ID

27309

Description

Post-treatment Care of Breast Cancer Survivors; ODM derived from: https://clinicaltrials.gov/show/NCT00821288

Link

https://clinicaltrials.gov/show/NCT00821288

Keywords

Versions (1)
  1. 11/7/17 11/7/17 -
Copyright Holder

See clinicaltrials.gov

Uploaded on

November 7, 2017

DOI

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License

Creative Commons BY 4.0
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Eligibility Breast Neoplasm NCT00821288

English

Eligibility Breast Neoplasm NCT00821288

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
participants will be screened for the following inclusion criteria:
Description

Screening

Data type

boolean

Alias
UMLS CUI [1]
C0220908
age >18 years
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
history of stage 0, i, ii, or iiia breast cancer and no evidence of recurrent disease
Description

Breast Carcinoma TNM Breast tumor staging | Recurrent disease Absent

Data type

boolean

Alias
UMLS CUI [1,1]
C0678222
UMLS CUI [1,2]
C0474926
UMLS CUI [2,1]
C0277556
UMLS CUI [2,2]
C0332197
within 6 weeks of completion of breast cancer therapy (surgery, radiation or chemotherapy)
Description

Therapeutic procedure Complete Breast Carcinoma | Operative Surgical Procedures | Therapeutic radiology procedure | Chemotherapy

Data type

boolean

Alias
UMLS CUI [1,1]
C0087111
UMLS CUI [1,2]
C0678222
UMLS CUI [1,3]
C0205197
UMLS CUI [2]
C0543467
UMLS CUI [3]
C1522449
UMLS CUI [4]
C0392920
caucasian and/or hispanic (english or spanish-speaking)
Description

Caucasians | Hispanics | Able to speak English Language | Able to speak Spanish Language

Data type

boolean

Alias
UMLS CUI [1]
C0043157
UMLS CUI [2]
C0086409
UMLS CUI [3,1]
C0564215
UMLS CUI [3,2]
C0376245
UMLS CUI [4,1]
C0564215
UMLS CUI [4,2]
C0037750
willing to undergo a 1 hr cancer survivorship evaluation
Description

Cancer Survivorship Evaluation Willing

Data type

boolean

Alias
UMLS CUI [1,1]
C1516232
UMLS CUI [1,2]
C1261322
UMLS CUI [1,3]
C0600109
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
patients with the following active conditions or behaviors will be excluded from participation:
Description

Study Subject Participation Status Excluded

Data type

boolean

Alias
UMLS CUI [1,1]
C2348568
UMLS CUI [1,2]
C2828389
evidence of recurrent or metastatic breast cancer
Description

Breast cancer recurrent | Secondary malignant neoplasm of female breast

Data type

boolean

Alias
UMLS CUI [1]
C0278493
UMLS CUI [2]
C0346993
patients who have received surgery only with no adjuvant therapy
Description

Operative Surgical Procedures | Adjuvant therapy Absent

Data type

boolean

Alias
UMLS CUI [1]
C0543467
UMLS CUI [2,1]
C0677850
UMLS CUI [2,2]
C0332197
uncontrolled or significant psychiatric illness/social situations that would preclude completion of questionnaire or follow-up evaluation.
Description

Mental disorders Uncontrolled Exclude Questionnaire Completion | Mental disorders Significant Exclude Questionnaire Completion | Social situation Uncontrolled Excludes Questionnaire Completion | Social situation Significant Excludes Questionnaire Completion | Mental disorders Uncontrolled Exclude Follow-up Evaluation | Mental disorders Significant Exclude Follow-up Evaluation | Social situation Uncontrolled Excludes Follow-up Evaluation | Social situation Significant Excludes Follow-up Evaluation

Data type

boolean

Alias
UMLS CUI [1,1]
C0004936
UMLS CUI [1,2]
C0205318
UMLS CUI [1,3]
C0332196
UMLS CUI [1,4]
C0034394
UMLS CUI [1,5]
C0205197
UMLS CUI [2,1]
C0004936
UMLS CUI [2,2]
C0750502
UMLS CUI [2,3]
C0332196
UMLS CUI [2,4]
C0034394
UMLS CUI [2,5]
C0205197
UMLS CUI [3,1]
C0748872
UMLS CUI [3,2]
C0205318
UMLS CUI [3,3]
C0332196
UMLS CUI [3,4]
C0034394
UMLS CUI [3,5]
C0205197
UMLS CUI [4,1]
C0748872
UMLS CUI [4,2]
C0750502
UMLS CUI [4,3]
C0332196
UMLS CUI [4,4]
C0034394
UMLS CUI [4,5]
C0205197
UMLS CUI [5,1]
C0004936
UMLS CUI [5,2]
C0205318
UMLS CUI [5,3]
C0332196
UMLS CUI [5,4]
C3274571
UMLS CUI [5,5]
C1261322
UMLS CUI [6,1]
C0004936
UMLS CUI [6,2]
C0750502
UMLS CUI [6,3]
C0332196
UMLS CUI [6,4]
C3274571
UMLS CUI [6,5]
C1261322
UMLS CUI [7,1]
C0748872
UMLS CUI [7,2]
C0205318
UMLS CUI [7,3]
C0332196
UMLS CUI [7,4]
C3274571
UMLS CUI [7,5]
C1261322
UMLS CUI [8,1]
C0748872
UMLS CUI [8,2]
C0750502
UMLS CUI [8,3]
C0332196
UMLS CUI [8,4]
C3274571
UMLS CUI [8,5]
C1261322
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Similar models

Eligibility Breast Neoplasm NCT00821288

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Screening
Item
participants will be screened for the following inclusion criteria:
boolean
C0220908 (UMLS CUI [1])
Age
Item
age >18 years
boolean
C0001779 (UMLS CUI [1])
Breast Carcinoma TNM Breast tumor staging | Recurrent disease Absent
Item
history of stage 0, i, ii, or iiia breast cancer and no evidence of recurrent disease
boolean
C0678222 (UMLS CUI [1,1])
C0474926 (UMLS CUI [1,2])
C0277556 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
Therapeutic procedure Complete Breast Carcinoma | Operative Surgical Procedures | Therapeutic radiology procedure | Chemotherapy
Item
within 6 weeks of completion of breast cancer therapy (surgery, radiation or chemotherapy)
boolean
C0087111 (UMLS CUI [1,1])
C0678222 (UMLS CUI [1,2])
C0205197 (UMLS CUI [1,3])
C0543467 (UMLS CUI [2])
C1522449 (UMLS CUI [3])
C0392920 (UMLS CUI [4])
Caucasians | Hispanics | Able to speak English Language | Able to speak Spanish Language
Item
caucasian and/or hispanic (english or spanish-speaking)
boolean
C0043157 (UMLS CUI [1])
C0086409 (UMLS CUI [2])
C0564215 (UMLS CUI [3,1])
C0376245 (UMLS CUI [3,2])
C0564215 (UMLS CUI [4,1])
C0037750 (UMLS CUI [4,2])
Cancer Survivorship Evaluation Willing
Item
willing to undergo a 1 hr cancer survivorship evaluation
boolean
C1516232 (UMLS CUI [1,1])
C1261322 (UMLS CUI [1,2])
C0600109 (UMLS CUI [1,3])
Item Group
C0680251 (UMLS CUI)
Study Subject Participation Status Excluded
Item
patients with the following active conditions or behaviors will be excluded from participation:
boolean
C2348568 (UMLS CUI [1,1])
C2828389 (UMLS CUI [1,2])
Breast cancer recurrent | Secondary malignant neoplasm of female breast
Item
evidence of recurrent or metastatic breast cancer
boolean
C0278493 (UMLS CUI [1])
C0346993 (UMLS CUI [2])
Operative Surgical Procedures | Adjuvant therapy Absent
Item
patients who have received surgery only with no adjuvant therapy
boolean
C0543467 (UMLS CUI [1])
C0677850 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
Mental disorders Uncontrolled Exclude Questionnaire Completion | Mental disorders Significant Exclude Questionnaire Completion | Social situation Uncontrolled Excludes Questionnaire Completion | Social situation Significant Excludes Questionnaire Completion | Mental disorders Uncontrolled Exclude Follow-up Evaluation | Mental disorders Significant Exclude Follow-up Evaluation | Social situation Uncontrolled Excludes Follow-up Evaluation | Social situation Significant Excludes Follow-up Evaluation
Item
uncontrolled or significant psychiatric illness/social situations that would preclude completion of questionnaire or follow-up evaluation.
boolean
C0004936 (UMLS CUI [1,1])
C0205318 (UMLS CUI [1,2])
C0332196 (UMLS CUI [1,3])
C0034394 (UMLS CUI [1,4])
C0205197 (UMLS CUI [1,5])
C0004936 (UMLS CUI [2,1])
C0750502 (UMLS CUI [2,2])
C0332196 (UMLS CUI [2,3])
C0034394 (UMLS CUI [2,4])
C0205197 (UMLS CUI [2,5])
C0748872 (UMLS CUI [3,1])
C0205318 (UMLS CUI [3,2])
C0332196 (UMLS CUI [3,3])
C0034394 (UMLS CUI [3,4])
C0205197 (UMLS CUI [3,5])
C0748872 (UMLS CUI [4,1])
C0750502 (UMLS CUI [4,2])
C0332196 (UMLS CUI [4,3])
C0034394 (UMLS CUI [4,4])
C0205197 (UMLS CUI [4,5])
C0004936 (UMLS CUI [5,1])
C0205318 (UMLS CUI [5,2])
C0332196 (UMLS CUI [5,3])
C3274571 (UMLS CUI [5,4])
C1261322 (UMLS CUI [5,5])
C0004936 (UMLS CUI [6,1])
C0750502 (UMLS CUI [6,2])
C0332196 (UMLS CUI [6,3])
C3274571 (UMLS CUI [6,4])
C1261322 (UMLS CUI [6,5])
C0748872 (UMLS CUI [7,1])
C0205318 (UMLS CUI [7,2])
C0332196 (UMLS CUI [7,3])
C3274571 (UMLS CUI [7,4])
C1261322 (UMLS CUI [7,5])
C0748872 (UMLS CUI [8,1])
C0750502 (UMLS CUI [8,2])
C0332196 (UMLS CUI [8,3])
C3274571 (UMLS CUI [8,4])
C1261322 (UMLS CUI [8,5])
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