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])
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