ID
2287
Descripción
T1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Radiotherapy Form Interstitial Brachytherapy With or Without External-Beam Radiation Therapy in Treating Patients With Prostate Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AA89543F-5C0D-58C5-E034-0003BA12F5E7
Link
Palabras clave
Versiones (3)
- 19/9/12 19/9/12 -
- 28/5/15 28/5/15 -
- 3/6/15 3/6/15 -
Subido en
19 de septiembre de 2012
DOI
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Licencia
Creative Commons BY-NC 3.0 Legacy
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NCT00063882 Treatment - T1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Radiotherapy Form - 2058472v3.0
INSTRUCTIONS: Submit this form at the completion of protocol therapy. Use -1 for unknown or not applicable unless otherwise specified in the codetable. All dates to be reported mm-dd-yyyy unless otherwise indicated. A copy must be submitted to the RTOG
- StudyEvent: T1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Radiotherapy Form
Descripción
Unnamed2
Descripción
RTOGStudy
Tipo de datos
text
Descripción
Case#
Tipo de datos
text
Descripción
InstitutionName
Tipo de datos
text
Descripción
NCIInstitutionNumber
Tipo de datos
text
Descripción
PatientName,First
Tipo de datos
text
Descripción
PatientStudyID,RegisteringGroup
Tipo de datos
text
Descripción
Unnamed3
Descripción
Unnamed4
Descripción
RTBeginDate
Tipo de datos
date
Descripción
RTEndDate
Tipo de datos
date
Descripción
RTTotalDose
Tipo de datos
double
Descripción
RTInterruptionsInd
Tipo de datos
text
Descripción
RadiationTherapyUnscheduledInterruptionSpecify
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15313
- UMLS 2011AA ObjectClass
- C1522449
- NCI Thesaurus Property
- C25594
- UMLS 2011AA Property
- C1518422
- NCI Thesaurus Property
- C25211
- UMLS 2011AA Property
- C0086960
- NCI Thesaurus Property
- C25542
- UMLS 2011AA Property
- C1512900
- NCI Thesaurus ValueDomain
- C25685
- UMLS 2011AA ValueDomain
- C1521902
Descripción
OffTreatmentReason
Tipo de datos
text
Descripción
Alternativetherapy,specify(reasonradiationtherapyended)
Tipo de datos
text
Descripción
OffTreatmentReason,ComplicatingDisease
Tipo de datos
text
Descripción
Intensity-ModulatedRadiationTherapyAdministrationInd-3
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C16135
- UMLS 2011AA ObjectClass
- C1512814
- NCI Thesaurus Property
- C25409
- UMLS 2011AA Property
- C1533734
Descripción
BrachytherapyOff-TreatmentReason
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25638
- UMLS 2011AA ValueDomain
- C0392360
- NCI Thesaurus Property
- C25601
- UMLS 2011AA Property
- C1518544
- NCI Thesaurus ObjectClass
- C15195
- UMLS 2011AA ObjectClass
- C0006098
Descripción
specifyRx(alternativeRxgiven)
Tipo de datos
text
Descripción
Other,specify(reasontreatmentended)
Tipo de datos
text
Descripción
ISOTOPETYPE
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
Descripción
Other,specify
Tipo de datos
text
Descripción
Other,specify
Tipo de datos
text
Descripción
DATEOFPRE-IMPLANTTRUSSTUDY
Tipo de datos
text
Descripción
DATEOFIMPLANT
Tipo de datos
text
Descripción
CTPostBrachytherapyDate
Tipo de datos
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C17204
- UMLS 2011AA ObjectClass
- C0040405
- NCI Thesaurus Property
- C38008
- UMLS 2011AA Property
- C0687676
- NCI Metathesaurus Property
- CL054378
Descripción
AVERAGEACTIVITYPERSEEDASMEASUREDBYINSTITUTION
Tipo de datos
text
Descripción
MIDPOINTAPPARENTACTIVITYSTATEDBYTHEVENDOR
Tipo de datos
text
Descripción
AssessmentDate
Tipo de datos
date
Descripción
AssessmentDate
Tipo de datos
date
Descripción
NUMBEROFSEEDSUSED
Tipo de datos
text
Descripción
NUMBEROFNEEDLESUSED
Tipo de datos
text
Descripción
BrachytherapyRadioactiveSeedImplantDosingUnitLostInd-3
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus Property
- C25560
- UMLS 2011AA Property
- C0745777
- NCI Thesaurus Property
- C67446
- UMLS 2011AA Property
- C1882540
- NCI Thesaurus ObjectClass
- C15195
- UMLS 2011AA ObjectClass
- C0006098
Descripción
WEREDOSEVOLUMEHISTOGRAMSDONE
Tipo de datos
text
Descripción
SurgicalProcedureCatheterUrethraPostBrachytherapyPerformedTherapyInd-3
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15329
- UMLS 2011AA ObjectClass
- C0543467
- NCI Thesaurus Property
- C38000
- UMLS 2011AA Property
- C0884358
- NCI Thesaurus Property
- C38008
- UMLS 2011AA Property
- C0687676
- NCI Thesaurus Property
- C15195
- UMLS 2011AA Property
- C0006098
- NCI Thesaurus Property
- C17446
- UMLS 2011AA Property
- C0085590
- NCI Thesaurus Property
- C12417
- UMLS 2011AA Property
- C0041967
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
Descripción
DATEINSERTED
Tipo de datos
text
Descripción
DATEREMOVED
Tipo de datos
text
Descripción
Comments
Tipo de datos
text
Descripción
Signature
Tipo de datos
text
Descripción
FormCompletionDate,Original
Tipo de datos
date
Descripción
Ccrr Module For T1 Radiation Therapy Oncology Group Phase Iii Randomized Study Of Intermediate Risk Prostate Cancer Radiotherapy Form
Similar models
INSTRUCTIONS: Submit this form at the completion of protocol therapy. Use -1 for unknown or not applicable unless otherwise specified in the codetable. All dates to be reported mm-dd-yyyy unless otherwise indicated. A copy must be submitted to the RTOG
- StudyEvent: T1 Radiation Therapy Oncology Group Phase III Randomized Study of Intermediate Risk Prostate Cancer Radiotherapy Form
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C1522449 (UMLS 2011AA ObjectClass)
C25594 (NCI Thesaurus Property)
C1518422 (UMLS 2011AA Property)
C25211 (NCI Thesaurus Property)
C0086960 (UMLS 2011AA Property)
C25542 (NCI Thesaurus Property)
C1512900 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C0205394 (UMLS 2011AA)
C1512699 (UMLS 2011AA ValueDomain)
C16135 (NCI Thesaurus ObjectClass)
C1512814 (UMLS 2011AA ObjectClass)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0392360 (UMLS 2011AA ValueDomain)
C25601 (NCI Thesaurus Property)
C1518544 (UMLS 2011AA Property)
C15195 (NCI Thesaurus ObjectClass)
C0006098 (UMLS 2011AA ObjectClass)
C0011065 (UMLS 2011AA)
C0332307 (UMLS 2011AA ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C17204 (NCI Thesaurus ObjectClass)
C0040405 (UMLS 2011AA ObjectClass)
C38008 (NCI Thesaurus Property)
C0687676 (UMLS 2011AA Property)
CL054378 (NCI Metathesaurus Property)
C1512699 (UMLS 2011AA ValueDomain)
C25560 (NCI Thesaurus Property)
C0745777 (UMLS 2011AA Property)
C67446 (NCI Thesaurus Property)
C1882540 (UMLS 2011AA Property)
C15195 (NCI Thesaurus ObjectClass)
C0006098 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)
C0543467 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C38008 (NCI Thesaurus Property)
C0687676 (UMLS 2011AA Property)
C15195 (NCI Thesaurus Property)
C0006098 (UMLS 2011AA Property)
C17446 (NCI Thesaurus Property)
C0085590 (UMLS 2011AA Property)
C12417 (NCI Thesaurus Property)
C0041967 (UMLS 2011AA Property)
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0439673 (UMLS 2011AA)