ID

13497

Beschrijving

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) Decription of Form: AutoHSCT Evaluation Form

Trefwoorden

  1. 06-11-15 06-11-15 -
  2. 01-01-16 01-01-16 -
  3. 11-02-16 11-02-16 -
Geüploaded op

11 februari 2016

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0

Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

AutoHSCT Evaluation Form HOVON 132 AML/SAKK 30/13 EudraCT 2013-002843-26

AutoHSCT Evaluation Form

Form Relation
Beschrijving

Form Relation

Form Relation
Beschrijving

Form related to

Datatype

text

Alias
UMLS CUI [1,1]
C1276413
UMLS CUI [1,2]
C2348792
Nights in hospital
Beschrijving

Nights in Hospital

Datatype

float

Alias
UMLS CUI [1]
C0420496
Bone Marrow Evaluation
Beschrijving

Bone Marrow Evaluation

Alias
UMLS CUI-1
C2238269
BM sampling date
Beschrijving

BM sampling date

Datatype

date

Alias
UMLS CUI [1,1]
C0005953
UMLS CUI [1,2]
C0011008
BM aspirate done
Beschrijving

BM aspirate

Datatype

boolean

Alias
UMLS CUI [1,1]
C0857285
UMLS CUI [1,2]
C0884358
BM Aspirate evaluable
Beschrijving

Evaluable

Datatype

boolean

Alias
UMLS CUI [1,1]
C0857285
UMLS CUI [1,2]
C0220825
*Blasts
Beschrijving

Blasts

Datatype

float

Maateenheden
  • %
Alias
UMLS CUI [1]
C1982687
%
Auer rods
Beschrijving

Auer rods

Datatype

boolean

Alias
UMLS CUI [1]
C0333828
BM biopsy done
Beschrijving

BM biopsy done

Datatype

boolean

Alias
UMLS CUI [1,1]
C0005954
UMLS CUI [1,2]
C0884358
Clusters of blasts present
Beschrijving

Clusters of blasts

Datatype

boolean

Alias
UMLS CUI [1]
C0368761
Response Evaluation
Beschrijving

Response Evaluation

Alias
UMLS CUI-1
C1704632
Date of evaluation (preferably date of BM)
Beschrijving

Assessment Date

Datatype

date

Maateenheden
  • dd/mm/yyyy
Alias
UMLS CUI [1]
C2985720
dd/mm/yyyy
Extramedullary disease
Beschrijving

Extramedullary disease

Datatype

integer

Alias
UMLS CUI [1]
C1868812
*Specify
Beschrijving

*Specify

Datatype

text

Alias
UMLS CUI [1]
C1521902
Response / remission status
Beschrijving

Response / remission status

Datatype

integer

Alias
UMLS CUI [1]
C1704632
Survival Status
Beschrijving

Vital Status

Datatype

integer

Alias
UMLS CUI [1]
C1148433
Comments
Beschrijving

Comments

Alias
UMLS CUI-1
C0947611
Comments
Beschrijving

Comments

Datatype

text

Alias
UMLS CUI [1]
C0947611

Similar models

AutoHSCT Evaluation Form

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Form Relation
Item
Form Relation
text
C1276413 (UMLS CUI [1,1])
C2348792 (UMLS CUI [1,2])
Code List
Form Relation
CL Item
autoHSCT (4)
C0472699 (UMLS CUI-1)
Nights in Hospital
Item
Nights in hospital
float
C0420496 (UMLS CUI [1])
Item Group
Bone Marrow Evaluation
C2238269 (UMLS CUI-1)
BM sampling date
Item
BM sampling date
date
C0005953 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
BM aspirate
Item
BM aspirate done
boolean
C0857285 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Evaluable
Item
BM Aspirate evaluable
boolean
C0857285 (UMLS CUI [1,1])
C0220825 (UMLS CUI [1,2])
Blasts
Item
*Blasts
float
C1982687 (UMLS CUI [1])
Auer rods
Item
Auer rods
boolean
C0333828 (UMLS CUI [1])
BM biopsy done
Item
BM biopsy done
boolean
C0005954 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
Clusters of blasts
Item
Clusters of blasts present
boolean
C0368761 (UMLS CUI [1])
Item Group
Response Evaluation
C1704632 (UMLS CUI-1)
Assessment Date
Item
Date of evaluation (preferably date of BM)
date
C2985720 (UMLS CUI [1])
Item
Extramedullary disease
integer
C1868812 (UMLS CUI [1])
Code List
Extramedullary disease
CL Item
no  (0)
CL Item
skin*  (1)
C1123023 (UMLS CUI-1)
CL Item
CNS*  (2)
C3714787 (UMLS CUI-1)
CL Item
liver*  (3)
C0023884 (UMLS CUI-1)
CL Item
spleen*  (4)
C0037993 (UMLS CUI-1)
CL Item
lymphadenopathy*  (5)
C0497156 (UMLS CUI-1)
CL Item
other* (8)
*Specify
Item
*Specify
text
C1521902 (UMLS CUI [1])
Item
Response / remission status
integer
C1704632 (UMLS CUI [1])
Code List
Response / remission status
CL Item
CR  (1)
C0677874 (UMLS CUI-1)
CL Item
CRi  (2)
C3538993 (UMLS CUI-1)
CL Item
Relapse (7)
C0035020 (UMLS CUI-1)
Item
Survival Status
integer
C1148433 (UMLS CUI [1])
Code List
Survival Status
CL Item
alive (0)
C2584946 (UMLS CUI-1)
CL Item
dead (1)
C0011065 (UMLS CUI-1)
Item Group
Comments
C0947611 (UMLS CUI-1)
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial