ID
13631
Description
Coronary Artery Bypass graft surgery in patients with Asymptomatic Carotid Stenosis A randomized controlled clinical trial Kurztitel: CABACS DRKS Nummer DRKS00000521 IRSCTN Nummer ISRCTN13486906 Phase: Therapeutic confirmatory(Phase III) Head of clinical trial: Prof. Dr. med. Christian Weimar University Duisburg-Essen Phone: 0201/723-6503 Fax: 0201/723-6948 e-mail: christian.weimar@uk-essen.de University Hospital Essen Hospital for Neurology Hufelandstr. 55 45122 Essen Trial coordinator: Dr. med. Stephan Knipp Phone: 0201/723-4915 Fax: 0201/723-5451 e-mail: stephan.knipp@uk-essen.de University Duisburg-Essen University Hospital Essen Hospital for thoracic- and cardiovascular surgery Hufelandstr. 55 45122 Essen Data Management: Anja Marr Telefon: 0201/92239-257 Fax: 0201/92239-333 o. 0201/723-5933 e-mail: anja.marr@uk-essen.de Universitätsklinikum Essen Center for clinical trials Essen c/o IMIBE Hufelandstr. 55 45122 Essen Monitoring: Dipl.-Biol. Konstantinos Bilbilis Telefon: 0201/92239-252 Fax: 0201/92239-310 e-mail: konstantinos.bilbilis@uk-essen.de Universitätsklinikum Essen Center for clinical trials Essen c/o IMIBE Hufelandstr. 55 45122 Essen
Keywords
Versions (1)
- 2/22/16 2/22/16 -
Uploaded on
February 22, 2016
DOI
To request one please log in.
License
Creative Commons BY-NC 3.0
Model comments :
You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.
Itemgroup comments for :
Item comments for :
In order to download data models you must be logged in. Please log in or register for free.
Case Report Form Coronary Artery Bypass graft surgery in patients with Asymptomatic Carotid Stenosis DRKS00000521
CABACS Case Report Form
- StudyEvent: ODM
Description
Inclusion criteria
Description
Every question in this section must be truthfully answered "YES", if any of the questions has to be answered "NO", the patient cannot be included into this trial.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0010055
- UMLS CUI [1,2]
- C0206058
Description
Every question in this section must be truthfully answered "YES", if any of the questions has to be answered "NO", the patient cannot be included into this trial.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0007282
- UMLS CUI [1,2]
- C0580586
Description
Every question in this section must be truthfully answered "YES", if any of the questions has to be answered "NO", the patient cannot be included into this trial.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0007282
- UMLS CUI [1,2]
- C0014099
Description
Gender
Data type
text
Alias
- UMLS CUI [1]
- C0079399
Description
Every question in this section must be truthfully answered "YES", if any of the questions has to be answered "NO", the patient cannot be included into this trial.
Data type
boolean
Alias
- UMLS CUI [1]
- C0001779
Description
Every question in this section must be truthfully answered "YES", if any of the questions has to be answered "NO", the patient cannot be included into this trial.
Data type
boolean
Alias
- UMLS CUI [1]
- C0021430
Description
Every question in this section must be truthfully answered "YES", if any of the questions has to be answered "NO", the patient cannot be included into this trial.
Data type
boolean
Alias
- UMLS CUI [1]
- C1321605
Description
Every question in this section must be truthfully answered "YES", if any of the questions has to be answered "NO", the patient cannot be included into this trial.
Data type
boolean
Alias
- UMLS CUI [1]
- C0427780
Description
Exclusion criteria
Description
i.e Vascular wall dissection, floating thrombus, fibromuscular dysplasia, tumor All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0007282
- UMLS CUI [1,2]
- C0004153
- UMLS CUI [1,3]
- C0205394
Description
All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1]
- C3828944
- UMLS CUI [2]
- C0003537
Description
All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1]
- C0265101
Description
All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1]
- C0183521
Description
All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0007282
- UMLS CUI [1,2]
- C0279134
Description
All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0441989
- UMLS CUI [1,2]
- C0007282
Description
All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C3495793
- UMLS CUI [1,2]
- C0205394
Description
All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0027051
- UMLS CUI [1,2]
- C0948268
Description
All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1]
- C0151699
Description
All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1]
- C0023671
Description
All questions must be answered with "NO", if one or more questions are answered "YES", the patient cannot be included.
Data type
boolean
Alias
- UMLS CUI [1]
- C0190065
- UMLS CUI [2]
- C0018821
Description
elective surgery
Data type
boolean
Alias
- UMLS CUI [1]
- C0206058
Description
Study subject participation status
Data type
boolean
Alias
- UMLS CUI [1]
- C2348568
Description
Date of completion
Data type
date
Alias
- UMLS CUI [1]
- C0011008
Description
Signature
Data type
text
Alias
- UMLS CUI [1]
- C1519316
Description
Name of Investigator
Data type
text
Alias
- UMLS CUI [1]
- C0008961
Similar models
CABACS Case Report Form
- StudyEvent: ODM
C1710477 (UMLS CUI [1,2])
C0206058 (UMLS CUI [1,2])
C0580586 (UMLS CUI [1,2])
C0014099 (UMLS CUI [1,2])
C0004153 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0003537 (UMLS CUI [2])
C0279134 (UMLS CUI [1,2])
C0007282 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C0948268 (UMLS CUI [1,2])
C0018821 (UMLS CUI [2])