Unnamed2
Patient'sName
text
ParticipatingGroup
text
PatientHospitalNumber
text
ParticipatingGroupProtocolNo.
text
MainMemberInstitution/Adjunct
text
ParticipatingGroupPatientNo.
text
Treatment Cycle Information
TotalDoseofDrugsforCycle1
double
AgentName
text
ReasonTreatmentEnded
text
Other,specify(reasontreatmentended)
text
Unnamed3
Patient'sName
text
CALGBForm
text
CALGBStudyNo
text
CALGBPatientID
text
FirstDate
date
Unnamed4
Werethereanydosemodificationsoradditions/omissionstoprotocoltreatment?
text
Wereanyoptionalprotocoltherapiesgiven?
text
optionalprotocoltherapyname(s)
text
Wasanyconcurrentnon-protocoltherapygivenduringprotocoltreatment?
text
indicatebelow(concurrentnon-protocoltherapygivenduringprotocoltreatment)
text
Comments
Unnamed5
Ccrr Module For Calgb: 49907 Adjuvant Treatment Summary Form; All Patients