ID

13498

Description

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) Form Description: AlloHSCT Evaluation Form

Mots-clés

Versions (3)
  1. 06/11/2015 06/11/2015 -
  2. 01/01/2016 01/01/2016 -
  3. 11/02/2016 11/02/2016 -
Téléchargé le

11 février 2016

DOI

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Licence

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

Anglais

AlloHSCT Evaluation Form

1 Formulaires  
Form Relation
Description

Form Relation

Form related to
Description

Form related to

Type de données

integer

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

Nights in Hospital

Type de données

float

Alias
UMLS CUI [1]
C0420496
GVHD
Description

GVHD

Alias
UMLS CUI-1
C0018133
Acute GvHD
Description

Acute GvHD

Type de données

integer

Alias
UMLS CUI [1]
C0856825
Chronic GvHD
Description

Chronic GvHD

Type de données

integer

Alias
UMLS CUI [1]
C0867389
Bone Marrow Evaluation
Description

Bone Marrow Evaluation

Alias
UMLS CUI-1
C2238269
BM sampling date
Description

BM sampling date

Type de données

date

Unités de mesure
  • dd/mm/yyyy
Alias
UMLS CUI [1,1]
C0005953
UMLS CUI [1,2]
C0011008
dd/mm/yyyy
BM aspirate done
Description

BM aspirate done

Type de données

boolean

Alias
UMLS CUI [1]
C0857285
BM Aspirate evaluable
Description

Evaluable

Type de données

boolean

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

Blasts

Type de données

float

Unités de mesure
  • %
Alias
UMLS CUI [1]
C1982687
%
*Auer rods
Description

Auer rods

Type de données

boolean

Alias
UMLS CUI [1]
C0333828
BM biopsy done
Description

BM biopsy done

Type de données

boolean

Alias
UMLS CUI [1]
C0005954
Clusters of blasts present
Description

Clusters of blasts

Type de données

boolean

Alias
UMLS CUI [1]
C0368761
Response Evaluation
Description

Response Evaluation

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

Assessment Date

Type de données

date

Unités de mesure
  • dd/mm/yyyy
Alias
UMLS CUI [1]
C2985720
dd/mm/yyyy
Extramedullary disease
Description

Extramedullary disease

Type de données

integer

Alias
UMLS CUI [1]
C1868812
Response / remission status
Description

Response / remission status

Type de données

integer

Alias
UMLS CUI [1]
C1704632
Survival Status
Description

Vital Status

Type de données

integer

Alias
UMLS CUI [1]
C1148433
Comments
Description

Comments

Alias
UMLS CUI-1
C0947611
Comments
Description

Comments

Type de données

text

Alias
UMLS CUI [1]
C0947611
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Similar models

AlloHSCT Evaluation Form

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Form Relation
Item
Form related to
integer
C1276413 (UMLS CUI [1,1])
C2348792 (UMLS CUI [1,2])
Form related to
Code List
Form related to
CL Item
alloHSCT (5)
Nights in Hospital
Item
Nights in hospital
float
C0420496 (UMLS CUI [1])
Item Group
GVHD
C0018133 (UMLS CUI-1)
Item
Acute GvHD
integer
C0856825 (UMLS CUI [1])
Acute GvHD
Code List
Acute GvHD
CL Item
none  (0)
C0549184 (UMLS CUI-1)
CL Item
Grade I  (1)
C0687695 (UMLS CUI-1)
CL Item
Grade II (2)
C0441802 (UMLS CUI-1)
CL Item
Grade III  (3)
C0450094 (UMLS CUI-1)
CL Item
Grade IV (4)
C0547054 (UMLS CUI-1)
Item
Chronic GvHD
integer
C0867389 (UMLS CUI [1])
Chronic GvHD
Code List
Chronic GvHD
CL Item
none  (0)
C0549184 (UMLS CUI-1)
CL Item
limited  (1)
CL Item
extensive  (2)
CL Item
too early (3)
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 done
Item
BM aspirate done
boolean
C0857285 (UMLS CUI [1])
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])
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])
Extramedullary disease
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)
Item
Response / remission status
integer
C1704632 (UMLS CUI [1])
Response / remission status
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])
Vital Status
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])
Retour au début de la page 

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