ID
11661
Description
On-Study Form Glioma N0577 NCT00626990 Brain and Central Nervous System Tumors NCT00887146 On-Study - North Central Cancer Treatment Group N0577 On-Study Form - 2746076v1.0 Radiation Therapy or Radiation Therapy and Temozolomide or Temozolomide Alone in Treating Patients With Newly Diagnosed Anaplastic Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4C0A6585-AD37-120A-E044-0003BA3F9857
Link
Keywords
Versions (3)
- 8/26/12 8/26/12 -
- 1/8/15 1/8/15 - Martin Dugas
- 7/25/15 7/25/15 - Martin Dugas
Uploaded on
July 25, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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On-Study Form Glioma N0577 NCT00626990
ALL ITEMS MUST BE COMPLETED
- StudyEvent: North Central Cancer Treatment Group N0577 On-Study Form
Description
Disease History
Description
DiseaseOnsetDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C2991
- UMLS 2011AA ObjectClass
- C0012634
- NCI Thesaurus Property
- C25279
- UMLS 2011AA Property
- C0332162
Description
Surgery Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C1628561
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus ObjectClass
- C15329
- NCI Thesaurus Property
- C25275
Description
Maximum Diameter Of Tumor On Pre-operative Scan
Description
TumorMaximumDiameterContrastAgentMeasurement
Data type
float
Measurement units
- cm
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus Property
- C25285
- UMLS 2011AA Property
- C1301886
- NCI Thesaurus Property-2
- C25564
- UMLS 2011AA Property-2
- C0806909
- NCI Thesaurus ValueDomain
- C25209
- UMLS 2011AA ValueDomain
- C0242485
- NCI Thesaurus ValueDomain-2
- C390
- UMLS 2011AA ValueDomain-2
- C0009924
Description
TumorMaximumDiameterMagneticResonanceImagingComputedTomographyMeasurement
Data type
float
Measurement units
- cm
Alias
- NCI Thesaurus ObjectClass
- C3262
- NCI Thesaurus Property
- C25285
- NCI Thesaurus Property-2
- C25564
- NCI Thesaurus ValueDomain
- C25209
- NCI Thesaurus ValueDomain-2
- C17204
- NCI Thesaurus ValueDomain-3
- C16809
- UMLS CUI-1
- C3272927
Description
Extent Of Resection
Description
BrainMalignantNeoplasmExtentSurgicalResectionType
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C12439
- UMLS 2011AA ObjectClass
- C0006104
- NCI Thesaurus ObjectClass-2
- C9305
- UMLS 2011AA ObjectClass-2
- C0006826
- NCI Thesaurus Property
- C25698
- NCI Thesaurus Property-2
- C15232
- UMLS 2011AA Property
- C0728940
- NCI Thesaurus Property-3
- C25332
- UMLS 2011AA Property-2
- C0439792
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Description
Location Of Primary Neoplasm
Description
BrainLesionSite
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus ObjectClass
- C3824
- UMLS 2011AA ObjectClass
- C0221198
- NCI Thesaurus Property
- C25341
- UMLS 2011AA Property
- C0450429
- NCI Thesaurus ObjectClass-2
- C12439
- UMLS 2011AA ObjectClass-2
- C0006104
Description
Primary Disease Site
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS CUI-1
- C0449695
- NCI Thesaurus Property
- C25341
- NCI Thesaurus ObjectClass
- C25251
- NCI Thesaurus ObjectClass-2
- C2991
Description
Side Of Primary Tumor
Description
BrainTumorSideHemisphereName
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus ObjectClass-2
- C12439
- UMLS 2011AA ObjectClass-2
- C0006104
- NCI Thesaurus Property
- C25306
- UMLS 2011AA Property
- C0441987
- NCI Thesaurus ValueDomain
- C42614
- UMLS 2011AA ValueDomain
- C0027365
- NCI Thesaurus ValueDomain-2
- C12351
- UMLS 2011AA ValueDomain-2
- C0228174
Description
TumorMultifocalDescriptionInd-3
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C3262
- UMLS 2011AA ObjectClass
- C0027651
- NCI Thesaurus Property
- C25253
- UMLS 2011AA Property
- C0205292
- NCI Thesaurus Property-2
- C25365
- UMLS 2011AA Property-2
- C0678257
Description
PriorCancerDiagnosisInd-3
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus ObjectClass-2
- C25629
- UMLS 2011AA ObjectClass-2
- C0332152
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
PriorCancerDiagnosisSite
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C13717
- UMLS 2011AA ValueDomain
- C1515974
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus ObjectClass-2
- C25629
- UMLS 2011AA ObjectClass-2
- C0332152
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
PriorCancerDiagnosisDate
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C9305
- UMLS 2011AA ObjectClass
- C0006826
- NCI Thesaurus ObjectClass-2
- C25629
- UMLS 2011AA ObjectClass-2
- C0332152
- NCI Thesaurus Property
- C15220
- UMLS 2011AA Property
- C0011900
Description
PriorTreatmentRegimenText
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25704
- UMLS 2011AA ValueDomain
- C1527021
- NCI Thesaurus ObjectClass
- C25629
- UMLS 2011AA ObjectClass
- C0332152
- NCI Thesaurus ObjectClass-2
- C15368
- NCI Thesaurus Property
- C15697
- UMLS 2011AA Property
- C0040808
Description
Descriptive Factors
Description
PersonBrainNeoplasmFamilyMedicalHistoryInd-2
Data type
boolean
Alias
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C2907
- UMLS 2011AA Property
- C0006118
- NCI Thesaurus Property-2
- C17726
- UMLS 2011AA Property-2
- C0241889
Description
PersonBrainNeoplasmFamilyMedicalHistoryType
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C2907
- UMLS 2011AA Property
- C0006118
- NCI Thesaurus Property-2
- C17726
- UMLS 2011AA Property-2
- C0241889
Description
PersonBrainNeoplasmFamilyMedicalHistorySpecify
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C2907
- UMLS 2011AA Property
- C0006118
- NCI Thesaurus Property-2
- C17726
- UMLS 2011AA Property-2
- C0241889
Description
ConcomitantMedicationCorticosteroidAdministeredInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C459
- UMLS 2011AA ObjectClass
- C0013227
- NCI Thesaurus ObjectClass-2
- C25730
- UMLS 2011AA ObjectClass-2
- C0521115
- NCI Thesaurus Property
- C2322
- UMLS 2011AA Property
- C0001617
- NCI Thesaurus Property-2
- C25382
- UMLS 2011AA Property-2
- C1521801
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Description
ConcomitantMedicationAnticonvulsantAgentAdministeredInd-2
Data type
boolean
Alias
- NCI Thesaurus ObjectClass
- C459
- NCI Thesaurus ObjectClass-2
- C25730
- NCI Thesaurus Property
- C25382
- NCI Thesaurus Property-2
- C264
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI-1
- C0003286
Description
Height
Data type
float
Measurement units
- cm
Alias
- NCI Thesaurus ValueDomain
- C25209
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus Property
- C25347
- UMLS CUI-1
- C0005890
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ALL ITEMS MUST BE COMPLETED
- StudyEvent: North Central Cancer Treatment Group N0577 On-Study Form
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