
LateAdverseEventGrade
Datatyp
text
Beskrivning
LateAdverseEventTerm
Datatyp
text
Beskrivning
BLADDER/OTHERGUSpecify(lateadverseevent)
Datatyp
text
Beskrivning
SMALL/LARGEINTESTINE,specify(lateadverseevent)
Datatyp
text
Beskrivning
OTHERGI,specify(lateadverseevent)
Datatyp
text
Beskrivning
OTHER,specify(lateadverseevent)
Datatyp
text
Beskrivning
LateAdverseEventOnsetDate
Datatyp
date
Similar models
INSTRUCTIONS: Submit this form at the appropriate followup interval. Use -1 for unknown or not applicable unless otherwise specified in codetable. All dates to be reported mm-dd-yyyy unless otherwise indicated.
- StudyEvent: F1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Follow-up Form Late RT
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C0439673 (UMLS 2011AA)
C0392360 (UMLS 2011AA Property)
C28554 (NCI Thesaurus ObjectClass)
C0011065 (UMLS 2011AA ObjectClass)
C25251 (NCI Thesaurus Property-2)
C0205225 (UMLS 2011AA Property-2)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0012634 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain-2)
C0194804 (UMLS CUI-1)
C0005558 (UMLS CUI-2)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0205394 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0087111 (UMLS CUI-2)
C0332307 (UMLS 2011AA ValueDomain)
C15368 (NCI Thesaurus ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C1518384 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C0549184 (UMLS 2011AA)
C0038894 (UMLS 2011AA)
C0392920 (UMLS 2011AA)
C1515974 (UMLS 2011AA ValueDomain)
C25586 (NCI Thesaurus ObjectClass)
C0205314 (UMLS 2011AA ObjectClass)
C9305 (NCI Thesaurus ObjectClass-2)
C0006826 (UMLS 2011AA ObjectClass-2)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C0205087 (UMLS CUI-2)