Description:

ACNS0122 Follow-up Worksheet NCT00047320 Neoadjuvant Chemotherapy With or Without Second-Look Surgery Followed by Radiation Therapy With or Without Peripheral Stem Cell Transplantation in Treating Patients With Intracranial Germ Cell Tumors Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD7AAA29-31DD-2A8B-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BD7AAA29-31DD-2A8B-E034-0003BA12F5E7

Keywords:
Versions (4) ▾
  1. 8/26/12
  2. 1/8/15
  3. 1/9/15
  4. 6/16/15
Uploaded on:

June 16, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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ACNS0122 Follow-up Worksheet NCT00047320

No Instruction available.

  1. StudyEvent: ACNS0122 Follow-up Worksheet
    1. No Instruction available.
Header
Follow-up Studies
Type [imaging studies]
Disease Status
Was the patient's disease status evaluated during this reporting interval?
Type of response
Evaluations
Was a Neurologic assessment done?
Was endocrinologic evaluation done?
Significant Events During This Reporting Period
Has a new primary cancer or MDS been diagnosed that has not been previously reported?
Life status at the end of this reporting period
Was the patient confirmed lost to follow-up at the end of this reporting period?
Was the patient enrolled on another COG therapeutic study at the end of the reporting period?
Did the patient withdraw consent for follow-up at the end of the reporting period?
Did the patient receive non-protocol anti-cancer treatment during this reporting period?
Type [non-protocol treatment] (Types of Treatment)
Ccrr Module For Acns0122 Follow-up Worksheet