ID

11363

Descripción

NCT00057928 SOUTHWEST ONCOLOGY GROUP OFF TREATMENT NOTICE (S0227) S0227 Comparison of Cisplatin Combined With Either Paclitaxel or Gemcitabine in Treating Patients With Recurrent, Persistent, or Metastatic Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C44FD3-7B1D-3AAB-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C44FD3-7B1D-3AAB-E034-0003BA12F5E7

Palabras clave

  1. 27/8/12 27/8/12 -
  2. 9/1/15 9/1/15 - Martin Dugas
  3. 3/7/15 3/7/15 -
Subido en

3 de julio de 2015

DOI

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Licencia

Creative Commons BY-NC 3.0 Legacy

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NCT00057928 SOUTHWEST ONCOLOGY GROUP OFF TREATMENT NOTICE (S0227)

No Instruction available.

  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP OFF TREATMENT NOTICE (S0227)
    1. No Instruction available.
Header
Descripción

Header

SWOG Patient ID
Descripción

SWOGPatientID

Tipo de datos

text

SWOG Study No.
Descripción

SWOGStudyNo.

Tipo de datos

text

Registration Step
Descripción

RegistrationStep

Tipo de datos

text

Patient Initials (L, F M)
Descripción

Patient Initials

Tipo de datos

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
Institution / Affiliate
Descripción

InstitutionName

Tipo de datos

text

Physician (Groups other than SWOG)
Descripción

RegisteredInvestigator

Tipo de datos

text

Group Name
Descripción

ParticipatingGroupName

Tipo de datos

text

Study No.
Descripción

Particip.GroupProtocolNumber

Tipo de datos

float

Pt. ID
Descripción

PatientStudyID,ParticipatingGroup

Tipo de datos

text

Treatment period
Descripción

Treatment period

Treatment Start Date
Descripción

TreatmentStartDate

Tipo de datos

date

Treatment End Date
Descripción

TreatmentEndDate

Tipo de datos

date

Regimen or Procedure or Site(s)
Descripción

RegimenorProcedureorSite(s)

Tipo de datos

text

Off-protocol treatment
Descripción

Off-protocol treatment

Off Treatment Reason
Descripción

OffTreatmentReason

Tipo de datos

text

Patient refused, other than toxicity, specify
Descripción

Patientrefused,otherthantoxicity,specify

Tipo de datos

text

Progression or relapse, specify site
Descripción

Progressionorrelapse,specifysite

Tipo de datos

text

Other, specify (Off Treatment Date)
Descripción

OffTreatmentReason,Other

Tipo de datos

text

Date of completion, progression, death or decision to discontinue therapy
Descripción

Dateofcompletion,progression,deathordecisiontodiscontinuetherapy

Tipo de datos

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
Further treatment
Descripción

Further treatment

Will patient receive further treatment?
Descripción

FurtherTreatmentInd

Tipo de datos

text

Yes, specify
Descripción

Yes,specify

Tipo de datos

text

Vital status
Descripción

Vital status

Date of Last Contact (or death)
Descripción

DeathDate/LastContactDate

Tipo de datos

date

Vital Status
Descripción

Patient'sVitalStatus

Tipo de datos

text

Comments
Descripción

Comments

Comments
Descripción

Comments

Tipo de datos

text

Ccrr Module For Southwest Oncology Group Off Treatment Notice (s0227)
Descripción

Ccrr Module For Southwest Oncology Group Off Treatment Notice (s0227)

Similar models

No Instruction available.

  1. StudyEvent: SOUTHWEST ONCOLOGY GROUP OFF TREATMENT NOTICE (S0227)
    1. No Instruction available.
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Header
SWOGPatientID
Item
SWOG Patient ID
text
SWOGStudyNo.
Item
SWOG Study No.
text
RegistrationStep
Item
Registration Step
text
Patient Initials
Item
Patient Initials (L, F M)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
InstitutionName
Item
Institution / Affiliate
text
RegisteredInvestigator
Item
Physician (Groups other than SWOG)
text
ParticipatingGroupName
Item
Group Name
text
Particip.GroupProtocolNumber
Item
Study No.
float
PatientStudyID,ParticipatingGroup
Item
Pt. ID
text
Item Group
Treatment period
TreatmentStartDate
Item
Treatment Start Date
date
TreatmentEndDate
Item
Treatment End Date
date
RegimenorProcedureorSite(s)
Item
Regimen or Procedure or Site(s)
text
Item Group
Off-protocol treatment
Item
Off Treatment Reason
text
Code List
Off Treatment Reason
CL Item
Patient Withdrawal, Medically Required Due To Toxicity (Medically required, due to toxicity)
CL Item
Patient Withdrawal Or Refusal Subsequent To Toxicity (Patient refused, due to toxicity)
CL Item
Patient Withdrawal Or Refusal For Reason Other Than Toxicity (Patient refused, other than toxicity, specify)
CL Item
Progression or relapse, specify site (Progression or relapse, specify site)
CL Item
Death (Death)
CL Item
Specify Other Reason (Other, specify)
Patientrefused,otherthantoxicity,specify
Item
Patient refused, other than toxicity, specify
text
Progressionorrelapse,specifysite
Item
Progression or relapse, specify site
text
OffTreatmentReason,Other
Item
Other, specify (Off Treatment Date)
text
Dateofcompletion,progression,deathordecisiontodiscontinuetherapy
Item
Date of completion, progression, death or decision to discontinue therapy
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
Item Group
Further treatment
Item
Will patient receive further treatment?
text
Code List
Will patient receive further treatment?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes, specify)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
Yes,specify
Item
Yes, specify
text
Item Group
Vital status
DeathDate/LastContactDate
Item
Date of Last Contact (or death)
date
Item
Vital Status
text
Code List
Vital Status
CL Item
Alive (Alive)
CL Item
Dead (Dead)
Item Group
Comments
Comments
Item
Comments
text
Item Group
Ccrr Module For Southwest Oncology Group Off Treatment Notice (s0227)

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