Description:

CALGB: 80101 Follow-up/Relapse Form NCT00052910 Chemotherapy and Radiation Therapy After Surgery in Treating Patients With Stomach or Esophageal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A3614107-525D-15BB-E034-080020C9C0E0

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A3614107-525D-15BB-E034-080020C9C0E0

Keywords:
Versions (3) ▾
  1. 9/19/12
  2. 5/28/15
  3. 6/3/15
Uploaded on:

June 3, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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CALGB: 80101 Follow-up/Relapse Form NCT00052910

No Instruction available.

  1. StudyEvent: CALGB: 80101 Follow-up/Relapse Form
    1. No Instruction available.
CALGB clinical trial administrative data
Are data amended?
patient demographics
Patient's vital status (mark one with an X)
Primary cause of death (mark one with an X)
Notice Of Progression/relapse
Has the patient developed a progression (or relapse) during this time period that has not been previously reported?
Site(s) of progression/relapse (mark all that apply with an X)
Stat Use Only
Location of relapse
Notice Of New Primary
Has a new primary cancer or AML/MDS been diagnosed that has not been previously reported?
Ccrr Module For Calgb: 80101 Follow-up/relapse Form

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