ID

38326

Beschrijving

Living Conditions and Breast Cancer; ODM derived from: https://clinicaltrials.gov/show/NCT01626950

Link

https://clinicaltrials.gov/show/NCT01626950

Trefwoorden

Versies (1)
  1. 10-10-19 10-10-19 -
Houder van rechten

See clinicaltrials.gov

Geüploaded op

10 oktober 2019

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY 4.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

Eligibility Breast Neoplasms NCT01626950

Engels

Eligibility Breast Neoplasms NCT01626950

1 Formulieren  
Criteria
Beschrijving

Criteria

patient has been correctly informed about the study, and agrees to participate
Beschrijving

Informed Consent

Datatype

boolean

Alias
UMLS CUI [1]
C0021430
the patient must be insured or beneficiary of a health insurance plan
Beschrijving

Patient Health insurance plan Affiliated | Patient Health insurance plan beneficiary

Datatype

boolean

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0679933
UMLS CUI [1,3]
C1510826
UMLS CUI [2,1]
C0030705
UMLS CUI [2,2]
C0679933
UMLS CUI [2,3]
C1550502
incident breast cancer cases (diagnosis based on pathology) excluding sarcoma, classifiable as stage iii-iv, surgical cases
Beschrijving

Breast Carcinoma | Exception Sarcoma TNM clinical staging | Exception Operative Surgical Procedures

Datatype

boolean

Alias
UMLS CUI [1]
C0678222
UMLS CUI [2,1]
C1705847
UMLS CUI [2,2]
C1261473
UMLS CUI [2,3]
C3258246
UMLS CUI [3,1]
C1705847
UMLS CUI [3,2]
C0543467
inclusion criteria (for controls):
Beschrijving

Inclusion criteria | Control Group

Datatype

boolean

Alias
UMLS CUI [1]
C1512693
UMLS CUI [2]
C0009932
patient has been correctly informed about the study, and agrees to participate
Beschrijving

Informed Consent

Datatype

boolean

Alias
UMLS CUI [1]
C0021430
the patient must be insured or beneficiary of a health insurance plan
Beschrijving

Patient Health insurance plan Affiliated | Patient Health insurance plan beneficiary

Datatype

boolean

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C0679933
UMLS CUI [1,3]
C1510826
UMLS CUI [2,1]
C0030705
UMLS CUI [2,2]
C0679933
UMLS CUI [2,3]
C1550502
incident breast cancer cases (diagnosis based on pathology) excluding sarcoma, classifiable as stage i-ii, surgical cases
Beschrijving

Breast Carcinoma | Exception Sarcoma TNM clinical staging | Exception Operative Surgical Procedures

Datatype

boolean

Alias
UMLS CUI [1]
C0678222
UMLS CUI [2,1]
C1705847
UMLS CUI [2,2]
C1261473
UMLS CUI [2,3]
C3258246
UMLS CUI [3,1]
C1705847
UMLS CUI [3,2]
C0543467
exclusion criteria (for cases and controls):
Beschrijving

Exclusion Criteria | Clinical Study Case | Control Group

Datatype

boolean

Alias
UMLS CUI [1]
C0680251
UMLS CUI [2]
C1706256
UMLS CUI [3]
C0009932
the patient is in an exclusion period determined by a previous study
Beschrijving

Exclusion Clinical Trial Period

Datatype

boolean

Alias
UMLS CUI [1,1]
C2828389
UMLS CUI [1,2]
C2347804
the patient is under judicial protection, under tutorship or curatorship
Beschrijving

Protection of patient Judicial aspects | Patient Guardianship

Datatype

boolean

Alias
UMLS CUI [1,1]
C0412786
UMLS CUI [1,2]
C0243116
UMLS CUI [2,1]
C0030705
UMLS CUI [2,2]
C0870627
the patient is pregnant, parturient, or breastfeeding
Beschrijving

Pregnancy | Childbirth | Breast Feeding

Datatype

boolean

Alias
UMLS CUI [1]
C0032961
UMLS CUI [2]
C1148523
UMLS CUI [3]
C0006147
the patient is opposed to study participation
Beschrijving

Study Subject Participation Status Refusal to Participate

Datatype

boolean

Alias
UMLS CUI [1,1]
C2348568
UMLS CUI [1,2]
C1136454
women not able to answer a questionnaire due to language barriers or due to vascular or degenerative cerebral dysfunction
Beschrijving

Gender | Questionnaire Completion Unable | Language Barriers | Cerebral dysfunction Vascular | Cerebral dysfunction Degenerative

Datatype

boolean

Alias
UMLS CUI [1]
C0079399
UMLS CUI [2,1]
C0034394
UMLS CUI [2,2]
C0205197
UMLS CUI [2,3]
C1299582
UMLS CUI [3]
C0237167
UMLS CUI [4,1]
C0262405
UMLS CUI [4,2]
C1801960
UMLS CUI [5,1]
C0262405
UMLS CUI [5,2]
C1285162
it is impossible to correctly inform the patient
Beschrijving

Patient Information Unsuccessful

Datatype

boolean

Alias
UMLS CUI [1,1]
C1955348
UMLS CUI [1,2]
C1272705
Terug naar het begin van de pagina

Similar models

Eligibility Breast Neoplasms NCT01626950

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Informed Consent
Item
patient has been correctly informed about the study, and agrees to participate
boolean
C0021430 (UMLS CUI [1])
Patient Health insurance plan Affiliated | Patient Health insurance plan beneficiary
Item
the patient must be insured or beneficiary of a health insurance plan
boolean
C0030705 (UMLS CUI [1,1])
C0679933 (UMLS CUI [1,2])
C1510826 (UMLS CUI [1,3])
C0030705 (UMLS CUI [2,1])
C0679933 (UMLS CUI [2,2])
C1550502 (UMLS CUI [2,3])
Breast Carcinoma | Exception Sarcoma TNM clinical staging | Exception Operative Surgical Procedures
Item
incident breast cancer cases (diagnosis based on pathology) excluding sarcoma, classifiable as stage iii-iv, surgical cases
boolean
C0678222 (UMLS CUI [1])
C1705847 (UMLS CUI [2,1])
C1261473 (UMLS CUI [2,2])
C3258246 (UMLS CUI [2,3])
C1705847 (UMLS CUI [3,1])
C0543467 (UMLS CUI [3,2])
Inclusion criteria | Control Group
Item
inclusion criteria (for controls):
boolean
C1512693 (UMLS CUI [1])
C0009932 (UMLS CUI [2])
Informed Consent
Item
patient has been correctly informed about the study, and agrees to participate
boolean
C0021430 (UMLS CUI [1])
Patient Health insurance plan Affiliated | Patient Health insurance plan beneficiary
Item
the patient must be insured or beneficiary of a health insurance plan
boolean
C0030705 (UMLS CUI [1,1])
C0679933 (UMLS CUI [1,2])
C1510826 (UMLS CUI [1,3])
C0030705 (UMLS CUI [2,1])
C0679933 (UMLS CUI [2,2])
C1550502 (UMLS CUI [2,3])
Breast Carcinoma | Exception Sarcoma TNM clinical staging | Exception Operative Surgical Procedures
Item
incident breast cancer cases (diagnosis based on pathology) excluding sarcoma, classifiable as stage i-ii, surgical cases
boolean
C0678222 (UMLS CUI [1])
C1705847 (UMLS CUI [2,1])
C1261473 (UMLS CUI [2,2])
C3258246 (UMLS CUI [2,3])
C1705847 (UMLS CUI [3,1])
C0543467 (UMLS CUI [3,2])
Exclusion Criteria | Clinical Study Case | Control Group
Item
exclusion criteria (for cases and controls):
boolean
C0680251 (UMLS CUI [1])
C1706256 (UMLS CUI [2])
C0009932 (UMLS CUI [3])
Exclusion Clinical Trial Period
Item
the patient is in an exclusion period determined by a previous study
boolean
C2828389 (UMLS CUI [1,1])
C2347804 (UMLS CUI [1,2])
Protection of patient Judicial aspects | Patient Guardianship
Item
the patient is under judicial protection, under tutorship or curatorship
boolean
C0412786 (UMLS CUI [1,1])
C0243116 (UMLS CUI [1,2])
C0030705 (UMLS CUI [2,1])
C0870627 (UMLS CUI [2,2])
Pregnancy | Childbirth | Breast Feeding
Item
the patient is pregnant, parturient, or breastfeeding
boolean
C0032961 (UMLS CUI [1])
C1148523 (UMLS CUI [2])
C0006147 (UMLS CUI [3])
Study Subject Participation Status Refusal to Participate
Item
the patient is opposed to study participation
boolean
C2348568 (UMLS CUI [1,1])
C1136454 (UMLS CUI [1,2])
Gender | Questionnaire Completion Unable | Language Barriers | Cerebral dysfunction Vascular | Cerebral dysfunction Degenerative
Item
women not able to answer a questionnaire due to language barriers or due to vascular or degenerative cerebral dysfunction
boolean
C0079399 (UMLS CUI [1])
C0034394 (UMLS CUI [2,1])
C0205197 (UMLS CUI [2,2])
C1299582 (UMLS CUI [2,3])
C0237167 (UMLS CUI [3])
C0262405 (UMLS CUI [4,1])
C1801960 (UMLS CUI [4,2])
C0262405 (UMLS CUI [5,1])
C1285162 (UMLS CUI [5,2])
Patient Information Unsuccessful
Item
it is impossible to correctly inform the patient
boolean
C1955348 (UMLS CUI [1,1])
C1272705 (UMLS CUI [1,2])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

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