ID

38035

Beskrivning

Epigenetic Testing for Breast Cancer Risk Stratification; ODM derived from: https://clinicaltrials.gov/show/NCT01501656

Länk

https://clinicaltrials.gov/show/NCT01501656

Nyckelord

Versioner (1)
  1. 2019-09-10 2019-09-10 -
Rättsinnehavare

See clinicaltrials.gov

Uppladdad den

10 september 2019

DOI

För en begäran logga in.

Licens

Creative Commons BY 4.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Eligibility Breast Cancer NCT01501656

Engelsk

Eligibility Breast Cancer NCT01501656

1 Formulär  
Inclusion Criteria
Beskrivning

Inclusion Criteria

Alias
UMLS CUI
C1512693
women between the ages of 30 and 79.
Beskrivning

Gender | Age

Datatyp

boolean

Alias
UMLS CUI [1]
C0079399
UMLS CUI [2]
C0001779
untreated stage 1 - 3 invasive breast cancer or a woman never diagnosed with breast cancer.
Beskrivning

Invasive carcinoma of breast Untreated TNM Breast tumor staging | Gender Breast Carcinoma Absent

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0853879
UMLS CUI [1,2]
C0332155
UMLS CUI [1,3]
C0474926
UMLS CUI [2,1]
C0079399
UMLS CUI [2,2]
C0678222
UMLS CUI [2,3]
C0332197
bi-rads 1, 2, or 3 breast imaging within 12 months for women >40 years of age recruited into the control group.
Beskrivning

BI-RADS Breast imaging study | Gender | Age | Control Group

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1511314
UMLS CUI [1,2]
C1134632
UMLS CUI [2]
C0079399
UMLS CUI [3]
C0001779
UMLS CUI [4]
C0009932
Exclusion Criteria
Beskrivning

Exclusion Criteria

Alias
UMLS CUI
C0680251
<30 or >80 years of age
Beskrivning

Age

Datatyp

boolean

Alias
UMLS CUI [1]
C0001779
unable to provide informed consent
Beskrivning

Informed Consent Unable

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C1299582
presence of an undefined palpable or mammographic breast lesion suspicious for malignancy (birads 4 or 5)
Beskrivning

Lesion of breast Palpable Suspicious for Malignancy | Lesion of breast Mammography Suspicious for Malignancy | Lesion of breast BI-RADS

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0567489
UMLS CUI [1,2]
C0522499
UMLS CUI [1,3]
C4050405
UMLS CUI [2,1]
C0567489
UMLS CUI [2,2]
C0024671
UMLS CUI [2,3]
C4050405
UMLS CUI [3,1]
C0567489
UMLS CUI [3,2]
C1511314
breast implants
Beskrivning

Breast implants

Datatyp

boolean

Alias
UMLS CUI [1]
C0179412
bilateral prophylactic mastectomy
Beskrivning

Bilateral Prophylactic Mastectomy

Datatyp

boolean

Alias
UMLS CUI [1]
C1706504
any prior breasts irradiation
Beskrivning

Irradiation of breast Previous

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2148528
UMLS CUI [1,2]
C0205156
any systemic chemotherapy in the past
Beskrivning

Systemic Chemotherapy In the past

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1883256
UMLS CUI [1,2]
C1444637
performance status that restricted normal activity for a significant portion of the day
Beskrivning

Performance status | Activity Normal Restricted

Datatyp

boolean

Alias
UMLS CUI [1]
C1518965
UMLS CUI [2,1]
C0441655
UMLS CUI [2,2]
C0205307
UMLS CUI [2,3]
C0443288
use of luteinizing-hormone-releasing-hormone (lhrh) analogs, prolactin inhibitors, antiandrogens, or systemic glucocorticoids within three months
Beskrivning

LH-RH Analogs | Prolactin inhibitors | Androgen Antagonists | Glucocorticoids, Systemic

Datatyp

boolean

Alias
UMLS CUI [1]
C1518041
UMLS CUI [2,1]
C0033371
UMLS CUI [2,2]
C0243077
UMLS CUI [3]
C0002842
UMLS CUI [4]
C3540777
ever use of tamoxifen, raloxifene, or other serms
Beskrivning

Tamoxifen | Raloxifene | Selective Estrogen Receptor Modulators

Datatyp

boolean

Alias
UMLS CUI [1]
C0039286
UMLS CUI [2]
C0244404
UMLS CUI [3]
C0732611
ever use of aromatase inhibitors
Beskrivning

Aromatase Inhibitors

Datatyp

boolean

Alias
UMLS CUI [1]
C0593802
pregnancy or lactation within six months
Beskrivning

Pregnancy | Breast Feeding

Datatyp

boolean

Alias
UMLS CUI [1]
C0032961
UMLS CUI [2]
C0006147
bleeding diathesis of any kind
Beskrivning

Bleeding tendency Kind Any

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1458140
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C1552551
1. inherited coagulation disorder
Beskrivning

Blood Coagulation Disorders, Inherited

Datatyp

boolean

Alias
UMLS CUI [1]
C0852077
2. current coumadin use
Beskrivning

COUMADIN USE

Datatyp

boolean

Alias
UMLS CUI [1]
C0239136
3. use of drugs that inhibit platelet aggregation within 10 days
Beskrivning

Pharmaceutical Preparations Preventing Platelet aggregation

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1292733
UMLS CUI [1,3]
C0032176
Tillbaka till toppen

Similar models

Eligibility Breast Cancer NCT01501656

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
C1512693 (UMLS CUI)
Gender | Age
Item
women between the ages of 30 and 79.
boolean
C0079399 (UMLS CUI [1])
C0001779 (UMLS CUI [2])
Invasive carcinoma of breast Untreated TNM Breast tumor staging | Gender Breast Carcinoma Absent
Item
untreated stage 1 - 3 invasive breast cancer or a woman never diagnosed with breast cancer.
boolean
C0853879 (UMLS CUI [1,1])
C0332155 (UMLS CUI [1,2])
C0474926 (UMLS CUI [1,3])
C0079399 (UMLS CUI [2,1])
C0678222 (UMLS CUI [2,2])
C0332197 (UMLS CUI [2,3])
BI-RADS Breast imaging study | Gender | Age | Control Group
Item
bi-rads 1, 2, or 3 breast imaging within 12 months for women >40 years of age recruited into the control group.
boolean
C1511314 (UMLS CUI [1,1])
C1134632 (UMLS CUI [1,2])
C0079399 (UMLS CUI [2])
C0001779 (UMLS CUI [3])
C0009932 (UMLS CUI [4])
Item Group
C0680251 (UMLS CUI)
Age
Item
<30 or >80 years of age
boolean
C0001779 (UMLS CUI [1])
Informed Consent Unable
Item
unable to provide informed consent
boolean
C0021430 (UMLS CUI [1,1])
C1299582 (UMLS CUI [1,2])
Lesion of breast Palpable Suspicious for Malignancy | Lesion of breast Mammography Suspicious for Malignancy | Lesion of breast BI-RADS
Item
presence of an undefined palpable or mammographic breast lesion suspicious for malignancy (birads 4 or 5)
boolean
C0567489 (UMLS CUI [1,1])
C0522499 (UMLS CUI [1,2])
C4050405 (UMLS CUI [1,3])
C0567489 (UMLS CUI [2,1])
C0024671 (UMLS CUI [2,2])
C4050405 (UMLS CUI [2,3])
C0567489 (UMLS CUI [3,1])
C1511314 (UMLS CUI [3,2])
Breast implants
Item
breast implants
boolean
C0179412 (UMLS CUI [1])
Bilateral Prophylactic Mastectomy
Item
bilateral prophylactic mastectomy
boolean
C1706504 (UMLS CUI [1])
Irradiation of breast Previous
Item
any prior breasts irradiation
boolean
C2148528 (UMLS CUI [1,1])
C0205156 (UMLS CUI [1,2])
Systemic Chemotherapy In the past
Item
any systemic chemotherapy in the past
boolean
C1883256 (UMLS CUI [1,1])
C1444637 (UMLS CUI [1,2])
Performance status | Activity Normal Restricted
Item
performance status that restricted normal activity for a significant portion of the day
boolean
C1518965 (UMLS CUI [1])
C0441655 (UMLS CUI [2,1])
C0205307 (UMLS CUI [2,2])
C0443288 (UMLS CUI [2,3])
LH-RH Analogs | Prolactin inhibitors | Androgen Antagonists | Glucocorticoids, Systemic
Item
use of luteinizing-hormone-releasing-hormone (lhrh) analogs, prolactin inhibitors, antiandrogens, or systemic glucocorticoids within three months
boolean
C1518041 (UMLS CUI [1])
C0033371 (UMLS CUI [2,1])
C0243077 (UMLS CUI [2,2])
C0002842 (UMLS CUI [3])
C3540777 (UMLS CUI [4])
Tamoxifen | Raloxifene | Selective Estrogen Receptor Modulators
Item
ever use of tamoxifen, raloxifene, or other serms
boolean
C0039286 (UMLS CUI [1])
C0244404 (UMLS CUI [2])
C0732611 (UMLS CUI [3])
Aromatase Inhibitors
Item
ever use of aromatase inhibitors
boolean
C0593802 (UMLS CUI [1])
Pregnancy | Breast Feeding
Item
pregnancy or lactation within six months
boolean
C0032961 (UMLS CUI [1])
C0006147 (UMLS CUI [2])
Bleeding tendency Kind Any
Item
bleeding diathesis of any kind
boolean
C1458140 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1552551 (UMLS CUI [1,3])
Blood Coagulation Disorders, Inherited
Item
1. inherited coagulation disorder
boolean
C0852077 (UMLS CUI [1])
COUMADIN USE
Item
2. current coumadin use
boolean
C0239136 (UMLS CUI [1])
Pharmaceutical Preparations Preventing Platelet aggregation
Item
3. use of drugs that inhibit platelet aggregation within 10 days
boolean
C0013227 (UMLS CUI [1,1])
C1292733 (UMLS CUI [1,2])
C0032176 (UMLS CUI [1,3])
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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