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Informations:
Erreur:
ID
1381
Description
CALGB: FACT/GOG NEUROTOXICITY SUBSCALE Fluorouracil and Leucovorin Plus Either Irinotecan or Oxaliplatin With or Without Cetuximab in Treating Patients With Previously Untreated Metastatic Adenocarcinoma of the Colon or Rectum Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BFC4A282-B374-0499-E034-0003BA12F5E7
Lien
Mots-clés
Versions (2)
- 27/08/2012 27/08/2012 -
- 14/07/2017 14/07/2017 - Martin Dugas
Téléchargé le
27 août 2012
DOI
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Licence
Creative Commons BY-NC 3.0
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Colorectal Cancer NCT00077233 Toxicity - CALGB: FACT/GOG NEUROTOXICITY SUBSCALE - 2170915v3.0
PATIENT INSTRUCTIONS: By marking one box per line with an X, indicating how true each statement has been for you during the past 7 days.
- StudyEvent: CALGB: FACT/GOG NEUROTOXICITY SUBSCALE
Similar models
PATIENT INSTRUCTIONS: By marking one box per line with an X, indicating how true each statement has been for you during the past 7 days.
- StudyEvent: CALGB: FACT/GOG NEUROTOXICITY SUBSCALE
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PatientInitials
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Patient Initials
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PatientHospitalNo.
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Patient Hospital No.
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Institution/Affiliate
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ParticipatingGroup
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Participating Group
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ParticipatingGroupProtocolNo.
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Participating Group Protocol No.
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ParticipatingGroupPatientID
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Participating Group Patient ID
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InterviewerorCRA
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Interviewer or CRA
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I have trouble feeling the shape of small objects when they are in my hand.
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