ID

37989

Description

Prediction of Pain After Breast Cancer Surgery With EEG; ODM derived from: https://clinicaltrials.gov/show/NCT01392248

Lien

https://clinicaltrials.gov/show/NCT01392248

Mots-clés

Versions (1)
  1. 05/09/2019 05/09/2019 -
Détendeur de droits

See clinicaltrials.gov

Téléchargé le

5 septembre 2019

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY 4.0
Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Retour au modèle Commentaires
Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Eligibility Breast Cancer NCT01392248

Anglais

Eligibility Breast Cancer NCT01392248

1 Formulaires  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
age 18 - 65 years.
Description

Age

Type de données

boolean

Alias
UMLS CUI [1]
C0001779
asa 1-2.
Description

ASA physical status classification

Type de données

boolean

Alias
UMLS CUI [1]
C0450990
sufficient comprehension of the dutch spoken and written language.
Description

Comprehension Spoken Dutch Language | Comprehension Written Dutch Language

Type de données

boolean

Alias
UMLS CUI [1,1]
C0233733
UMLS CUI [1,2]
C0424919
UMLS CUI [1,3]
C0376241
UMLS CUI [2,1]
C0233733
UMLS CUI [2,2]
C0681288
UMLS CUI [2,3]
C0376241
elective curative breast cancer surgery, both mastectomy and breast- conserving therapy
Description

Breast Carcinoma Curative Surgery elective | Mastectomy | Breast-conserving therapy

Type de données

boolean

Alias
UMLS CUI [1,1]
C0678222
UMLS CUI [1,2]
C1511562
UMLS CUI [1,3]
C0439608
UMLS CUI [2]
C0024881
UMLS CUI [3]
C0024885
stage i and ii breast cancer.
Description

Breast Carcinoma TNM Breast tumor staging

Type de données

boolean

Alias
UMLS CUI [1,1]
C0678222
UMLS CUI [1,2]
C0474926
written informed consent is obtained
Description

Informed Consent

Type de données

boolean

Alias
UMLS CUI [1]
C0021430
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
previous breast surgery, both ipsilateral and contralateral.
Description

Previous breast surgery Ipsilateral | Previous breast surgery Contralateral

Type de données

boolean

Alias
UMLS CUI [1,1]
C4062914
UMLS CUI [1,2]
C0441989
UMLS CUI [2,1]
C4062914
UMLS CUI [2,2]
C0441988
stage iii-iv breast cancer.
Description

Breast Carcinoma TNM Breast tumor staging

Type de données

boolean

Alias
UMLS CUI [1,1]
C0678222
UMLS CUI [1,2]
C0474926
chronic pain (>3months) with an average severity of at least a vas score 4 during the last two weeks.
Description

Chronic pain Average Severity Visual Analog Pain Scale

Type de données

boolean

Alias
UMLS CUI [1,1]
C0150055
UMLS CUI [1,2]
C3641836
UMLS CUI [1,3]
C0042815
chronic pain for which invasive treatment is needed.
Description

Chronic pain | Invasive treatment Needed

Type de données

boolean

Alias
UMLS CUI [1]
C0150055
UMLS CUI [2,1]
C0683468
UMLS CUI [2,2]
C0027552
use of (weak / strong) opioids in the last week.
Description

Use of Opioids Weak | Use of Opioids Strong

Type de données

boolean

Alias
UMLS CUI [1,1]
C1524063
UMLS CUI [1,2]
C0242402
UMLS CUI [1,3]
C1762617
UMLS CUI [2,1]
C1524063
UMLS CUI [2,2]
C0242402
UMLS CUI [2,3]
C0442821
a history of opioid addiction.
Description

Opioid Addiction

Type de données

boolean

Alias
UMLS CUI [1]
C0524662
regular use of the following medications in the last year:
Description

Pharmaceutical Preparations Specified Regular

Type de données

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0205369
UMLS CUI [1,3]
C0205272
antiepileptics,antipsychotics and anxiolytics.
Description

Antiepileptic Agents | Antipsychotic Agents | Anti-Anxiety Agents

Type de données

boolean

Alias
UMLS CUI [1]
C0003299
UMLS CUI [2]
C0040615
UMLS CUI [3]
C0040616
asa 3 or higher.
Description

ASA physical status classification

Type de données

boolean

Alias
UMLS CUI [1]
C0450990
consumption of alcohol (>4 units) and / or drugs the evening before.
Description

Alcohol consumption Units Quantity Recently | Drug consumption Recently

Type de données

boolean

Alias
UMLS CUI [1,1]
C0001948
UMLS CUI [1,2]
C0556604
UMLS CUI [1,3]
C1265611
UMLS CUI [1,4]
C0332185
UMLS CUI [2,1]
C0678263
UMLS CUI [2,2]
C0332185
alcohol consumption (>= 5 units/day).
Description

Alcohol consumption units/day

Type de données

boolean

Alias
UMLS CUI [1,1]
C0001948
UMLS CUI [1,2]
C0560578
illiteracy, problems with self expression, language barrier.
Description

Illiteracy | Difficulty using self-expression | Language Barriers

Type de données

boolean

Alias
UMLS CUI [1]
C0020899
UMLS CUI [2]
C0566165
UMLS CUI [3]
C0237167
serious vision and / or hearing problems, interfering the performance of the experimental tasks.
Description

Visual Impairment Serious | Hearing problem Serious | Interference Performance Task Experimental

Type de données

boolean

Alias
UMLS CUI [1,1]
C3665347
UMLS CUI [1,2]
C0205404
UMLS CUI [2,1]
C0260662
UMLS CUI [2,2]
C0205404
UMLS CUI [3,1]
C0521102
UMLS CUI [3,2]
C0597198
UMLS CUI [3,3]
C3540678
UMLS CUI [3,4]
C1517586
a history of psychiatric complaints and/or epilepsy .
Description

Complaints Psychiatric | Epilepsy

Type de données

boolean

Alias
UMLS CUI [1,1]
C0277786
UMLS CUI [1,2]
C0205487
UMLS CUI [2]
C0014544
a medical history of cva or tia.
Description

Medical History Cerebrovascular accident | Medical History Transient Ischemic Attack

Type de données

boolean

Alias
UMLS CUI [1,1]
C0262926
UMLS CUI [1,2]
C0038454
UMLS CUI [2,1]
C0262926
UMLS CUI [2,2]
C0007787
Retour au début de la page

Similar models

Eligibility Breast Cancer NCT01392248

1 Formulaires
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
C1512693 (UMLS CUI)
Age
Item
age 18 - 65 years.
boolean
C0001779 (UMLS CUI [1])
ASA physical status classification
Item
asa 1-2.
boolean
C0450990 (UMLS CUI [1])
Comprehension Spoken Dutch Language | Comprehension Written Dutch Language
Item
sufficient comprehension of the dutch spoken and written language.
boolean
C0233733 (UMLS CUI [1,1])
C0424919 (UMLS CUI [1,2])
C0376241 (UMLS CUI [1,3])
C0233733 (UMLS CUI [2,1])
C0681288 (UMLS CUI [2,2])
C0376241 (UMLS CUI [2,3])
Breast Carcinoma Curative Surgery elective | Mastectomy | Breast-conserving therapy
Item
elective curative breast cancer surgery, both mastectomy and breast- conserving therapy
boolean
C0678222 (UMLS CUI [1,1])
C1511562 (UMLS CUI [1,2])
C0439608 (UMLS CUI [1,3])
C0024881 (UMLS CUI [2])
C0024885 (UMLS CUI [3])
Breast Carcinoma TNM Breast tumor staging
Item
stage i and ii breast cancer.
boolean
C0678222 (UMLS CUI [1,1])
C0474926 (UMLS CUI [1,2])
Informed Consent
Item
written informed consent is obtained
boolean
C0021430 (UMLS CUI [1])
Item Group
C0680251 (UMLS CUI)
Previous breast surgery Ipsilateral | Previous breast surgery Contralateral
Item
previous breast surgery, both ipsilateral and contralateral.
boolean
C4062914 (UMLS CUI [1,1])
C0441989 (UMLS CUI [1,2])
C4062914 (UMLS CUI [2,1])
C0441988 (UMLS CUI [2,2])
Breast Carcinoma TNM Breast tumor staging
Item
stage iii-iv breast cancer.
boolean
C0678222 (UMLS CUI [1,1])
C0474926 (UMLS CUI [1,2])
Chronic pain Average Severity Visual Analog Pain Scale
Item
chronic pain (>3months) with an average severity of at least a vas score 4 during the last two weeks.
boolean
C0150055 (UMLS CUI [1,1])
C3641836 (UMLS CUI [1,2])
C0042815 (UMLS CUI [1,3])
Chronic pain | Invasive treatment Needed
Item
chronic pain for which invasive treatment is needed.
boolean
C0150055 (UMLS CUI [1])
C0683468 (UMLS CUI [2,1])
C0027552 (UMLS CUI [2,2])
Use of Opioids Weak | Use of Opioids Strong
Item
use of (weak / strong) opioids in the last week.
boolean
C1524063 (UMLS CUI [1,1])
C0242402 (UMLS CUI [1,2])
C1762617 (UMLS CUI [1,3])
C1524063 (UMLS CUI [2,1])
C0242402 (UMLS CUI [2,2])
C0442821 (UMLS CUI [2,3])
Opioid Addiction
Item
a history of opioid addiction.
boolean
C0524662 (UMLS CUI [1])
Pharmaceutical Preparations Specified Regular
Item
regular use of the following medications in the last year:
boolean
C0013227 (UMLS CUI [1,1])
C0205369 (UMLS CUI [1,2])
C0205272 (UMLS CUI [1,3])
Antiepileptic Agents | Antipsychotic Agents | Anti-Anxiety Agents
Item
antiepileptics,antipsychotics and anxiolytics.
boolean
C0003299 (UMLS CUI [1])
C0040615 (UMLS CUI [2])
C0040616 (UMLS CUI [3])
ASA physical status classification
Item
asa 3 or higher.
boolean
C0450990 (UMLS CUI [1])
Alcohol consumption Units Quantity Recently | Drug consumption Recently
Item
consumption of alcohol (>4 units) and / or drugs the evening before.
boolean
C0001948 (UMLS CUI [1,1])
C0556604 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C0332185 (UMLS CUI [1,4])
C0678263 (UMLS CUI [2,1])
C0332185 (UMLS CUI [2,2])
Alcohol consumption units/day
Item
alcohol consumption (>= 5 units/day).
boolean
C0001948 (UMLS CUI [1,1])
C0560578 (UMLS CUI [1,2])
Illiteracy | Difficulty using self-expression | Language Barriers
Item
illiteracy, problems with self expression, language barrier.
boolean
C0020899 (UMLS CUI [1])
C0566165 (UMLS CUI [2])
C0237167 (UMLS CUI [3])
Visual Impairment Serious | Hearing problem Serious | Interference Performance Task Experimental
Item
serious vision and / or hearing problems, interfering the performance of the experimental tasks.
boolean
C3665347 (UMLS CUI [1,1])
C0205404 (UMLS CUI [1,2])
C0260662 (UMLS CUI [2,1])
C0205404 (UMLS CUI [2,2])
C0521102 (UMLS CUI [3,1])
C0597198 (UMLS CUI [3,2])
C3540678 (UMLS CUI [3,3])
C1517586 (UMLS CUI [3,4])
Complaints Psychiatric | Epilepsy
Item
a history of psychiatric complaints and/or epilepsy .
boolean
C0277786 (UMLS CUI [1,1])
C0205487 (UMLS CUI [1,2])
C0014544 (UMLS CUI [2])
Medical History Cerebrovascular accident | Medical History Transient Ischemic Attack
Item
a medical history of cva or tia.
boolean
C0262926 (UMLS CUI [1,1])
C0038454 (UMLS CUI [1,2])
C0262926 (UMLS CUI [2,1])
C0007787 (UMLS CUI [2,2])
Retour au début de la page 

Contact

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Aide

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial