Informações:
Falhas:
ID
24520
Descrição
Psychosocial and Patient Education Needs of Prostate Cancer Patients Selecting Watchful Waiting; ODM derived from: https://clinicaltrials.gov/show/NCT00717613
Link
https://clinicaltrials.gov/show/NCT00717613
Palavras-chave
Versões (1)
- 04/08/2017 04/08/2017 -
Transferido a
4 de agosto de 2017
DOI
Para um pedido faça login.
Licença
Creative Commons BY 4.0
Comentários do modelo :
Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.
Comentários do grupo de itens para :
Comentários do item para :
Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.
Eligibility Localized Prostate Cancer NCT00717613
Eligibility Localized Prostate Cancer NCT00717613
- StudyEvent: Eligibility
Similar models
Eligibility Localized Prostate Cancer NCT00717613
- StudyEvent: Eligibility
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Gender
Item
1) male,
boolean
C0079399 (UMLS CUI [1])
Age | Prostate carcinoma
Item
2) 18 years or older, with biopsy-proven prostate cancer,
boolean
C0001779 (UMLS CUI [1])
C0600139 (UMLS CUI [2])
C0600139 (UMLS CUI [2])
Local disease
Item
3) diagnosed with localized disease within the last 24 months,
boolean
C0277565 (UMLS CUI [1])
Telephone Available
Item
4) have a telephone at the time of enrollment,
boolean
C0039457 (UMLS CUI [1,1])
C0470187 (UMLS CUI [1,2])
C0470187 (UMLS CUI [1,2])
Address Available | Street address | Post Office Box
Item
5) have an address where they can receive study materials by mail (a street address or post office box),
boolean
C1442065 (UMLS CUI [1,1])
C0470187 (UMLS CUI [1,2])
C1301826 (UMLS CUI [2])
C2698859 (UMLS CUI [3])
C0470187 (UMLS CUI [1,2])
C1301826 (UMLS CUI [2])
C2698859 (UMLS CUI [3])
Able to speak English Language | Comprehension English Language
Item
6) able to speak and understand english;
boolean
C0564215 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
C0233733 (UMLS CUI [2,1])
C0376245 (UMLS CUI [2,2])
C0376245 (UMLS CUI [1,2])
C0233733 (UMLS CUI [2,1])
C0376245 (UMLS CUI [2,2])
Surveillance Prostate carcinoma
Item
7) have selected surveillance, rather than active treatment for his prostate cancer.
boolean
C0038842 (UMLS CUI [1,1])
C0600139 (UMLS CUI [1,2])
C0600139 (UMLS CUI [1,2])
Gender
Item
1) female
boolean
C0079399 (UMLS CUI [1])
Prostate carcinoma Localized Absent
Item
2) no diagnosis of localized prostate cancer
boolean
C0600139 (UMLS CUI [1,1])
C0392752 (UMLS CUI [1,2])
C0332197 (UMLS CUI [1,3])
C0392752 (UMLS CUI [1,2])
C0332197 (UMLS CUI [1,3])
Treatment completed | Therapeutic procedure | Operative Surgical Procedures | Therapeutic radiology procedure
Item
3) completed or undergoing active treatment (e.g., surgery, radiotherapy, etc.)
boolean
C0580352 (UMLS CUI [1])
C0087111 (UMLS CUI [2])
C0543467 (UMLS CUI [3])
C1522449 (UMLS CUI [4])
C0087111 (UMLS CUI [2])
C0543467 (UMLS CUI [3])
C1522449 (UMLS CUI [4])
Telephone Unavailable | Mailing address Unavailable
Item
4) no phone or us mail address
boolean
C0039457 (UMLS CUI [1,1])
C0686905 (UMLS CUI [1,2])
C1550707 (UMLS CUI [2,1])
C0686905 (UMLS CUI [2,2])
C0686905 (UMLS CUI [1,2])
C1550707 (UMLS CUI [2,1])
C0686905 (UMLS CUI [2,2])
Informed Consent Unwilling | Informed Consent Unable
Item
5) unwilling or unable to provide informed consent
boolean
C0021430 (UMLS CUI [1,1])
C0558080 (UMLS CUI [1,2])
C0021430 (UMLS CUI [2,1])
C1299582 (UMLS CUI [2,2])
C0558080 (UMLS CUI [1,2])
C0021430 (UMLS CUI [2,1])
C1299582 (UMLS CUI [2,2])
Able to speak English Language | English Language Comprehension Lacking
Item
6) unable to speak and understand english
boolean
C0564215 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
C0376245 (UMLS CUI [2,1])
C0233733 (UMLS CUI [2,2])
C0332268 (UMLS CUI [2,3])
C0376245 (UMLS CUI [1,2])
C0376245 (UMLS CUI [2,1])
C0233733 (UMLS CUI [2,2])
C0332268 (UMLS CUI [2,3])