ID
11488
Beschreibung
FORM 6 - FINAL REPORT NCT00090974 Quality Of Life Companion Study For JMA27 (NCIC-MA.27): A Randomized Phase III Trial Of Exemestane Versus Anastrozole With Or Without Celecoxib In Postmenopausal Women With Receptor Positive Primary Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ABE51386-B5AC-5668-E034-0003BA12F5E7
Link
Stichworte
Versionen (3)
- 26.08.12 26.08.12 -
- 09.01.15 09.01.15 - Martin Dugas
- 05.07.15 05.07.15 -
Hochgeladen am
5. Juli 2015
DOI
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FORM 6 - FINAL REPORT NCT00090974
To be submitted within 6 weeks of the patient's death.
- StudyEvent: FORM 6 - FINAL REPORT
Beschreibung
Cause Of Death
Beschreibung
Autopsy
Beschreibung
Disease Status
Beschreibung
Other Malignancies Or Myelodysplastic Syndrome
Beschreibung
NewPrimaryCancerInd
Datentyp
boolean
Beschreibung
NewPrimaryCancerDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164 (undefined)
- UMLS 2011AA ValueDomain
- C0011008 (Date in time)
- SNOMED
- 410671006
Beschreibung
MalignancyType
Datentyp
text
Beschreibung
NewPrimarySite
Datentyp
text
Beschreibung
NewPrimaryDiagnosis
Datentyp
text
Beschreibung
Toxicity Evaluation
Beschreibung
Didthepatientexperienceanyneworcontinuingtoxicitiessincethelastreport?
Datentyp
boolean
Beschreibung
CTCAdverseEventTerm
Datentyp
text
Beschreibung
CTCAdverseEventTerm,Other
Datentyp
text
Beschreibung
CTCAdverseEventCategory
Datentyp
text
Beschreibung
CTCAdverseEventGrade
Datentyp
text
Beschreibung
CTCAdverseEventAttributionCode
Datentyp
text
Beschreibung
Comments
Datentyp
text
Beschreibung
Adverse Events
Beschreibung
Hasthepatientexperiencedabonefracturesincesubmissionoflastfollow-upform?
Datentyp
boolean
Beschreibung
BoneFractureSite,Spinal
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
BoneFractureSite,Wrist
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
BoneFractureSite,Pelvis
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
BoneFractureSite,Hip
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
BoneFractureSite,Femur
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
BoneFractureSite,Tibia
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
BoneFractureSite,Ankle
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
BoneFractureSite,Other(specify)
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
indicatesite(bonefracturesite)
Datentyp
text
Beschreibung
BoneFractureDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164 (undefined)
- UMLS 2011AA ValueDomain
- C0011008 (Date in time)
- SNOMED
- 410671006
- NCI Thesaurus ObjectClass
- C12366 (undefined)
- UMLS 2011AA ObjectClass
- C0262950 (Skeletal bone)
- SNOMED
- 272673000
- LOINC
- LP29835-3
- NCI Thesaurus Property
- C3046 (undefined)
- UMLS 2011AA Property
- C0016658 (Fracture)
- SNOMED
- 72704001
- LOINC
- LA7437-2
Beschreibung
Hasthepatienthadanewdiagnosisofosteoporosissincesubmissionoflastfollow-upform?
Datentyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
DiseaseOsteoporosisDiagnosisDate
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164 (undefined)
- UMLS 2011AA ValueDomain
- C0011008 (Date in time)
- SNOMED
- 410671006
- NCI Thesaurus Property
- C3298 (undefined)
- UMLS 2011AA Property
- C0029456 (Osteoporosis)
- SNOMED
- 64859006
- LOINC
- MTHU020796
- NCI Thesaurus ObjectClass
- C2991 (undefined)
- UMLS 2011AA ObjectClass
- C0012634 (Disease)
- SNOMED
- 64572001
- LOINC
- LP21006-9
- NCI Thesaurus Property-2
- C15220 (undefined)
- UMLS 2011AA Property-2
- C0011900 (Diagnosis)
- SNOMED
- 439401001
- LOINC
- LP30831-9
Beschreibung
Hasthepatientsufferedcardiovasculardiseasesincesubmissionoflastfollow-upform?
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
CardiovascularEvent,Myocardialinfarction
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
CardiovascularEvent,Stroke/transientischemicattack(TIA)
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
CardiovascularEvent,On-goingangina(nosurgicalintervention)
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
HeartPatientAnginaPercutaneousTransluminalCoronaryAngioplastyPersonalMedicalHistoryInd-3
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C16960 (undefined)
- UMLS 2011AA ObjectClass
- C0030705 (Patients)
- SNOMED
- 116154003
- NCI Thesaurus ObjectClass-2
- C12727 (undefined)
- UMLS 2011AA ObjectClass-2
- C0018787 (Heart)
- SNOMED
- 80891009
- LOINC
- LP7289-4
- NCI Thesaurus Property
- C51221 (undefined)
- UMLS 2011AA Property
- C0002962 (Angina Pectoris)
- SNOMED
- 194828000
- NCI Thesaurus Property-2
- C38078 (undefined)
- UMLS 2011AA Property-2
- C2936173 (Percutaneous Transluminal Coronary Angioplasty)
- SNOMED
- 11101003
- NCI Thesaurus Property-3
- C18772 (undefined)
- UMLS 2011AA Property-3
- C0262926 (Medical History)
- SNOMED
- 392521001
- LOINC
- LP6817-3
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
CardiovascularEvent,Thromboembolicevent
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
CardiovascularEvent,Other(specify)
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
pleasedescribeevent(cardiovascularevent)
Datentyp
text
Beschreibung
DateofMostRecentEpisode
Datentyp
date
Alias
- NCI Thesaurus ValueDomain
- C25164 (undefined)
- UMLS 2011AA ValueDomain
- C0011008 (Date in time)
- SNOMED
- 410671006
Beschreibung
Treatment Given Since Last Report To Ncic Ctg
Beschreibung
Non-ProtocolTherapyInd
Datentyp
boolean
Beschreibung
Non-ProtocolRaloxifeneTherapy
Datentyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
- NCI Thesaurus Property
- C1518 (undefined)
- UMLS 2011AA Property
- C0244404 (raloxifene)
- SNOMED
- 419530003
- NCI Thesaurus ObjectClass
- C25590 (undefined)
- UMLS 2011AA ObjectClass
- C1518384 (Non-Protocol)
- NCI Thesaurus Property-2
- C25382 (undefined)
- UMLS 2011AA Property-2
- C1521801 (Having administered)
Beschreibung
Non-ProtocolTherapeuticProcedureBiphosphonateAdministeredInd-3
Datentyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C49236 (undefined)
- UMLS 2011AA ObjectClass
- C0087111 (Therapeutic procedure)
- SNOMED
- 277132007
- LOINC
- LP21090-3
- NCI Thesaurus ObjectClass-2
- C25590 (undefined)
- UMLS 2011AA ObjectClass-2
- C1518384 (Non-Protocol)
- NCI Thesaurus Property
- C443 (undefined)
- UMLS 2011AA Property
- C0012544 (Diphosphonates)
- SNOMED
- 372907000
- NCI Thesaurus Property-2
- C25382 (undefined)
- UMLS 2011AA Property-2
- C1521801 (Having administered)
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
Non-ProtocolLipidLoweringTherapy
Datentyp
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148 (undefined)
- UMLS 2011AA ValueDomain
- C1512699 (Yes, No, or Unknown Response)
Beschreibung
OtherTherapyInd
Datentyp
boolean
Beschreibung
OtherNon-ProtocolTherapyName
Datentyp
text
Beschreibung
Comments
Beschreibung
Supporting Documentation
Beschreibung
Investigator Signature
Beschreibung
InvestigatorSignature
Datentyp
text
Alias
- NCI Thesaurus Property
- C25678 (undefined)
- UMLS 2011AA Property
- C1519316 (Signature)
- LOINC
- LP248948-4
- NCI Thesaurus ObjectClass
- C17089 (undefined)
- UMLS 2011AA ObjectClass
- C0035173 (Research Personnel)
- SNOMED
- 769038007
- LOINC
- LA23773-7
Beschreibung
PersonCompletingForm,LastName
Datentyp
text
Beschreibung
PersonCompletingForm,FirstName
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190 (undefined)
- UMLS 2011AA ObjectClass
- C0027361 (Persons)
- SNOMED
- 125676002
- NCI Thesaurus Property
- C25364 (undefined)
- UMLS 2011AA Property
- C0600091 (Identifier)
- SNOMED
- 118522005
- LOINC
- LP31795-5
Beschreibung
FormCompletionDate,Original
Datentyp
date
Beschreibung
Ccrr Module For Form 6 - Final Report
Ähnliche Modelle
To be submitted within 6 weeks of the patient's death.
- StudyEvent: FORM 6 - FINAL REPORT
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)
C0445356 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)
C12366 (NCI Thesaurus ObjectClass)
C0262950 (UMLS 2011AA ObjectClass)
C3046 (NCI Thesaurus Property)
C0016658 (UMLS 2011AA Property)
C1512699 (UMLS 2011AA ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C3298 (NCI Thesaurus Property)
C0029456 (UMLS 2011AA Property)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property-2)
C0011900 (UMLS 2011AA Property-2)
C1512699 (UMLS 2011AA ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0030705 (UMLS 2011AA ObjectClass)
C12727 (NCI Thesaurus ObjectClass-2)
C0018787 (UMLS 2011AA ObjectClass-2)
C51221 (NCI Thesaurus Property)
C0002962 (UMLS 2011AA Property)
C38078 (NCI Thesaurus Property-2)
C2936173 (UMLS 2011AA Property-2)
C18772 (NCI Thesaurus Property-3)
C0262926 (UMLS 2011AA Property-3)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0011008 (UMLS 2011AA ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1518 (NCI Thesaurus Property)
C0244404 (UMLS 2011AA Property)
C25590 (NCI Thesaurus ObjectClass)
C1518384 (UMLS 2011AA ObjectClass)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
C0087111 (UMLS 2011AA ObjectClass)
C25590 (NCI Thesaurus ObjectClass-2)
C1518384 (UMLS 2011AA ObjectClass-2)
C443 (NCI Thesaurus Property)
C0012544 (UMLS 2011AA Property)
C25382 (NCI Thesaurus Property-2)
C1521801 (UMLS 2011AA Property-2)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1519316 (UMLS 2011AA Property)
C17089 (NCI Thesaurus ObjectClass)
C0035173 (UMLS 2011AA ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
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