ID

38067

Beschreibung

Interventions to Increase Screening by Breast Cancer Survivors and Their High Risk Female Relatives; ODM derived from: https://clinicaltrials.gov/show/NCT01612338

Link

https://clinicaltrials.gov/show/NCT01612338

Stichworte

  1. 14.09.19 14.09.19 -
Rechteinhaber

See clinicaltrials.gov

Hochgeladen am

14. September 2019

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY 4.0

Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

Eligibility Breast Cancer NCT01612338

Eligibility Breast Cancer NCT01612338

Inclusion Criteria
Beschreibung

Inclusion Criteria

Alias
UMLS CUI
C1512693
for breast cancer survivors
Beschreibung

Breast Carcinoma Survivors

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0678222
UMLS CUI [1,2]
C0206194
female
Beschreibung

Gender

Datentyp

boolean

Alias
UMLS CUI [1]
C0079399
20-64 years of age
Beschreibung

Age

Datentyp

boolean

Alias
UMLS CUI [1]
C0001779
being diagnosed with invasive breast cancer between 20 and 45 years of age
Beschreibung

Invasive carcinoma of breast | Age

Datentyp

boolean

Alias
UMLS CUI [1]
C0853879
UMLS CUI [2]
C0001779
being diagnosed with dcis between 20 and 45 years of age
Beschreibung

DCIS | Age

Datentyp

boolean

Alias
UMLS CUI [1]
C0007124
UMLS CUI [2]
C0001779
michigan resident at time of diagnosis
Beschreibung

Resident Michigan

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2347958
UMLS CUI [1,2]
C0025939
able to read and understand english
Beschreibung

Able to read English Language | Comprehension English Language

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0586740
UMLS CUI [1,2]
C0376245
UMLS CUI [2,1]
C0233733
UMLS CUI [2,2]
C0376245
not currently pregnant, incarcerated, or institutionalized
Beschreibung

Pregnancy Absent | Persons incarcerated Absent | Institutionalized Persons Absent

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0032961
UMLS CUI [1,2]
C0332197
UMLS CUI [2,1]
C0027361
UMLS CUI [2,2]
C0392751
UMLS CUI [2,3]
C0332197
UMLS CUI [3,1]
C0376326
UMLS CUI [3,2]
C0332197
for high risk relatives
Beschreibung

High risk Relatives

Datentyp

boolean

Alias
UMLS CUI [1,1]
C4319571
UMLS CUI [1,2]
C0080103
female
Beschreibung

Gender

Datentyp

boolean

Alias
UMLS CUI [1]
C0079399
first- or second- degree relatives of survivor
Beschreibung

First Degree Relative Survivor | Second Degree Relative Survivor

Datentyp

boolean

Alias
UMLS CUI [1,1]
C1517194
UMLS CUI [1,2]
C0206194
UMLS CUI [2,1]
C1519210
UMLS CUI [2,2]
C0206194
25-64 years of age
Beschreibung

Age

Datentyp

boolean

Alias
UMLS CUI [1]
C0001779
us resident
Beschreibung

Resident United States

Datentyp

boolean

Alias
UMLS CUI [1,1]
C2347958
UMLS CUI [1,2]
C0041703
able to read and understand english
Beschreibung

Able to read English Language | Comprehension English Language

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0586740
UMLS CUI [1,2]
C0376245
UMLS CUI [2,1]
C0233733
UMLS CUI [2,2]
C0376245
unaffected with any type of cancer
Beschreibung

Absence Patient affected by Cancer

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0332197
UMLS CUI [1,2]
C0522476
UMLS CUI [1,3]
C0006826
not currently pregnant, incarcerated, or institutionalized
Beschreibung

Pregnancy Absent | Persons incarcerated Absent | Institutionalized Persons Absent

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0032961
UMLS CUI [1,2]
C0332197
UMLS CUI [2,1]
C0027361
UMLS CUI [2,2]
C0392751
UMLS CUI [2,3]
C0332197
UMLS CUI [3,1]
C0376326
UMLS CUI [3,2]
C0332197
survivor is willing to contact
Beschreibung

Survivor Willing Contact

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0206194
UMLS CUI [1,2]
C0600109
UMLS CUI [1,3]
C0332158
Exclusion Criteria
Beschreibung

Exclusion Criteria

Alias
UMLS CUI
C0680251

Ähnliche Modelle

Eligibility Breast Cancer NCT01612338

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
C1512693 (UMLS CUI)
Breast Carcinoma Survivors
Item
for breast cancer survivors
boolean
C0678222 (UMLS CUI [1,1])
C0206194 (UMLS CUI [1,2])
Gender
Item
female
boolean
C0079399 (UMLS CUI [1])
Age
Item
20-64 years of age
boolean
C0001779 (UMLS CUI [1])
Invasive carcinoma of breast | Age
Item
being diagnosed with invasive breast cancer between 20 and 45 years of age
boolean
C0853879 (UMLS CUI [1])
C0001779 (UMLS CUI [2])
DCIS | Age
Item
being diagnosed with dcis between 20 and 45 years of age
boolean
C0007124 (UMLS CUI [1])
C0001779 (UMLS CUI [2])
Resident Michigan
Item
michigan resident at time of diagnosis
boolean
C2347958 (UMLS CUI [1,1])
C0025939 (UMLS CUI [1,2])
Able to read English Language | Comprehension English Language
Item
able to read and understand english
boolean
C0586740 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
C0233733 (UMLS CUI [2,1])
C0376245 (UMLS CUI [2,2])
Pregnancy Absent | Persons incarcerated Absent | Institutionalized Persons Absent
Item
not currently pregnant, incarcerated, or institutionalized
boolean
C0032961 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
C0027361 (UMLS CUI [2,1])
C0392751 (UMLS CUI [2,2])
C0332197 (UMLS CUI [2,3])
C0376326 (UMLS CUI [3,1])
C0332197 (UMLS CUI [3,2])
High risk Relatives
Item
for high risk relatives
boolean
C4319571 (UMLS CUI [1,1])
C0080103 (UMLS CUI [1,2])
Gender
Item
female
boolean
C0079399 (UMLS CUI [1])
First Degree Relative Survivor | Second Degree Relative Survivor
Item
first- or second- degree relatives of survivor
boolean
C1517194 (UMLS CUI [1,1])
C0206194 (UMLS CUI [1,2])
C1519210 (UMLS CUI [2,1])
C0206194 (UMLS CUI [2,2])
Age
Item
25-64 years of age
boolean
C0001779 (UMLS CUI [1])
Resident United States
Item
us resident
boolean
C2347958 (UMLS CUI [1,1])
C0041703 (UMLS CUI [1,2])
Able to read English Language | Comprehension English Language
Item
able to read and understand english
boolean
C0586740 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
C0233733 (UMLS CUI [2,1])
C0376245 (UMLS CUI [2,2])
Absence Patient affected by Cancer
Item
unaffected with any type of cancer
boolean
C0332197 (UMLS CUI [1,1])
C0522476 (UMLS CUI [1,2])
C0006826 (UMLS CUI [1,3])
Pregnancy Absent | Persons incarcerated Absent | Institutionalized Persons Absent
Item
not currently pregnant, incarcerated, or institutionalized
boolean
C0032961 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
C0027361 (UMLS CUI [2,1])
C0392751 (UMLS CUI [2,2])
C0332197 (UMLS CUI [2,3])
C0376326 (UMLS CUI [3,1])
C0332197 (UMLS CUI [3,2])
Survivor Willing Contact
Item
survivor is willing to contact
boolean
C0206194 (UMLS CUI [1,1])
C0600109 (UMLS CUI [1,2])
C0332158 (UMLS CUI [1,3])
Item Group
C0680251 (UMLS CUI)

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video