ID

10607

Descripción

ECOG 3200 Long-Term Follow-up Form NCT00025337 Combination Chemotherapy With or Without Bevacizumab Compared With Bevacizumab Alone in Treating Patients With Advanced or Metastatic Colorectal Cancer That Has Been Previously Treated Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1703F76-0F9C-684E-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A1703F76-0F9C-684E-E034-080020C9C0E0

Palabras clave

  1. 27/8/12 27/8/12 -
  2. 23/5/15 23/5/15 -
  3. 3/6/15 3/6/15 -
Subido en

3 de junio de 2015

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy

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ECOG 3200 Long-Term Follow-up Form NCT00025337

No Instruction available.

  1. StudyEvent: ECOG 3200 Long-Term Follow-up Form
    1. No Instruction available.
ECOG Long-Term Follow-up
Descripción

ECOG Long-Term Follow-up

Date of data transfer
Descripción

Dateofdatatransfer

Tipo de datos

text

Transfer Method
Descripción

TransferMethod

Tipo de datos

text

Specify other transfer method
Descripción

Specifyothertransfermethod

Tipo de datos

text

Step No.
Descripción

StepNo.

Tipo de datos

text

Patient Name
Descripción

PatientName

Tipo de datos

text

Particip. Group Protocol Number
Descripción

Particip.GroupProtocolNumber

Tipo de datos

double

Patient Study ID, Participating Group
Descripción

PatientStudyID,ParticipatingGroup

Tipo de datos

text

Institution Name
Descripción

InstitutionName

Tipo de datos

text

Affiliate Name
Descripción

AffiliateName

Tipo de datos

text

Amended Data Ind
Descripción

AmendedDataInd

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Amended Data Ind
Descripción

AmendedDataInd

Tipo de datos

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Interval Report From Date
Descripción

IntervalReportFromDate

Tipo de datos

date

Interval Report To Date
Descripción

IntervalReportToDate

Tipo de datos

date

Patient's Vital Status
Descripción

Patient'sVitalStatus

Tipo de datos

text

Death Reason
Descripción

DeathReason

Tipo de datos

text

Death Reason, Specify
Descripción

DeathReason,Specify

Tipo de datos

text

Death Date/Last Contact Date
Descripción

DeathDate/LastContactDate

Tipo de datos

date

Cancer Follow-up Status Ind
Descripción

CancerFollow-upStatusInd

Tipo de datos

text

Cancer Follow-up Status Date
Descripción

CancerFollow-upStatusDate

Tipo de datos

date

Alias
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus Property
C25365
UMLS 2011AA Property
C0678257
Progression Ind
Descripción

ProgressionInd

Tipo de datos

text

Progression Date
Descripción

ProgressionDate

Tipo de datos

date

Formal Progressive Disease Diagnosis
Descripción

FormalProgressiveDiseaseDiagnosis

Tipo de datos

text

Progression Site
Descripción

ProgressionSite

Tipo de datos

text

New Primary Cancer Ind
Descripción

NewPrimaryCancerInd

Tipo de datos

text

New Primary Site
Descripción

NewPrimarySite

Tipo de datos

text

Late Adverse Event Ind
Descripción

LateAdverseEventInd

Tipo de datos

text

Non protocol therapy prior to first progression
Descripción

Nonprotocoltherapypriortofirstprogression

Tipo de datos

text

Comments
Descripción

Comments

Tipo de datos

text

Comments2
Descripción

Comments2

Tipo de datos

text

Non-Protocol Therapy Date, First
Descripción

Non-ProtocolTherapyDate,First

Tipo de datos

date

New Primary Cancer Date
Descripción

NewPrimaryCancerDate

Tipo de datos

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008

Similar models

No Instruction available.

  1. StudyEvent: ECOG 3200 Long-Term Follow-up Form
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
ECOG Long-Term Follow-up
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
StepNo.
Item
Step No.
text
PatientName
Item
Patient Name
text
Particip.GroupProtocolNumber
Item
Particip. Group Protocol Number
double
PatientStudyID,ParticipatingGroup
Item
Patient Study ID, Participating Group
text
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
IntervalReportFromDate
Item
Interval Report From Date
date
IntervalReportToDate
Item
Interval Report To Date
date
Patient'sVitalStatus
Item
Patient's Vital Status
text
DeathReason
Item
Death Reason
text
DeathReason,Specify
Item
Death Reason, Specify
text
DeathDate/LastContactDate
Item
Death Date/Last Contact Date
date
CancerFollow-upStatusInd
Item
Cancer Follow-up Status Ind
text
CancerFollow-upStatusDate
Item
Cancer Follow-up Status Date
date
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
ProgressionInd
Item
Progression Ind
text
ProgressionDate
Item
Progression Date
date
FormalProgressiveDiseaseDiagnosis
Item
Formal Progressive Disease Diagnosis
text
ProgressionSite
Item
Progression Site
text
NewPrimaryCancerInd
Item
New Primary Cancer Ind
text
NewPrimarySite
Item
New Primary Site
text
LateAdverseEventInd
Item
Late Adverse Event Ind
text
Nonprotocoltherapypriortofirstprogression
Item
Non protocol therapy prior to first progression
text
Comments
Item
Comments
text
Comments2
Item
Comments2
text
Non-ProtocolTherapyDate,First
Item
Non-Protocol Therapy Date, First
date
NewPrimaryCancerDate
Item
New Primary Cancer Date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)

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