ID
2470
Descrição
ACOSOG-Z4099 USCD Shortness of Breath Form Surgery With or Without Internal Radiation Therapy Compared With Stereotactic Body Radiation Therapy in Treating Patients With High-Risk Stage I Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9869A599-BD3E-139E-E040-BB89AD432862
Link
Palavras-chave
Versões (2)
- 19/09/2012 19/09/2012 -
- 09/01/2015 09/01/2015 - Martin Dugas
Transferido a
19 de setembro de 2012
DOI
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Licença
Creative Commons BY-NC 3.0 Legacy
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Lung Cancer NCT01336894 Quality of Life - ACOSOG-Z4099 USCD Shortness of Breath Form - 3178502v1.0
Instructions: For each activity listed below, please rate your breathlessness on a scale between zero and five where 0 is not at all breathless and 5 is maximally breathless or too breathless to do the activity. If the activity is one that you do not perform, please give your best estimate of breathlessness. Your responses should be for an "average" day during the past week. Please respond to all times
- StudyEvent: ACOSOG-Z4099 USCD Shortness of Breath Form
Descrição
How Short Of Breath Do You Get
Descrição
RestBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0443144
Descrição
WalkFlatBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0560049
Descrição
WalkingBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0080331
- NCI Metathesaurus ObjectClass
- C0392680
Descrição
WalkHillBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0580809
Descrição
ClimbingStairsBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- CL299704
- NCI Metathesaurus ObjectClass
- C0392680
Descrição
EatingBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0013470
Descrição
StandingUpBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0444796
Descrição
ToothbrushingBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Thesaurus ObjectClass
- C63734
- UMLS 2011AA ObjectClass
- C0040461
Descrição
ShavingBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0522772
Descrição
BathingBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0150141
- NCI Metathesaurus ObjectClass
- C0392680
Descrição
DressingBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- CL313791
Descrição
HouseCleaningBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0564042
Descrição
KitchenBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0557653
Descrição
VacuumCleanerBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0392308
Descrição
MakeBedBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0564030
Descrição
ShoppingBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- CL112583
Descrição
LaundryBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0542293
Descrição
WashingBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0563947
Descrição
LawnmowerBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0441054
Descrição
WaterBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0597678
- NCI Metathesaurus ObjectClass
- C0392680
Descrição
SexualActivityBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- CL197653
Descrição
How Much Do These Limit Your Daily Life
Descrição
BreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
Descrição
OverexertionBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0301616
Descrição
FearBreathShortnessAssessmentScale
Tipo de dados
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0015726
Similar models
Instructions: For each activity listed below, please rate your breathlessness on a scale between zero and five where 0 is not at all breathless and 5 is maximally breathless or too breathless to do the activity. If the activity is one that you do not perform, please give your best estimate of breathlessness. Your responses should be for an "average" day during the past week. Please respond to all times
- StudyEvent: ACOSOG-Z4099 USCD Shortness of Breath Form
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25462 (NCI Thesaurus Property)
C0700114 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0443144 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0560049 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0080331 (NCI Metathesaurus ObjectClass)
C0392680 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0580809 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
CL299704 (NCI Metathesaurus ObjectClass)
C0392680 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0013470 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0444796 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C63734 (NCI Thesaurus ObjectClass)
C0040461 (UMLS 2011AA ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0522772 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0150141 (NCI Metathesaurus ObjectClass)
C0392680 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
CL313791 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0564042 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0557653 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0392308 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0564030 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
CL112583 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0542293 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0563947 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0441054 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0597678 (NCI Metathesaurus ObjectClass)
C0392680 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
CL197653 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0301616 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0015726 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)