ID

5752

Beschreibung

SIOP CNS GCT II: Prospective Trial for the Diagnosis and Treatment of Children, Adolescents and Young Adults With Intracranial Germ Cell Tumors. Principal Investigator Gabriele Calaminus, MD. http://clinicaltrials.gov/show/NCT01424839

Link

http://clinicaltrials.gov/show/NCT01424839

Stichworte

  1. 19.09.14 19.09.14 - Martin Dugas
Hochgeladen am

19. September 2014

DOI

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Lizenz

Creative Commons BY 4.0

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SIOP CNS GCT II Medical history DRKS00003907

Medical history

  1. StudyEvent: SE
    1. Medical history
Show identification of patient
Beschreibung

Show identification of patient

Dummy
Beschreibung

Dummy

Datentyp

text

Patient’s anamnesis
Beschreibung

Patient’s anamnesis

Trisomy 21
Beschreibung

Trisomy 21

Datentyp

integer

Other syndrome
Beschreibung

Other syndrome

Datentyp

integer

Pineal cyst
Beschreibung

Pineal cyst

Datentyp

integer

Other malformations
Beschreibung

Other malformations

Datentyp

integer

Lymphocytic pituitary infiltration
Beschreibung

Lymphocytic pituitary infiltration

Datentyp

integer

Since when lymphocytic pituitary infiltration occurred
Beschreibung

Since when lymphocytic pituitary infiltration occurred

Datentyp

date

Langerhans cell histiocytosis
Beschreibung

Langerhans cell histiocytosis

Datentyp

integer

Since when Langerhans cell histiocytosis occurred
Beschreibung

Since when Langerhans cell histiocytosis occurred

Datentyp

date

Other intracranial disease
Beschreibung

Other intracranial disease

Datentyp

integer

Which other intracranial disease
Beschreibung

Which other intracranial disease

Datentyp

text

Since when other intracranial disease occurred
Beschreibung

Since when other intracranial disease occurred

Datentyp

date

Patient’s previous Treatment
Beschreibung

Patient’s previous Treatment

Previous open surgery
Beschreibung

Previous open surgery

Datentyp

integer

Date of previous open surgery
Beschreibung

Date of previous open surgery

Datentyp

date

Previous chemotherapy
Beschreibung

Previous chemotherapy

Datentyp

integer

Which previous chemotherapy
Beschreibung

Which previous chemotherapy

Datentyp

text

Start date of previous chemotherapy
Beschreibung

Start date of previous chemotherapy

Datentyp

date

End date of previous chemotherapy
Beschreibung

End date of previous chemotherapy

Datentyp

date

Previous radiotherapy
Beschreibung

Previous radiotherapy

Datentyp

integer

Which previous radiotherapy
Beschreibung

Which previous radiotherapy

Datentyp

text

Start date of previous radiotherapy
Beschreibung

Start date of previous radiotherapy

Datentyp

date

End date of previous radiotherapy
Beschreibung

End date of previous radiotherapy

Datentyp

date

Other previous tumour therapy
Beschreibung

Other previous tumour therapy

Datentyp

integer

Which other previous tumour therapy
Beschreibung

Which other previous tumour therapy

Datentyp

text

Start date of previous tumour therapy
Beschreibung

Start date of previous tumour therapy

Datentyp

date

End of previous tumour therapy
Beschreibung

End of previous tumour therapy

Datentyp

date

Family´s medical history
Beschreibung

Family´s medical history

Tumours (including benign germ cell tumours) or malignant disease known in patient´s biological family
Beschreibung

Tumours in family

Datentyp

integer

Disease in the family
Beschreibung

Disease in the family

Disease
Beschreibung

Disease

Datentyp

integer

Degree of relationship
Beschreibung

Degree of relationship

Datentyp

integer

Ähnliche Modelle

Medical history

  1. StudyEvent: SE
    1. Medical history
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Dummy
Item
Dummy
text
Item
Trisomy 21
integer
Code List
Trisomy 21
CL Item
No (1)
CL Item
Yes (2)
Item
Other syndrome
integer
Code List
Other syndrome
CL Item
No (1)
CL Item
Yes (2)
Item
Pineal cyst
integer
Code List
Pineal cyst
CL Item
No (1)
CL Item
Yes (2)
Item
Other malformations
integer
Code List
Other malformations
CL Item
No (1)
CL Item
Yes (2)
Item
Lymphocytic pituitary infiltration
integer
Code List
Lymphocytic pituitary infiltration
CL Item
No (1)
CL Item
Yes (2)
Since when lymphocytic pituitary infiltration occurred
Item
Since when lymphocytic pituitary infiltration occurred
date
Item
Langerhans cell histiocytosis
integer
Code List
Langerhans cell histiocytosis
CL Item
No (1)
CL Item
Yes (2)
Since when Langerhans cell histiocytosis occurred
Item
Since when Langerhans cell histiocytosis occurred
date
Item
Other intracranial disease
integer
Code List
Other intracranial disease
CL Item
No (1)
CL Item
Yes (2)
Which other intracranial disease
Item
Which other intracranial disease
text
Since when other intracranial disease occurred
Item
Since when other intracranial disease occurred
date
Item
Previous open surgery
integer
Code List
Previous open surgery
CL Item
No (1)
CL Item
Yes (2)
Date of previous open surgery
Item
Date of previous open surgery
date
Item
Previous chemotherapy
integer
Code List
Previous chemotherapy
CL Item
No (1)
CL Item
Yes (2)
Which previous chemotherapy
Item
Which previous chemotherapy
text
Start date of previous chemotherapy
Item
Start date of previous chemotherapy
date
End date of previous chemotherapy
Item
End date of previous chemotherapy
date
Item
Previous radiotherapy
integer
Code List
Previous radiotherapy
CL Item
No (1)
CL Item
Yes (2)
Which previous radiotherapy
Item
Which previous radiotherapy
text
Start date of previous radiotherapy
Item
Start date of previous radiotherapy
date
End date of previous radiotherapy
Item
End date of previous radiotherapy
date
Item
Other previous tumour therapy
integer
Code List
Other previous tumour therapy
CL Item
No (1)
CL Item
Yes (2)
Which other previous tumour therapy
Item
Which other previous tumour therapy
text
Start date of previous tumour therapy
Item
Start date of previous tumour therapy
date
End of previous tumour therapy
Item
End of previous tumour therapy
date
Item
Tumours (including benign germ cell tumours) or malignant disease known in patient´s biological family
integer
Code List
Tumours (including benign germ cell tumours) or malignant disease known in patient´s biological family
CL Item
No (1)
CL Item
Yes (2)
Item
Disease
integer
Code List
Disease
CL Item
Teratoma (1)
CL Item
Germinoma (2)
CL Item
Sec. GCT (3)
CL Item
Other histology/disease (4)
Item
Degree of relationship
integer
Code List
Degree of relationship
CL Item
Father (1)
CL Item
Mother (2)
CL Item
Siblings (3)
CL Item
Grandparents (4)
CL Item
Uncle/aunt (5)
CL Item
Cousin (6)
CL Item
Other biological relationship (7)

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