ID

5771

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

Versionen (1)
  1. 19.09.14 19.09.14 - Martin Dugas
Hochgeladen am

19. September 2014

DOI

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Creative Commons BY 4.0
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SIOP CNS GCT II Toxicity during radiotherapy DRKS00003907

Deutsch Englisch

Toxicity during radiotherapy

1 Formulare  
Show identification of patient
Beschreibung

Show identification of patient

Dummy
Beschreibung

Dummy

Datentyp

text

Toxicity hematology
Beschreibung

Toxicity hematology

Hemoglobin
Beschreibung

Grade Hemoglobin

Datentyp

integer

WBC
Beschreibung

Grade WBC

Datentyp

integer

Neutrophils
Beschreibung

Grade neutrophils

Datentyp

integer

Platelets
Beschreibung

Grade platelets

Datentyp

integer

Hemorrhage
Beschreibung

Grade hemorrhage

Datentyp

integer

Toxicity neurological
Beschreibung

Toxicity neurological

Headache
Beschreibung

Grade headache

Datentyp

integer

Seizures
Beschreibung

Grade peripheral neurotoxicity

Datentyp

integer

Central neurotoxicity
Beschreibung

Grade central neurotoxicity

Datentyp

integer

Peripheral neurotoxicity
Beschreibung

Grade peripheral neurotoxicity

Datentyp

integer

Epilepsy
Beschreibung

Grade epilepsy

Datentyp

integer

Toxicity infection
Beschreibung

Toxicity infection

Infection
Beschreibung

Grade infection

Datentyp

integer

Fever
Beschreibung

Grade fever

Datentyp

integer

Toxicity gastrointestinal
Beschreibung

Toxicity gastrointestinal

Nausea
Beschreibung

Grade nausea

Datentyp

integer

Vomiting
Beschreibung

Grade vomiting

Datentyp

integer

Mucosa (CTC version 2)
Beschreibung

Mucosa (CTC version 2)

Datentyp

integer

Toxicity skin
Beschreibung

Toxicity skin

Alopecia
Beschreibung

Grade alopecia

Datentyp

integer

Changes in the skin
Beschreibung

Grade changes in the skin

Datentyp

integer

Erythema multiforme
Beschreibung

Grade erythema multiforme

Datentyp

integer

Ear/skin
Beschreibung

Ear/skin

Datentyp

integer

Toxicity other
Beschreibung

Toxicity other

Other toxicity occurred
Beschreibung

Other toxicity occurred

Datentyp

integer

Grade of other toxicity
Beschreibung

Other toxicity grade

Datentyp

integer

Other toxicity specified
Beschreibung

Other toxicity specified

Datentyp

text

Further data on radiotherapy toxicity
Beschreibung

Further data on radiotherapy toxicity

Hospitalisation during radiotherapy
Beschreibung

Hospitalisation during radiotherapy

Datentyp

integer

Remarks about hospitalisation
Beschreibung

Remarks about hospitalisation

Datentyp

text

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Ähnliche Modelle

Toxicity during radiotherapy

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Dummy
Item
Dummy
text
Item
Hemoglobin
integer
Toxicity grade
Code List
Hemoglobin
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
WBC
integer
Toxicity grade
Code List
WBC
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Neutrophils
integer
Toxicity grade
Code List
Neutrophils
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Platelets
integer
Toxicity grade
Code List
Platelets
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Hemorrhage
integer
Toxicity grade
Code List
Hemorrhage
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Headache
integer
Toxicity grade
Code List
Headache
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Seizures
integer
Toxicity grade
Code List
Seizures
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Central neurotoxicity
integer
Toxicity grade
Code List
Central neurotoxicity
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Peripheral neurotoxicity
integer
Toxicity grade
Code List
Peripheral neurotoxicity
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Epilepsy
integer
Toxicity grade
Code List
Epilepsy
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Infection
integer
Toxicity grade
Code List
Infection
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Fever
integer
Toxicity grade
Code List
Fever
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Nausea
integer
Toxicity grade
Code List
Nausea
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Vomiting
integer
Toxicity grade
Code List
Vomiting
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Mucosa (CTC version 2)
integer
Toxicity grade
Code List
Mucosa (CTC version 2)
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item Group
Item
Alopecia
integer
Toxicity grade
Code List
Alopecia
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Changes in the skin
integer
Toxicity grade
Code List
Changes in the skin
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Erythema multiforme
integer
Toxicity grade
Code List
Erythema multiforme
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item
Ear/skin
integer
Toxicity grade
Code List
Ear/skin
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Item Group
Item
Other toxicity occurred
integer
NoYes
Code List
Other toxicity occurred
CL Item
No (1)
CL Item
Yes (2)
Item
Grade of other toxicity
integer
Toxicity grade
Code List
Grade of other toxicity
CL Item
Grade 0 (0)
CL Item
Grade 1 (1)
CL Item
Grade 2 (2)
CL Item
Grade 3 (3)
CL Item
Grade 4 (4)
Other toxicity specified
Item
Other toxicity specified
text
Item
Hospitalisation during radiotherapy
integer
NoYes
Code List
Hospitalisation during radiotherapy
CL Item
No (1)
CL Item
Yes (2)
Remarks about hospitalisation
Item
Remarks about hospitalisation
text
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