ID

23809

Beschrijving

Colorectal Cancer NCT00077233 Toxicity - CALGB: FACT/GOG NEUROTOXICITY SUBSCALE - 2170915v3.0 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 https://clinicaltrials.gov/ct2/show/NCT00077233

Link

https://clinicaltrials.gov/ct2/show/NCT00077233

Trefwoorden

Versies (2)
  1. 27-08-12 27-08-12 -
  2. 14-07-17 14-07-17 - Martin Dugas
Geüploaded op

14 juli 2017

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY 4.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Metastatic Colorectal Cancer Fluorouracil Leucovorin Irinotecan Oxaliplatin NCT00077233 CALGB 80203

Engels

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.

1 Formulieren  
FACT/GOG-Ntx Questionnaire
Beschrijving

FACT/GOG-Ntx Questionnaire

Alias
UMLS CUI-1
C3899177
I have numbness or tingling in my hands
Beschrijving

numbness or tingling in my hands

Datatype

integer

Alias
UMLS CUI [1]
C3829780
I have numbness or tingling in my feet
Beschrijving

numbness or tingling in my feet

Datatype

integer

Alias
UMLS CUI [1]
C3829781
I feel discomfort in my hands
Beschrijving

discomfort in my hands

Datatype

integer

Alias
UMLS CUI [1]
C3830164
I have discomfort in my feet
Beschrijving

discomfort in my feet

Datatype

integer

Alias
UMLS CUI [1]
C3475710
I have joint pain or muscle cramps
Beschrijving

joint pain or muscle cramps

Datatype

integer

Alias
UMLS CUI [1]
C3475885
I feel weak all over
Beschrijving

feel weak

Datatype

integer

Alias
UMLS CUI [1]
C3274923
I have trouble hearing
Beschrijving

trouble hearing

Datatype

integer

Alias
UMLS CUI [1]
C3475949
I get ringing or buzzing in my ears
Beschrijving

ringing or buzzing in my ears

Datatype

integer

Alias
UMLS CUI [1]
C3475771
I have trouble buttoning buttons
Beschrijving

trouble buttoning buttons

Datatype

integer

Alias
UMLS CUI [1]
C3829762
I have trouble feeling the shape of small objects when they are in my hand.
Beschrijving

trouble feeling the shape of small objects

Datatype

integer

Alias
UMLS CUI [1]
C3475944
I have trouble walking
Beschrijving

trouble walking

Datatype

integer

Alias
UMLS CUI [1]
C3475963
Terug naar het begin van de pagina

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.

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
FACT/GOG-Ntx Questionnaire
C3899177 (UMLS CUI-1)
Item
I have numbness or tingling in my hands
integer
C3829780 (UMLS CUI [1])
CL.2
Code List
I have numbness or tingling in my hands
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have numbness or tingling in my feet
integer
C3829781 (UMLS CUI [1])
CL.2
Code List
I have numbness or tingling in my feet
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I feel discomfort in my hands
integer
C3830164 (UMLS CUI [1])
CL.2
Code List
I feel discomfort in my hands
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have discomfort in my feet
integer
C3475710 (UMLS CUI [1])
CL.2
Code List
I have discomfort in my feet
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have joint pain or muscle cramps
integer
C3475885 (UMLS CUI [1])
CL.2
Code List
I have joint pain or muscle cramps
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I feel weak all over
integer
C3274923 (UMLS CUI [1])
CL.2
Code List
I feel weak all over
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have trouble hearing
integer
C3475949 (UMLS CUI [1])
CL.2
Code List
I have trouble hearing
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I get ringing or buzzing in my ears
integer
C3475771 (UMLS CUI [1])
CL.2
Code List
I get ringing or buzzing in my ears
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have trouble buttoning buttons
integer
C3829762 (UMLS CUI [1])
CL.2
Code List
I have trouble buttoning buttons
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have trouble feeling the shape of small objects when they are in my hand.
integer
C3475944 (UMLS CUI [1])
CL.2
Code List
I have trouble feeling the shape of small objects when they are in my hand.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have trouble walking
integer
C3475963 (UMLS CUI [1])
CL.2
Code List
I have trouble walking
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial