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ID
1629
Description
CALGB: 80101 Follow-up and Relapse 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=A35FE240-0E00-10FB-E034-080020C9C0E0
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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
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License
Creative Commons BY-NC 3.0 Legacy
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Esophageal Cancer NCT00052910 Follow-Up - CALGB: 80101 Follow-up and Relapse Form - 2037237v3.0
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- StudyEvent: CALGB: 80101 Follow-up and Relapse Form
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- StudyEvent: CALGB: 80101 Follow-up and Relapse Form
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
CALGBForm
Item
CALGB Form
text
CALGBStudyNo
Item
CALGB Study No
text
CALGBPatientID
Item
CALGB Patient ID
text
Reportingperiodstartdate
Item
Reporting period start date
text
To:(DateofLastcontactordeath)
Item
To: (Date of Last contact or death)
text
CL Item
Yes (Yes)