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Non-Surgical Intervention GSK study Prostatic neoplasms NCT00883909

1 forms  
Administrative data
Description

Administrative data

Session number
Description

Session number

Data type

integer

Subject number
Description

Subject number

Data type

text

Non-Surgical Intervention for Prostate Cancer
Description

Non-Surgical Intervention for Prostate Cancer

Has the subject experienced non-surgical intervention for prostate cancer during the Follow-Up study?
Description

If YES, record below

Data type

text

Non-Surgical Intervention
Description

Non-Surgical Intervention

Start Date of Non-Surgical Intervention
Description

Start Date of Non-Surgical Intervention

Data type

date

End Date of Non-Surgical Intervention
Description

End Date of Non-Surgical Intervention

Data type

date

Type of Non-Surgical Intervention: Drug therapy
Description

Drug therapy

Data type

text

If YES, specify (record all medications on the CONCOMITANT MEDICATIONS page).
Description

Drug therapy specification

Data type

text

Type of Non-Surgical Intervention: External Beam Radiation Therapy
Description

External Beam Radiation Therapy

Data type

text

Type of Non-Surgical Intervention: External Beam Radiation Therapy
Description

External Beam Radiation Therapy

Data type

text

Type of Non-Surgical Intervention: External Beam Radiation Therapy
Description

External Beam Radiation Therapy

Data type

text

Type of Non-Surgical Intervention: Other
Description

Other type of Non-Surgical Intervention

Data type

text

If YES, specify
Description

Other Non-Surgical Intervention specification

Data type

text

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Similar models

Non-Surgical Intervention GSK study Prostatic neoplasms NCT00883909

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
Session number
Item
Session number
integer
Subject number
Item
Subject number
text
Item Group
Non-Surgical Intervention for Prostate Cancer
Item
Has the subject experienced non-surgical intervention for prostate cancer during the Follow-Up study?
text
non-surgical intervention for prostate cancer
Code List
Has the subject experienced non-surgical intervention for prostate cancer during the Follow-Up study?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
Non-Surgical Intervention
Start Date of Non-Surgical Intervention
Item
Start Date of Non-Surgical Intervention
date
End Date of Non-Surgical Intervention
Item
End Date of Non-Surgical Intervention
date
Item
Type of Non-Surgical Intervention: Drug therapy
text
non-surgical intervention for prostate cancer
Code List
Type of Non-Surgical Intervention: Drug therapy
CL Item
Yes (Y)
CL Item
No (N)
Drug therapy specification
Item
If YES, specify (record all medications on the CONCOMITANT MEDICATIONS page).
text
Item
Type of Non-Surgical Intervention: External Beam Radiation Therapy
text
non-surgical intervention for prostate cancer
Code List
Type of Non-Surgical Intervention: External Beam Radiation Therapy
CL Item
Yes (Y)
CL Item
No (N)
Item
Type of Non-Surgical Intervention: External Beam Radiation Therapy
text
non-surgical intervention for prostate cancer
Code List
Type of Non-Surgical Intervention: External Beam Radiation Therapy
CL Item
Yes (Y)
CL Item
No (N)
Item
Type of Non-Surgical Intervention: External Beam Radiation Therapy
text
non-surgical intervention for prostate cancer
Code List
Type of Non-Surgical Intervention: External Beam Radiation Therapy
CL Item
Yes (Y)
CL Item
No (N)
Item
Type of Non-Surgical Intervention: Other
text
non-surgical intervention for prostate cancer
Code List
Type of Non-Surgical Intervention: Other
CL Item
Yes (Y)
CL Item
No (N)
Other Non-Surgical Intervention specification
Item
If YES, specify
text
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