ID

5752

Beschrijving

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

Trefwoorden

  1. 19-09-14 19-09-14 - Martin Dugas
Geüploaded op

19 september 2014

DOI

Voor een aanvraag inloggen.

Licentie

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
Beschrijving

Show identification of patient

Dummy
Beschrijving

Dummy

Datatype

text

Patient’s anamnesis
Beschrijving

Patient’s anamnesis

Trisomy 21
Beschrijving

Trisomy 21

Datatype

integer

Other syndrome
Beschrijving

Other syndrome

Datatype

integer

Pineal cyst
Beschrijving

Pineal cyst

Datatype

integer

Other malformations
Beschrijving

Other malformations

Datatype

integer

Lymphocytic pituitary infiltration
Beschrijving

Lymphocytic pituitary infiltration

Datatype

integer

Since when lymphocytic pituitary infiltration occurred
Beschrijving

Since when lymphocytic pituitary infiltration occurred

Datatype

date

Langerhans cell histiocytosis
Beschrijving

Langerhans cell histiocytosis

Datatype

integer

Since when Langerhans cell histiocytosis occurred
Beschrijving

Since when Langerhans cell histiocytosis occurred

Datatype

date

Other intracranial disease
Beschrijving

Other intracranial disease

Datatype

integer

Which other intracranial disease
Beschrijving

Which other intracranial disease

Datatype

text

Since when other intracranial disease occurred
Beschrijving

Since when other intracranial disease occurred

Datatype

date

Patient’s previous Treatment
Beschrijving

Patient’s previous Treatment

Previous open surgery
Beschrijving

Previous open surgery

Datatype

integer

Date of previous open surgery
Beschrijving

Date of previous open surgery

Datatype

date

Previous chemotherapy
Beschrijving

Previous chemotherapy

Datatype

integer

Which previous chemotherapy
Beschrijving

Which previous chemotherapy

Datatype

text

Start date of previous chemotherapy
Beschrijving

Start date of previous chemotherapy

Datatype

date

End date of previous chemotherapy
Beschrijving

End date of previous chemotherapy

Datatype

date

Previous radiotherapy
Beschrijving

Previous radiotherapy

Datatype

integer

Which previous radiotherapy
Beschrijving

Which previous radiotherapy

Datatype

text

Start date of previous radiotherapy
Beschrijving

Start date of previous radiotherapy

Datatype

date

End date of previous radiotherapy
Beschrijving

End date of previous radiotherapy

Datatype

date

Other previous tumour therapy
Beschrijving

Other previous tumour therapy

Datatype

integer

Which other previous tumour therapy
Beschrijving

Which other previous tumour therapy

Datatype

text

Start date of previous tumour therapy
Beschrijving

Start date of previous tumour therapy

Datatype

date

End of previous tumour therapy
Beschrijving

End of previous tumour therapy

Datatype

date

Family´s medical history
Beschrijving

Family´s medical history

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

Tumours in family

Datatype

integer

Disease in the family
Beschrijving

Disease in the family

Disease
Beschrijving

Disease

Datatype

integer

Degree of relationship
Beschrijving

Degree of relationship

Datatype

integer

Similar models

Medical history

  1. StudyEvent: SE
    1. Medical history
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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