NSABP PROTOCOL C-08: HYPERTENSION STATUS FORM NCT00096278 Fluorouracil, Leucovorin, and Oxaliplatin With or Without Bevacizumab in Treating Patients Who Have Undergone Surgery for Stage II or Stage III Colon Cancer Source Form: NCI FormBuilder:

  1. 8/27/12 8/27/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/9/15 6/9/15 -
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June 9, 2015

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Creative Commons BY-NC 3.0 Legacy
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This form should be completed every 3 months while the patient is receiving protocol therapy, and every 6 months after the last dose of protocol therapy, for up to one year.

Are data amended? (check box if yes, and circle amended items)
Blood pressure assessment
Time point of this assessment
Does the patient have hypertension requiring medication?
Has there been an addition of a new anti-hypertensive agent or a modification of an existing agent since the last HT form?
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