Demographic Factors
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported TYPE: Single answer
integer
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported
date
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported TYPE: Single answer
integer
This is based upon the International Standard Classification of Education for the United States, and reflects standards in the U.S. Please adapt questions according to your country’s guidelines. Primary refers to the first 8 years of formal education in elementary school in the US. Secondary school refers to the last four years of statutory formal education (grade 9-12) at high school in the US. Tertiary refers to colleges or universities, including undergraduate and postgraduate education in the US. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported TYPE: Single answer
integer
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported TYPE: Single answer
integer
Baseline Clinical Factors
Based upon the Self-administered Comorbidity Questionnaire (Sangha et al, 2003) INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Patient-reported TYPE: Multiple answer Separate multiple entries with "";""
integer
Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical RESPONSE OPTIONS: Numerical value of height in cm or in
integer
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
Height and weight are used to calculate BMI INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical RESPONSE OPTION: Numerical value of weight in kg or lbs
integer
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
ECOG/WHO Scale: WHO 0 = normal activity level WHO 1 = restricted with physically strenuous activity WHO 2 = active >/= 50% of day WHO 3 = spends > 50% of day in chair or bed WHO 4 = totally confined to bed or chair INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
Familial Adenomatosis Polyposis is caused by a germline mutation of the APC gene. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
Lynch syndrome is caused by a mutation of one of the DNA mismatch repair (MMR) genes or the EPCAM gene. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical
date
Defined as two or more distinct primary tumors, separated by normal bowel and not due to direct extension or metastasis. Of note: If yes, please collect information on highest TNM stage. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: All patients with rectal cancer receiving surgery/radiotherapy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Numerical value; Please enter "999" if distance is unknown.
integer
Only select cT4 if not able to select cT4a or cT4b. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
Only select cN1 or cN2 if not able to select cN1a-c or cN2a-b. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
Only select cM1 if not able to select cM1a or cM1b. INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
Only select pT4 if not able to select pT4a or pT4b. INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
Only select pN1 or pN2 if not able to select pN1a-c or pN2a-b. INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
Only select pM1 if not able to select pM1a or pM1b. INCLUSION CRITERIA: If the patient received surgery or biopsy TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Numerical value; Please enter "999" if number of resected lymph nodes is unknown.
integer
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Numerical value; Please enter "999" if number of involved lymph nodes is unknown.
integer
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Multiple answer
integer
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
Baseline Treatment Factors
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If the patient received surgery TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: All patients TIMING: Baseline REPORTING SOURCE: Clinical TYPE: Single answer
integer
Treatment variables
INCLUSION CRITERIA: All patients TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Multiple answer
integer
INCLUSION CRITERIA: If answered "surgery" on treatment [TREATMENT] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If yes answered "yes" on surgery [SURGERY] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If yes answered "yes" on surgery [SURGERY] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown
date
INCLUSION CRITERIA: If answered "radiotherapy" on treatment [TREATMENT] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If answered "yes" on radiotherapy [RADIOTX] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Multiple answer
integer
INCLUSION CRITERIA: If answered "yes" on radiotherapy [RADIOTX] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown
date
INCLUSION CRITERIA: If answered "yes" on radiotherapy [RADIOTX] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown
date
INCLUSION CRITERIA: If answered "chemotherapy" on treatment [TREATMENT] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If answered "chemotherapy" on treatment TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If answered "chemotherapy" on treatment TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, please enter "999" if date is unknown
date
INCLUSION CRITERIA: If answered "chemotherapy" on treatment TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, please enter "999" if date is unknown
date
INCLUSION CRITERIA: If answered "targeted therapy" on treatment [TREATMENT] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single Answer
integer
INCLUSION CRITERIA: If answered "yes on targeted therapy [TARGETTX] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, please enter "999" if date is unknown
date
INCLUSION CRITERIA: If answered "yes on targeted therapy [TARGETTX] TIMING: 6 months, update at least annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, please enter "999" if date is unknown
date
Survival and disease control
In case of pathologic evaluation: a pathologic complete response is defined as no evidence of residual invasive cancer of the complete resected specimen and all sampled regional lymph nodes. In case of diagnostic evaluation only: a clinical complete response is defined when there is no sign of tumor after all diagnostic tests (e.g. MRI/endoscopy) INCLUSION CRITERIA: Only if patient received neo-adjuvant therapy for rectal cancer. TIMING: Update at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: Only if the patient received surgery for rectal cancer. TIMING: Update at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: Only if the patient is treated with curative intent. TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: Only if answered "yes" on recurrence [RECUR] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: Only if answered "yes" on recurrence [RECUR] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown
date
INCLUSION CRITERIA: Only if the patient has advanced disease. TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: Only if answered "yes" on progression [PROGRESS] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: Only if answered "yes" on progression [PROGRESS] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown
date
INCLUSION CRITERIA: All patients TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Administrative TYPE: Single answer
integer
INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Administrative TYPE: Date, Please enter "999" if date is unknown
date
INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Administrative TYPE: Single answer
integer
Disutility of care
INCLUSION CRITERIA: Only if the patient received surgery. TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If answered "yes" on stoma [STOMA] TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown
date
These response options are based on the Clavien-Dindo classification for surgical complications and the Common Terminology Criteria version 4 (CTCAE v4). To collect the most severe complications, grade 3 -5 of both classification systems are included in the Standard Set. INCLUSION CRITERIA: Only if the patient received treatment. TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Multiple answer
integer
INCLUSION CRITERIA: If answered "Complication leading to death" on experience of complication [COMPLIMPACT] TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown
date
INCLUSION CRITERIA: If answered "yes" on experience of complication [COMPLIMPACT] TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If answered "yes" on complication attributable to colorectal cancer treatment [COMPLTX] TIMING: Updated at least 6 months after treatment REPORTING SOURCE: Clinical TYPE: Single answer
integer
Quality of death
INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Administrative TYPE: Single answer
integer
INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Administrative or clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Clinical TYPE: Single answer
integer
INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Clinical TYPE: Date, Please enter "999" if date is unknown
date
Emergency visits should not be included. INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Clinical TYPE: Single answer
integer
Emergency visits should not be included. INCLUSION CRITERIA: If answered "yes" on patient died [DEATH] TIMING: 1 year post treatment, tracked annually REPORTING SOURCE: Clinical TYPE: Single answer
integer
Degree of health
INCLUSION CRITERIA: Patients with surgery/radiotherapy TIMING: Baseline, 6 months, 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Patient-reported TYPE: Single answer
integer
INCLUSION CRITERIA: Patients with surgery/radiotherapy TIMING: Baseline, 6 months, 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Patient-reported TYPE: Single answer
integer
INCLUSION CRITERIA: Patients with surgery/radiotherapy TIMING: Baseline, 6 months, 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Patient-reported TYPE: Single answer
integer
INCLUSION CRITERIA: Patients with surgery/radiotherapy TIMING: Baseline, 6 months, 1 year post treatment, tracked annually up to 10 years REPORTING SOURCE: Patient-reported TYPE: Single answer
integer
EORTCQLQC