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Eligibility Breast Cancer NCT02462200

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
newly diagnosed, biopsy-proven stage 0-ii breast cancer.
Description

Breast Carcinoma TNM Breast tumor staging Biopsy

Data type

boolean

Alias
UMLS CUI [1,1]
C0678222
UMLS CUI [1,2]
C0474926
UMLS CUI [1,3]
C0005558
planning to undergo breast-conserving surgery.
Description

Breast-Conserving Surgery Planned

Data type

boolean

Alias
UMLS CUI [1,1]
C0917927
UMLS CUI [1,2]
C1301732
at least 18 years of age and no more than 85 years of age.
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
female.
Description

Gender

Data type

boolean

Alias
UMLS CUI [1]
C0079399
able to understand and willing to sign an irb-approved written informed consent document.
Description

Informed Consent

Data type

boolean

Alias
UMLS CUI [1]
C0021430
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
prior surgical treatment for this diagnosis.
Description

Operative Surgical Procedures Previous Breast Carcinoma

Data type

boolean

Alias
UMLS CUI [1,1]
C0543467
UMLS CUI [1,2]
C0205156
UMLS CUI [1,3]
C0678222
undergone neoadjuvant chemotherapy.
Description

Chemotherapy Neoadjuvant

Data type

boolean

Alias
UMLS CUI [1,1]
C0392920
UMLS CUI [1,2]
C1298676
history of prior chest radiation therapy.
Description

Radiotherapy to thorax

Data type

boolean

Alias
UMLS CUI [1]
C4038705
known metastatic disease.
Description

Neoplasm Metastasis

Data type

boolean

Alias
UMLS CUI [1]
C0027627
pregnant.
Description

Pregnancy

Data type

boolean

Alias
UMLS CUI [1]
C0032961
preference for mastectomy instead of breast-conserving surgery.
Description

Preference Mastectomy | Breast-Conserving Surgery Rejected

Data type

boolean

Alias
UMLS CUI [1,1]
C0558295
UMLS CUI [1,2]
C0024881
UMLS CUI [2,1]
C0917927
UMLS CUI [2,2]
C1548437
history of other malignancy ≤ 5 years previous with the exception of basal cell or squamous cell carcinoma of the skin which were treated with local resection only or carcinoma in situ of the cervix.
Description

Cancer Other | Exception Local excision Basal cell carcinoma | Exception Local excision Squamous cell carcinoma of skin | Exception Carcinoma in situ of uterine cervix

Data type

boolean

Alias
UMLS CUI [1]
C1707251
UMLS CUI [2,1]
C1705847
UMLS CUI [2,2]
C0278259
UMLS CUI [2,3]
C0007117
UMLS CUI [3,1]
C1705847
UMLS CUI [3,2]
C0278259
UMLS CUI [3,3]
C0553723
UMLS CUI [4,1]
C1705847
UMLS CUI [4,2]
C0851140
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Similar models

Eligibility Breast Cancer NCT02462200

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Breast Carcinoma TNM Breast tumor staging Biopsy
Item
newly diagnosed, biopsy-proven stage 0-ii breast cancer.
boolean
C0678222 (UMLS CUI [1,1])
C0474926 (UMLS CUI [1,2])
C0005558 (UMLS CUI [1,3])
Breast-Conserving Surgery Planned
Item
planning to undergo breast-conserving surgery.
boolean
C0917927 (UMLS CUI [1,1])
C1301732 (UMLS CUI [1,2])
Age
Item
at least 18 years of age and no more than 85 years of age.
boolean
C0001779 (UMLS CUI [1])
Gender
Item
female.
boolean
C0079399 (UMLS CUI [1])
Informed Consent
Item
able to understand and willing to sign an irb-approved written informed consent document.
boolean
C0021430 (UMLS CUI [1])
Item Group
C0680251 (UMLS CUI)
Operative Surgical Procedures Previous Breast Carcinoma
Item
prior surgical treatment for this diagnosis.
boolean
C0543467 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
C0678222 (UMLS CUI [1,3])
Chemotherapy Neoadjuvant
Item
undergone neoadjuvant chemotherapy.
boolean
C0392920 (UMLS CUI [1,1])
C1298676 (UMLS CUI [1,2])
Radiotherapy to thorax
Item
history of prior chest radiation therapy.
boolean
C4038705 (UMLS CUI [1])
Neoplasm Metastasis
Item
known metastatic disease.
boolean
C0027627 (UMLS CUI [1])
Pregnancy
Item
pregnant.
boolean
C0032961 (UMLS CUI [1])
Preference Mastectomy | Breast-Conserving Surgery Rejected
Item
preference for mastectomy instead of breast-conserving surgery.
boolean
C0558295 (UMLS CUI [1,1])
C0024881 (UMLS CUI [1,2])
C0917927 (UMLS CUI [2,1])
C1548437 (UMLS CUI [2,2])
Cancer Other | Exception Local excision Basal cell carcinoma | Exception Local excision Squamous cell carcinoma of skin | Exception Carcinoma in situ of uterine cervix
Item
history of other malignancy ≤ 5 years previous with the exception of basal cell or squamous cell carcinoma of the skin which were treated with local resection only or carcinoma in situ of the cervix.
boolean
C1707251 (UMLS CUI [1])
C1705847 (UMLS CUI [2,1])
C0278259 (UMLS CUI [2,2])
C0007117 (UMLS CUI [2,3])
C1705847 (UMLS CUI [3,1])
C0278259 (UMLS CUI [3,2])
C0553723 (UMLS CUI [3,3])
C1705847 (UMLS CUI [4,1])
C0851140 (UMLS CUI [4,2])
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