ID
1614
Description
CALGB: 80101 ON-STUDY FORM Chemotherapy and Radiation Therapy After Surgery in Treating Patients With Stomach or Esophageal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9DA712C5-6067-535F-E034-080020C9C0E0
Link
Keywords
Versions (3)
- 9/19/12 9/19/12 -
- 5/28/15 5/28/15 -
- 6/3/15 6/3/15 -
Uploaded on
September 19, 2012
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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Esophageal Cancer NCT00052910 On-Study - CALGB: 80101 ON-STUDY FORM - 2030014v3.0
No Instruction available.
- StudyEvent: CALGB: 80101 ON-STUDY FORM
Description
Unnamed2
Description
PatientName,Last
Data type
text
Description
ParticipatingGroupCode
Data type
text
Description
PatientMedicalRecordNumber
Data type
text
Description
Particip.GroupProtocolNumber
Data type
double
Description
InstitutionName
Data type
text
Description
PatientStudyID,ParticipatingGroup
Data type
text
Description
Unnamed3
Description
PriorCancerInd
Data type
text
Description
PriorCancerType
Data type
text
Description
PriorCancerDiagnosisDate
Data type
date
Description
Caloricintake>/=1500Kcal/day
Data type
text
Description
Lab Data At Protocol Entry
Description
Lab,Hematology,NeutrophilCount
Data type
double
Description
Lab,Hematology,Platelets
Data type
double
Description
Lab,Renal,Creatinine
Data type
double
Description
Lab,Hepatic,SGOT
Data type
double
Description
Lab,Hepatic,Bilirubin
Data type
double
Description
PatientexaminedbyRToncologist?
Data type
text
Description
Bilateralrenalfunctionasdeterminedbyscan?
Data type
text
Description
PriorChemotherapyInd
Data type
text
Description
PriorImmunotherapyInd
Data type
text
Description
PriorRTInd
Data type
text
Description
Gastric Resection Data
Description
GastricResectionDate
Data type
text
Description
PrimarySite
Data type
text
Description
InstitutionName,Resection
Data type
text
Description
ProfessionalOrganizationMedicareIdentifierNumber
Data type
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus Property
- C16665
- UMLS 2011AA Property
- C0018717
- NCI Thesaurus ObjectClass
- C19711
- UMLS 2011AA ObjectClass
- C1522486
Description
Histology & Staging Data
Description
HistologicGrade
Data type
text
Description
TStage,Clinical
Data type
text
Description
NStage,Clinical
Data type
text
Description
MStage,Clinical
Data type
text
Description
IfpatienthasT2N0M0,doestumorextendbeyondmuscularispropria?
Data type
text
Description
PersonCompletingForm,FirstName
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
Description
FormCompletionDate,Original
Data type
date
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No Instruction available.
- StudyEvent: CALGB: 80101 ON-STUDY FORM
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C25416 (NCI Thesaurus Property)
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C1705108 (UMLS 2011AA)
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C0740422 (UMLS 2011AA)
C0237753 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C16665 (NCI Thesaurus Property)
C0018717 (UMLS 2011AA Property)
C19711 (NCI Thesaurus ObjectClass)
C1522486 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0027361 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)