Description:

NCI Cooperative Group On-Study Form (CALGB-90104) Combination Chemotherapy in Treating Patients With Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C0279B-A154-2673-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C0279B-A154-2673-E034-0003BA12F5E7

Keywords:
Versions (2) ▾
  1. 8/26/12
  2. 1/8/15
Uploaded on:

January 8, 2015

DOI:
No DOI assigned. To request one pleaselog in.
License:
Creative Commons BY-NC 3.0 Legacy
Model comments:

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for:

Item comments for:

In order to download data models you must be logged in. Please log in or register for free.

Bladder Cancer NCT00014534 On-Study - NCI Cooperative Group On-Study Form (CALGB-90104) - 2056020v3.0

No Instruction available.

  1. StudyEvent: NCI Cooperative Group On-Study Form (CALGB-90104)
    1. No Instruction available.
Mskcc 00-138; Calgb-90104; Ecog
Form Administration
Are data amended?
Disease Description For Muscle Invasive Bladder Cancer
Has the patient had a prior history of superficial disease?
Histologic Type (mark all that apply)
Histologic Grade (check the highest grade)
Pathologic T Stage (Indicate highest stage at the current presentation of disease)
Pathologic N Stage (Distant Metastasis)
Pathologic M Stage
Lymph Node Type
Lymph Node Involvement
Is the tumor(s) at the surgical margin?
Muscle Invasive Bladder Disease: Prior Treatment Affecting The Bladder
Prior Intravesical Therapy (Note: If no, skip to Prior Surgery below)
Type of Prior Immunotherapy
Type of Prior Chemotherapy
Prior Surgery (for urothelial disease)
Prior Surgery Type
Any Other Prior Therapy
Comments
Ccrr Module For Nci Cooperative Group On-study Form (calgb-90104)