ID
10186
Descripción
CALGB: 40101 TREATMENT SUMMARY SUBSET FORM Four Versus Six Cycles of Cyclophosphamide/Doxorubicin or Paclitaxel in Adjuvant Breast Cancer NCT00041119 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A46C8094-22BA-26B0-E034-080020C9C0E0
Link
Palabras clave
Versiones (2)
- 26/8/12 26/8/12 -
- 24/4/15 24/4/15 - Martin Dugas
Subido en
24 de abril de 2015
DOI
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Licencia
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer Treatment CALGB 40101 NCT00041119
INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. Circle amended items and check "Amended data" box to the right. If submitting by mail, retain a copy for your records and send the original to the CALGB Statistical Center, Data Operations. If faxing, use an original form for maximum clarity in transmission and fax to 919-416-4990. If submitting electronically, click the Send button when you have completed the PDF version of the form.
Descripción
Breast cancer treatment
Alias
- UMLS CUI-1
- C1511300
Descripción
Current cycle number
Tipo de datos
integer
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI-1
- C2045829
Descripción
BSA
Tipo de datos
text
Descripción
Totaldosageforthiscycle,Doxorubicin
Tipo de datos
float
Unidades de medida
- mg
Alias
- UMLS CUI-1
- C0013089
- UMLS CUI-2
- C0178602
Descripción
Totaldosageforthiscycle,Cyclophosphamide
Tipo de datos
float
Unidades de medida
- mg
Alias
- UMLS CUI-1
- C0010583
- UMLS CUI-2
- C0178602
Descripción
Totaldosageforthiscycle,Paclitaxel
Tipo de datos
float
Unidades de medida
- mg
Alias
- UMLS CUI-1
- C0144576
- UMLS CUI-2
- C0178602
Descripción
Dose adjustments (mark one with an X)
Tipo de datos
text
Alias
- UMLS CUI-1
- C2826232
Descripción
Reasonforadjustment
Tipo de datos
text
Alias
- UMLS CUI-1
- C2826286
Descripción
Specify(reasonforadjustment)
Tipo de datos
text
Alias
- UMLS CUI-1
- C2826286
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INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice. Print text in capital letters. Avoid contact with the edges of the boxes. Circle amended items and check "Amended data" box to the right. If submitting by mail, retain a copy for your records and send the original to the CALGB Statistical Center, Data Operations. If faxing, use an original form for maximum clarity in transmission and fax to 919-416-4990. If submitting electronically, click the Send button when you have completed the PDF version of the form.
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C2045829 (UMLS CUI-1)
C0178602 (UMLS CUI-2)
C0178602 (UMLS CUI-2)
C0178602 (UMLS CUI-2)
C0205421 (UMLS CUI-2)
C1556365 (UMLS CUI-2)
C1560130 (UMLS CUI-2)
C1559311 (UMLS CUI-2)
C1560949 (UMLS CUI-2)
C1560950 (UMLS CUI-3)