Informações:
Falhas:
ID
5772
Descrição
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
Palavras-chave
Versões (1)
- 19/09/2014 19/09/2014 - Martin Dugas
Transferido a
19 de setembro de 2014
DOI
Para um pedido faça login.
Licença
Creative Commons BY 4.0
Comentários do modelo :
Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.
Comentários do grupo de itens para :
Comentários do item para :
Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.
SIOP CNS GCT II Registration data SIOP CNS GCT II DRKS00003907
Registration data SIOP CNS GCT II
- StudyEvent: SE
Similar models
Registration data SIOP CNS GCT II
- StudyEvent: SE
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Dummy
Item
Dummy
text
Date when informed consent was signed
Item
Date of informed consent
date
Item
Primary residence in one of the participating countries
integer
CL Item
No (1)
CL Item
Yes (2)
Item
Primary diagnosis of an intracranial germ cell tumor
integer
CL Item
No (1)
CL Item
Yes (2)
CL Item
Germany (1)
CL Item
Netherlands (2)
CL Item
France (3)
CL Item
Italy (4)
CL Item
United Kingdom (5)
CL Item
Norway (6)
CL Item
Denmark (7)
CL Item
Sweden (8)
CL Item
Spain (9)
CL Item
Finland (10)
CL Item
Austria (11)
CL Item
Switzerland (12)
CL Item
Czech Republic (13)
CL Item
Belgium (14)
National patient id
Item
National patient ID
text
First name
Item
First name
text
Surname
Item
Surname
text
Name at birth
Item
Name at birth
text
Date of birth
Item
Date of birth
date
CL Item
Male (1)
CL Item
Female (2)
CL Item
No (1)
CL Item
Yes (2)
Which other trial
Item
Which trial
text
Item
Previous tumour or tumour therapy (incl. dermoid cyst or teratoma)
integer
CL Item
No (1)
CL Item
Yes (2)
Which previous tumour or tumour therapy
Item
Which previous tumour or tumour therapy
text
Item
Classification by coordinating study center
integer
CL Item
Previous teratoma (1)
CL Item
Previous dermoid cyst (2)
CL Item
Other previous benign tumour (3)
CL Item
Other previous malignant disease (4)
Item
Therapy planned not according to SIOP CNS GCT II
integer
CL Item
No (1)
CL Item
Yes (2)
CL Item
No (1)
CL Item
Yes (2)
CL Item
Pregnancy/lactation (1)
CL Item
Hearing impairment (2)
CL Item
Renal impairment (3)
CL Item
Other indication (4)
Other clinical indication specified
Item
Other clinical indication specified
text
CL Item
No (1)
CL Item
Yes (2)
Item
Any treatment not given according to protocol SIOP CNS GCT II prior to registration
integer
CL Item
No (1)
CL Item
Yes (2)