Description:

Z6051 Extended Follow-up (EFU) Laparoscopic-Assisted Resection or Open Resection in Treating Patients With Stage IIA, Stage IIIA, or Stage IIIB Rectal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=42BEFB76-7A1D-58A8-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=42BEFB76-7A1D-58A8-E044-0003BA3F9857

Keywords:
Versions (2) ▾
  1. 8/27/12
  2. 1/9/15
Uploaded on:

January 9, 2015

DOI:
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License:
Creative Commons BY-NC 3.0 Legacy
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Colorectal Cancer NCT00726622 Follow-Up - Z6051 Extended Follow-up (EFU) - 2717820v1.0

No Instruction available.

  1. StudyEvent: Z6051 Extended Follow-up (EFU)
    1. No Instruction available.
Header Module
Visit
Header
Has any patient information been obtained since the last report?
Vital status
Primary Cause of Death (If deceased,)
Adjuvant Therapy Data
Did patient receive adjuvant therapy
Adjuvant therapy received (If yes, - mark all that apply)
Disease Assessment Data
Was disease status radiologically or endoscopically assessed (since the last visit)
Notice Of First Recurrence (local, Regional Or Distant)
Has the patient been diagnosed with first recurrence/progression not previously reported
First recurrence/progression
Distant
Notice Of New Primary
Has a new primary cancer or MDS been diagnosed that has not been previously reported?
Footer Module

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