Description:

NSABP PROTOCOL R-04: FOLLOW-UP FORM Radiation Therapy and Either Capecitabine or Fluorouracil With or Without Oxaliplatin Before Surgery in Treating Patients With Resectable Rectal Cancer NCT00058474 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B7822451-67BC-24E6-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=B7822451-67BC-24E6-E034-0003BA12F5E7

Keywords:
Versions (3) ▾
  1. 8/27/12
  2. 1/9/15
  3. 3/28/15
Uploaded on:

March 28, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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Colorectal Cancer Follow-Up NCT00058474

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  1. StudyEvent: NSABP PROTOCOL R-04: FOLLOW-UP FORM
    1. No Instruction available.
Header
Are Data Amended?
Follow-Up
Patient's Vital Status
Source of Survival Information
Primary cause of death
Was there evidence of recurrence at the time of death?
Has the patient had a documented clinical assessment for this cancer?
Has the patient been diagnosed with first local-regional recurrence?
Site(s) of disease
Has the patient been diagnosed with first distanct recurrence/progression?
Has a new primary or MDS been diagnosed that has not been previously reported?
Late Adverse Events
Adverse Event
Grade

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