Description:

NCT00113399 RTOG-0421 COVER SHEET: Radiation Therapy Oncology Group Phase III Head and Neck Cover Sheet Combination Chemotherapy With or Without Radiation Therapy in Treating Patients With Recurrent Head and Neck Cancer That Cannot Be Removed By Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EB7163DA-361E-5A04-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EB7163DA-361E-5A04-E034-0003BA3F9857

Keywords:
Versions (4) ▾
  1. 9/19/12
  2. 1/9/15
  3. 1/9/15
  4. 7/8/15
Uploaded on:

July 8, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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NCT00113399 RTOG-0421 COVER SHEET: Radiation Therapy Oncology Group Phase III Head and Neck Cover Sheet

No Instruction available.

  1. StudyEvent: RTOG-0421 COVER SHEET: Radiation Therapy Oncology Group Phase III Head and Neck Cover Sheet
    1. No Instruction available.
RTOG clinical trial administrative data
If this is a revised or corrected form, indicate by checking box.
Various questionnaire related information
TIME POINT OF ASSESSMENT
Did the patient complete any items on the questionnaire?
Did the patient require any assistance in completing the questionnaire?
Specify the person who assisted the patient and the extent of the assistance
Extent of assistance given
Specify method of completion
REASON QUESTIONNAIRE WAS NOT COMPLETED

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