ID

27309

Beskrivning

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

Länk

https://clinicaltrials.gov/show/NCT00821288

Nyckelord

  1. 2017-11-07 2017-11-07 -
Rättsinnehavare

See clinicaltrials.gov

Uppladdad den

7 november 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY 4.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Eligibility Breast Neoplasm NCT00821288

Eligibility Breast Neoplasm NCT00821288

Inclusion Criteria
Beskrivning

Inclusion Criteria

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

Screening

Datatyp

boolean

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

Age

Datatyp

boolean

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

Breast Carcinoma TNM Breast tumor staging | Recurrent disease Absent

Datatyp

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)
Beskrivning

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

Datatyp

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)
Beskrivning

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

Datatyp

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
Beskrivning

Cancer Survivorship Evaluation Willing

Datatyp

boolean

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

Exclusion Criteria

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

Study Subject Participation Status Excluded

Datatyp

boolean

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

Breast cancer recurrent | Secondary malignant neoplasm of female breast

Datatyp

boolean

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

Operative Surgical Procedures | Adjuvant therapy Absent

Datatyp

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.
Beskrivning

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

Datatyp

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

Similar models

Eligibility Breast Neoplasm NCT00821288

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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])

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

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