Description:

Gynecologic Oncology Group Surgical Status Form Bevacizumab and Intravenous or Intraperitoneal Chemotherapy in Treating Patients With Stage II, Stage III, or Stage IV Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F17BE4C4-06A3-1816-E034-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F17BE4C4-06A3-1816-E034-0003BA3F9857

Keywords:
Versions (3) ▾
  1. 9/19/12
  2. 8/11/14
  3. 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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Fallopian Tube Cancer NCT00951496 Treatment - Gynecologic Oncology Group Surgical Status Form - 2305792v3.0

No Instruction available.

  1. StudyEvent: Gynecologic Oncology Group Surgical Status Form
    1. No Instruction available.
Header Module
Surgical Information
Has the patient had a major surgical procedure since being registered onto the protocol
First Surgical Procedure
Did the patient experience a significant wound-related bleeding or healing complication ([grade 3 or 4])
Second Surgical Procedure
Did the patient experience a significant wound-related bleeding or healing complication ([grade 3 or 4])
Third Surgical Procedure
Did the patient experience a significant wound-related bleeding or healing complication ([grade 3 or 4])
Fourth Surgical Procedure
Did the patient experience a significant wound-related bleeding or healing complication ([grade 3 or 4])
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