ID

27192

Beschrijving

X-Ray Mammography Standard of Care Protocol; ODM derived from: https://clinicaltrials.gov/show/NCT01052740

Link

https://clinicaltrials.gov/show/NCT01052740

Trefwoorden

Versies (1)
  1. 03-11-17 03-11-17 -
Houder van rechten

See clinicaltrials.gov

Geüploaded op

3 november 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.

Eligibility Breast Cancer NCT01052740

Engels

Eligibility Breast Cancer NCT01052740

1 Formulieren  
Criteria
Beschrijving

Criteria

women who are clinically indicated for screening mammography according to the national comprehensive cancer network (nccn) guidelines (3) and the american cancer society guidelines:
Beschrijving

Gender | Indication Screening mammography

Datatype

boolean

Alias
UMLS CUI [1]
C0079399
UMLS CUI [2,1]
C3146298
UMLS CUI [2,2]
C0203028
1. all women who fall under the acs mammography guidelines
Beschrijving

Gender | American Cancer Society Guidelines

Datatype

boolean

Alias
UMLS CUI [1]
C0079399
UMLS CUI [2,1]
C0002455
UMLS CUI [2,2]
C0162791
2. women younger than 40 years but with more than 20% lifetime risk for developing breast cancer:
Beschrijving

Gender | Lifetime Risk Percentage Breast Carcinoma

Datatype

boolean

Alias
UMLS CUI [1]
C0079399
UMLS CUI [2,1]
C1517878
UMLS CUI [2,2]
C0439165
UMLS CUI [2,3]
C0678222
1. prior personal history of prior thoracic radiation therapy between the age of 10 and 30, such as for hodgkin's disease. in this case, women are eligible beginning 8-10 years after radiotherapy or at age 40, whichever comes first.
Beschrijving

Radiotherapy to thorax | Age | Hodgkin Disease

Datatype

boolean

Alias
UMLS CUI [1]
C4038705
UMLS CUI [2]
C0001779
UMLS CUI [3]
C0019829
2. 5-year risk of invasive breast cancer (greater than or equal to 1.7% of women greater than or equal to 35 years or women who have a life time risk greater than 20% as defined by models that are largely dependent on family history.
Beschrijving

Risk Year Quantity Invasive carcinoma of breast | Gender | Age | Lifetime Risk Percentage

Datatype

boolean

Alias
UMLS CUI [1,1]
C0035647
UMLS CUI [1,2]
C0439234
UMLS CUI [1,3]
C1265611
UMLS CUI [1,4]
C0853879
UMLS CUI [2]
C0079399
UMLS CUI [3]
C0001779
UMLS CUI [4,1]
C1517878
UMLS CUI [4,2]
C0439165
3. strong family history;
Beschrijving

Family history Strong

Datatype

boolean

Alias
UMLS CUI [1,1]
C0241889
UMLS CUI [1,2]
C0442821
i. first degree relative diagnosed with breast, ovarian, fallopian tube, or primary peritoneal cancer.
Beschrijving

First Degree Relative Breast Carcinoma | First Degree Relative Ovarian Carcinoma | First Degree Relative Fallopian Tube Carcinoma | First Degree Relative Malignant tumor of peritoneum Primary

Datatype

boolean

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0678222
UMLS CUI [2,1]
C1517194
UMLS CUI [2,2]
C0029925
UMLS CUI [3,1]
C1517194
UMLS CUI [3,2]
C0238122
UMLS CUI [4,1]
C1517194
UMLS CUI [4,2]
C0153467
UMLS CUI [4,3]
C0205225
ii. individual from families known to have brca 1 or 2 gene mutation.
Beschrijving

Family member BRCA1 gene mutation | Family member BRCA2 gene mutation

Datatype

boolean

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C1511022
UMLS CUI [2,1]
C0086282
UMLS CUI [2,2]
C1511024
iii. close male blood relative with breast cancer.
Beschrijving

Gender Blood Relative Breast Carcinoma

Datatype

boolean

Alias
UMLS CUI [1,1]
C0079399
UMLS CUI [1,2]
C1266852
UMLS CUI [1,3]
C0678222
d. genetic predisposition;
Beschrijving

Predisposition Genetic

Datatype

boolean

Alias
UMLS CUI [1,1]
C0220898
UMLS CUI [1,2]
C0314603
i. carry or have first-degree relative who carries a genetic mutation in the brca 1 or 2 genes.
Beschrijving

BRCA1 Mutation Carrier | BRCA2 Mutation Carrier | First Degree Relative BRCA1 Mutation Carrier | First Degree Relative BRCA2 Mutation Carrier

Datatype

boolean

Alias
UMLS CUI [1]
C3899965
UMLS CUI [2]
C3899964
UMLS CUI [3,1]
C1517194
UMLS CUI [3,2]
C3899965
UMLS CUI [4,1]
C1517194
UMLS CUI [4,2]
C3899964
ii. carry or have a first-degree relative who carries a genetic mutation in the tp53 or pten genes (li-fraumeni syndrome and cowden bannayan-riley-ruvalcaba syndromes).
Beschrijving

TP53 Gene Mutation | First Degree Relative TP53 Gene Mutation | PTEN gene mutation | First Degree Relative PTEN gene mutation | Li-Fraumeni Syndrome | Bannayan-Riley-Ruvalcaba Syndrome

Datatype

boolean

Alias
UMLS CUI [1]
C3897380
UMLS CUI [2,1]
C1517194
UMLS CUI [2,2]
C3897380
UMLS CUI [3]
C3267001
UMLS CUI [4,1]
C1517194
UMLS CUI [4,2]
C3267001
UMLS CUI [5]
C0085390
UMLS CUI [6]
C0265326
e. a personal history of lobular carcinoma in situ (lcis) and/or atypical ductal hyperplasia (adh)
Beschrijving

Lobular carcinoma in situ | Atypical Ductal Hyperplasia

Datatype

boolean

Alias
UMLS CUI [1]
C0279563
UMLS CUI [2]
C1332347
f. prior personal history of breast cancer or ovarian cancer.
Beschrijving

Breast Carcinoma | Ovarian Carcinoma

Datatype

boolean

Alias
UMLS CUI [1]
C0678222
UMLS CUI [2]
C0029925
i. starting at the age of 25 year for hereditary breast and ovarian cancer patients.
Beschrijving

Age | Hereditary Breast Cancer | Ovarian Carcinoma Hereditary

Datatype

boolean

Alias
UMLS CUI [1]
C0001779
UMLS CUI [2]
C0346153
UMLS CUI [3,1]
C0029925
UMLS CUI [3,2]
C0439660
ii. 5-10 years prior to youngest breast cancer case for strong family history or other genetic predisposition.
Beschrijving

Year Quantity Before Breast Carcinoma | Family history Strong | Predisposition Genetic

Datatype

boolean

Alias
UMLS CUI [1,1]
C0439234
UMLS CUI [1,2]
C1265611
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C0678222
UMLS CUI [2,1]
C0241889
UMLS CUI [2,2]
C0442821
UMLS CUI [3,1]
C0220898
UMLS CUI [3,2]
C0314603
g. woman and minorities
Beschrijving

Gender | Minorities

Datatype

boolean

Alias
UMLS CUI [1]
C0079399
UMLS CUI [2]
C0026192
Exclusion Criteria
Beschrijving

Exclusion Criteria

Alias
UMLS CUI
C0680251
pregnant or lactating subjects.
Beschrijving

Pregnancy | Breast Feeding

Datatype

boolean

Alias
UMLS CUI [1]
C0032961
UMLS CUI [2]
C0006147
Terug naar het begin van de pagina

Similar models

Eligibility Breast Cancer NCT01052740

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Gender | Indication Screening mammography
Item
women who are clinically indicated for screening mammography according to the national comprehensive cancer network (nccn) guidelines (3) and the american cancer society guidelines:
boolean
C0079399 (UMLS CUI [1])
C3146298 (UMLS CUI [2,1])
C0203028 (UMLS CUI [2,2])
Gender | American Cancer Society Guidelines
Item
1. all women who fall under the acs mammography guidelines
boolean
C0079399 (UMLS CUI [1])
C0002455 (UMLS CUI [2,1])
C0162791 (UMLS CUI [2,2])
Gender | Lifetime Risk Percentage Breast Carcinoma
Item
2. women younger than 40 years but with more than 20% lifetime risk for developing breast cancer:
boolean
C0079399 (UMLS CUI [1])
C1517878 (UMLS CUI [2,1])
C0439165 (UMLS CUI [2,2])
C0678222 (UMLS CUI [2,3])
Radiotherapy to thorax | Age | Hodgkin Disease
Item
1. prior personal history of prior thoracic radiation therapy between the age of 10 and 30, such as for hodgkin's disease. in this case, women are eligible beginning 8-10 years after radiotherapy or at age 40, whichever comes first.
boolean
C4038705 (UMLS CUI [1])
C0001779 (UMLS CUI [2])
C0019829 (UMLS CUI [3])
Risk Year Quantity Invasive carcinoma of breast | Gender | Age | Lifetime Risk Percentage
Item
2. 5-year risk of invasive breast cancer (greater than or equal to 1.7% of women greater than or equal to 35 years or women who have a life time risk greater than 20% as defined by models that are largely dependent on family history.
boolean
C0035647 (UMLS CUI [1,1])
C0439234 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C0853879 (UMLS CUI [1,4])
C0079399 (UMLS CUI [2])
C0001779 (UMLS CUI [3])
C1517878 (UMLS CUI [4,1])
C0439165 (UMLS CUI [4,2])
Family history Strong
Item
3. strong family history;
boolean
C0241889 (UMLS CUI [1,1])
C0442821 (UMLS CUI [1,2])
First Degree Relative Breast Carcinoma | First Degree Relative Ovarian Carcinoma | First Degree Relative Fallopian Tube Carcinoma | First Degree Relative Malignant tumor of peritoneum Primary
Item
i. first degree relative diagnosed with breast, ovarian, fallopian tube, or primary peritoneal cancer.
boolean
C1517194 (UMLS CUI [1,1])
C0678222 (UMLS CUI [1,2])
C1517194 (UMLS CUI [2,1])
C0029925 (UMLS CUI [2,2])
C1517194 (UMLS CUI [3,1])
C0238122 (UMLS CUI [3,2])
C1517194 (UMLS CUI [4,1])
C0153467 (UMLS CUI [4,2])
C0205225 (UMLS CUI [4,3])
Family member BRCA1 gene mutation | Family member BRCA2 gene mutation
Item
ii. individual from families known to have brca 1 or 2 gene mutation.
boolean
C0086282 (UMLS CUI [1,1])
C1511022 (UMLS CUI [1,2])
C0086282 (UMLS CUI [2,1])
C1511024 (UMLS CUI [2,2])
Gender Blood Relative Breast Carcinoma
Item
iii. close male blood relative with breast cancer.
boolean
C0079399 (UMLS CUI [1,1])
C1266852 (UMLS CUI [1,2])
C0678222 (UMLS CUI [1,3])
Predisposition Genetic
Item
d. genetic predisposition;
boolean
C0220898 (UMLS CUI [1,1])
C0314603 (UMLS CUI [1,2])
BRCA1 Mutation Carrier | BRCA2 Mutation Carrier | First Degree Relative BRCA1 Mutation Carrier | First Degree Relative BRCA2 Mutation Carrier
Item
i. carry or have first-degree relative who carries a genetic mutation in the brca 1 or 2 genes.
boolean
C3899965 (UMLS CUI [1])
C3899964 (UMLS CUI [2])
C1517194 (UMLS CUI [3,1])
C3899965 (UMLS CUI [3,2])
C1517194 (UMLS CUI [4,1])
C3899964 (UMLS CUI [4,2])
TP53 Gene Mutation | First Degree Relative TP53 Gene Mutation | PTEN gene mutation | First Degree Relative PTEN gene mutation | Li-Fraumeni Syndrome | Bannayan-Riley-Ruvalcaba Syndrome
Item
ii. carry or have a first-degree relative who carries a genetic mutation in the tp53 or pten genes (li-fraumeni syndrome and cowden bannayan-riley-ruvalcaba syndromes).
boolean
C3897380 (UMLS CUI [1])
C1517194 (UMLS CUI [2,1])
C3897380 (UMLS CUI [2,2])
C3267001 (UMLS CUI [3])
C1517194 (UMLS CUI [4,1])
C3267001 (UMLS CUI [4,2])
C0085390 (UMLS CUI [5])
C0265326 (UMLS CUI [6])
Lobular carcinoma in situ | Atypical Ductal Hyperplasia
Item
e. a personal history of lobular carcinoma in situ (lcis) and/or atypical ductal hyperplasia (adh)
boolean
C0279563 (UMLS CUI [1])
C1332347 (UMLS CUI [2])
Breast Carcinoma | Ovarian Carcinoma
Item
f. prior personal history of breast cancer or ovarian cancer.
boolean
C0678222 (UMLS CUI [1])
C0029925 (UMLS CUI [2])
Age | Hereditary Breast Cancer | Ovarian Carcinoma Hereditary
Item
i. starting at the age of 25 year for hereditary breast and ovarian cancer patients.
boolean
C0001779 (UMLS CUI [1])
C0346153 (UMLS CUI [2])
C0029925 (UMLS CUI [3,1])
C0439660 (UMLS CUI [3,2])
Year Quantity Before Breast Carcinoma | Family history Strong | Predisposition Genetic
Item
ii. 5-10 years prior to youngest breast cancer case for strong family history or other genetic predisposition.
boolean
C0439234 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C0678222 (UMLS CUI [1,4])
C0241889 (UMLS CUI [2,1])
C0442821 (UMLS CUI [2,2])
C0220898 (UMLS CUI [3,1])
C0314603 (UMLS CUI [3,2])
Gender | Minorities
Item
g. woman and minorities
boolean
C0079399 (UMLS CUI [1])
C0026192 (UMLS CUI [2])
Item Group
C0680251 (UMLS CUI)
Pregnancy | Breast Feeding
Item
pregnant or lactating subjects.
boolean
C0032961 (UMLS CUI [1])
C0006147 (UMLS CUI [2])
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