ID

12351

Descripción

Randomized study with a run-in dose-selection phase to assess the added value of Lenalidomide in combination with standard remission-induction chemotherapy and post-remission treatment in patients aged 18-65 years with previously untreated acute myeloid leukemia (AML) or high risk myelodysplasia (MDS) (IPSS-R risk score> 4.5) Description of Form: Hematological Evaluation Form

Palabras clave

Versiones (3)
  1. 10/11/15 10/11/15 -
  2. 23/12/15 23/12/15 -
  3. 11/2/16 11/2/16 -
Subido en

10 de noviembre de 2015

DOI

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Licencia

Creative Commons BY-NC 3.0
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Hematological Evaluation Form HOVON 132 AML/SAKK 30/13 EudraCT 2013-002843-26

Inglés

Hematological Evaluation Form

1 formularios  
Form Relation
Descripción

Form Relation

Form related to
Descripción

Form related to

Tipo de datos

integer

Alias
UMLS CUI [1]
C1302181
Supportive Care
Descripción

Supportive Care

Alias
UMLS CUI-1
C0344211
Number of platelet transfusions
Descripción

Number of platelet transfusions

Tipo de datos

float

Alias
UMLS CUI [1,1]
C0086818
UMLS CUI [1,2]
C0750480
Date last platelet transfusion
Descripción

Date last platelet transfusion

Tipo de datos

date

Unidades de medida
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0086818
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
Number of RBC transfusions
Descripción

Red Blood Cell Transfusion

Tipo de datos

float

Alias
UMLS CUI [1,1]
C0086252
UMLS CUI [1,2]
C0750480
Date of last RBC transfusion
Descripción

Date of last RBC transfusion

Tipo de datos

date

Unidades de medida
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0014772
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
Hematological Evaluations
Descripción

Hematological Evaluations

Alias
UMLS CUI-1
C0018941
UMLS CUI-2
C0220825
Hematological Evaluation at 1=Start of treatment 2=First evaluation ANC < 0.5 x 109/L 3=First evaluation ANC ≥ 0,5 x 109/L 4=First evaluation ANC ≥ 1,0 x 109/L 5=If not ≥ 1,0 x 109/L, last ANC before next treatment 6=If not ≥ 1,0 x 109/L, last ANC before end of protocol 7=First evaluation platelets < 50 x 109/L 8=First evaluation platelets ≥ 50 x 109/L 9=First evaluation platelets ≥ 100 x 109/L 10=If not ≥ 100 x 109/L, last platelets before next treatment 11=If not ≥ 100 x 109/L, last platelets before end of protocol
Descripción

Evaluation to be performed at

Tipo de datos

float

Date
Descripción

Date

Tipo de datos

date

Unidades de medida
  • dd/mm/yyyy
Alias
UMLS CUI [1]
C0011008
dd/mm/yyyy
Blasts
Descripción

Blasts

Tipo de datos

float

Unidades de medida
  • %
Alias
UMLS CUI [1]
C1982687
%
ANC
Descripción

Neutrophil count

Tipo de datos

float

Unidades de medida
  • 10^9/L
Alias
UMLS CUI [1]
C0200633
10^9/L
Platelets
Descripción

Platelets

Tipo de datos

float

Unidades de medida
  • x10^9/l
Alias
UMLS CUI [1]
C0005821
x10^9/l
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Similar models

Hematological Evaluation Form

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Item
integer
C1302181 (UMLS CUI [1])
Form related to
Code List
Form related to
CL Item
induction cycle I  (1)
C3179010 (UMLS CUI-1)
CL Item
induction cycle II (2)
C3179010 (UMLS CUI-1)
CL Item
post induction cycle III  (3)
C0687676 (UMLS CUI-1)
C3179010 (UMLS CUI-2)
CL Item
autoHSCT (4)
C0194037 (UMLS CUI-1)
CL Item
alloHSCT (5)
C1705576 (UMLS CUI-1)
CL Item
observation/maintenance (1-6) (11-16)
C0481504 (UMLS CUI-1)
C0700325 (UMLS CUI-3)
Item Group
C0344211 (UMLS CUI-1)
Number of platelet transfusions
Item
float
C0086818 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Date last platelet transfusion
Item
date
C0086818 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Red Blood Cell Transfusion
Item
Number of RBC transfusions
float
C0086252 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Date of last RBC transfusion
Item
date
C0014772 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
C0018941 (UMLS CUI-1)
C0220825 (UMLS CUI-2)
Evaluation to be performed at
Item
Hematological Evaluation at 1=Start of treatment 2=First evaluation ANC < 0.5 x 109/L 3=First evaluation ANC ≥ 0,5 x 109/L 4=First evaluation ANC ≥ 1,0 x 109/L 5=If not ≥ 1,0 x 109/L, last ANC before next treatment 6=If not ≥ 1,0 x 109/L, last ANC before end of protocol 7=First evaluation platelets < 50 x 109/L 8=First evaluation platelets ≥ 50 x 109/L 9=First evaluation platelets ≥ 100 x 109/L 10=If not ≥ 100 x 109/L, last platelets before next treatment 11=If not ≥ 100 x 109/L, last platelets before end of protocol
float
Date
Item
date
C0011008 (UMLS CUI [1])
Blasts
Item
Blasts
float
C1982687 (UMLS CUI [1])
Neutrophil count
Item
ANC
float
C0200633 (UMLS CUI [1])
Platelets
Item
Platelets
float
C0005821 (UMLS CUI [1])
Volver a la parte superior de la página 

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