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ID

27576

Description

Prospective Multicenter Phase III Trial Using CRS With / Without HIPEC After Preoperative Chemotherapy in Patients With Peritoneal Carcinomatosis of Gastric Cancer Incl. Adenocarcinoma of the Esophagogastric Junction NCT-Identifier: NCT02158988 Source: Prof. Dr. med. Beate Rau, MBA Charité Universitätsmedizin Berlin Studienende Bitte füllen Sie diesen Bogen nur bei Studienende aus! Bitte faxen Sie diese Seite umgehend an die Studienzentrale Charité: 030 – 450 7 522 214 Hinweis: Ab dem oben angegebenen Datum ist keine weitere Dokumentation mehr erforderlich.

Keywords

Versions (1)
  1. 11/20/17 11/20/17 -
Copyright Holder

Beate Rau

Uploaded on

November 20, 2017

DOI

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License

Creative Commons BY-NC 3.0
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    Cytoreductive Surgery (CRS) With/Without HIPEC in Gastric Cancer With Peritoneal Carcinomatosis (GASTRIPEC)

    German

    Studienende

    1 forms  
    1. StudyEvent: ODM
      1. Studienende
    Administrative Documentation
    Description

    Administrative Documentation

    Alias
    UMLS CUI-1
    C1320722
    Zentrum-ID
    Description

    Center Identification

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1301943
    UMLS CUI [1,2]
    C0600091
    Patienten-ID
    Description

    Patient Identification

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2348585
    Geburtsjahr
    Description

    Year of birth

    Data type

    partialDate

    Alias
    UMLS CUI [1]
    C2826771
    Follow up Nr.: (ergänzen Sie hier die fortlaufende Nummer: 02, 03, 04 usw.)
    Description

    Number of Follow up

    Data type

    integer

    Alias
    UMLS CUI [1,1]
    C1704685
    UMLS CUI [1,2]
    C0237753
    Studienende
    Description

    Studienende

    Alias
    UMLS CUI-1
    C0444496
    Studienende
    Description

    End of study

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0444496
    UMLS CUI [1,2]
    C0566251
    unplanmäßig (vorzeitig) am (ggf. Datum des letzten Patientenkontaktes angeben)
    Description

    End of study date

    Data type

    date

    Alias
    UMLS CUI [1,1]
    C2983670
    UMLS CUI [1,2]
    C3854240
    UMLS CUI [1,3]
    C0444496
    Patient/in verstorben, Todesdatum
    Description

    Patient death date

    Data type

    date

    Alias
    UMLS CUI [1]
    C1148348
    Todesursache
    Description

    Cause of death

    Data type

    text

    Alias
    UMLS CUI [1]
    C0007465
    Autopsie durchgeführt
    Description

    Autopsy

    Data type

    boolean

    Alias
    UMLS CUI [1]
    C0004398
    Patient/in nicht mehr erreichbar (lost in Follow up) Grund, falls bekannt
    Description

    Lost of follow up

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1302313
    UMLS CUI [1,2]
    C0566251
    Patient/in zieht die Einwilligung zur Studienteilnahme zurück Grund, falls bekannt
    Description

    Withdrawal of consent

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C1707492
    UMLS CUI [1,2]
    C0566251
    Anderer Grund des Studienendes
    Description

    Other reason for end of study

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0205394
    UMLS CUI [1,2]
    C2348235
    UMLS CUI [1,3]
    C0444496
    Administrative Dokumentation
    Description

    Administrative Dokumentation

    Alias
    UMLS CUI-1
    C1320722
    CRF-Inhalt bestätigt am:
    Description

    Date

    Data type

    date

    Alias
    UMLS CUI [1]
    C0011008
    Name (Druckbuchstaben)
    Description

    Name

    Data type

    text

    Alias
    UMLS CUI [1]
    C0027365
    Unterschrift
    Description

    Signature

    Data type

    text

    Alias
    UMLS CUI [1]
    C1519316
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    Similar models

    Studienende

    1 forms
    1. StudyEvent: ODM
      1. Studienende
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Administrative Documentation
    C1320722 (UMLS CUI-1)
    Center Identification
    Item
    Zentrum-ID
    text
    C1301943 (UMLS CUI [1,1])
    C0600091 (UMLS CUI [1,2])
    Patient Identification
    Item
    Patienten-ID
    integer
    C2348585 (UMLS CUI [1])
    Year of birth
    Item
    Geburtsjahr
    partialDate
    C2826771 (UMLS CUI [1])
    Number of Follow up
    Item
    Follow up Nr.: (ergänzen Sie hier die fortlaufende Nummer: 02, 03, 04 usw.)
    integer
    C1704685 (UMLS CUI [1,1])
    C0237753 (UMLS CUI [1,2])
    Item Group
    Studienende
    C0444496 (UMLS CUI-1)
    Item
    Studienende
    text
    C0444496 (UMLS CUI [1,1])
    C0566251 (UMLS CUI [1,2])
    End of study
    Code List
    Studienende
    CL Item
    planmäßig (planmäßig)
    CL Item
    unplanmäßig (unplanmäßig)
    CL Item
    Patient/in verstorben (Patient/in verstorben)
    CL Item
    Patient/in nicht mehr erreichbar (lost in Follow up) (Patient/in nicht mehr erreichbar (lost in Follow up))
    CL Item
    Patient/in zieht die Einwilligung zur Studienteilnahme zurück (Patient/in zieht die Einwilligung zur Studienteilnahme zurück)
    CL Item
    Anderer Grund des Studienendes (Anderer Grund des Studienendes)
    End of study date
    Item
    unplanmäßig (vorzeitig) am (ggf. Datum des letzten Patientenkontaktes angeben)
    date
    C2983670 (UMLS CUI [1,1])
    C3854240 (UMLS CUI [1,2])
    C0444496 (UMLS CUI [1,3])
    Patient death date
    Item
    Patient/in verstorben, Todesdatum
    date
    C1148348 (UMLS CUI [1])
    Item
    Todesursache
    text
    C0007465 (UMLS CUI [1])
    Cause of death
    Code List
    Todesursache
    CL Item
    tumorbedingt – Lokalrezidiv (tumorbedingt – Lokalrezidiv)
    CL Item
    tumorbedingt – Metastasen (tumorbedingt – Metastasen)
    CL Item
    therapiebedingte Komplikationen, welche (therapiebedingte Komplikationen, welche)
    CL Item
    Andere, welche (Andere, welche)
    CL Item
    unbekannt (unbekannt)
    Autopsy
    Item
    Autopsie durchgeführt
    boolean
    C0004398 (UMLS CUI [1])
    Lost of follow up
    Item
    Patient/in nicht mehr erreichbar (lost in Follow up) Grund, falls bekannt
    text
    C1302313 (UMLS CUI [1,1])
    C0566251 (UMLS CUI [1,2])
    Withdrawal of consent
    Item
    Patient/in zieht die Einwilligung zur Studienteilnahme zurück Grund, falls bekannt
    text
    C1707492 (UMLS CUI [1,1])
    C0566251 (UMLS CUI [1,2])
    Other reason for end of study
    Item
    Anderer Grund des Studienendes
    text
    C0205394 (UMLS CUI [1,1])
    C2348235 (UMLS CUI [1,2])
    C0444496 (UMLS CUI [1,3])
    Item Group
    Administrative Dokumentation
    C1320722 (UMLS CUI-1)
    Date
    Item
    CRF-Inhalt bestätigt am:
    date
    C0011008 (UMLS CUI [1])
    Name
    Item
    Name (Druckbuchstaben)
    text
    C0027365 (UMLS CUI [1])
    Signature
    Item
    Unterschrift
    text
    C1519316 (UMLS CUI [1])
    Back to the top of the page 

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