Description:

Chemotherapy checklist Genetic Testing or Clinical Assessment in Determining the Need for Chemotherapy in Women With Breast Cancer That Involves No More Than 3 Lymph Nodes Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1968DCB8-C8AB-7156-E044-0003BA3F9857

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1968DCB8-C8AB-7156-E044-0003BA3F9857

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Versions (2) ▾
  1. 8/26/12
  2. 1/9/15
Uploaded on:

January 9, 2015

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License:
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00433589 Treatment - Chemotherapy checklist - 2499056v1.0

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  1. StudyEvent: Chemotherapy checklist
    1. No Instruction available.
Header
Header
Chemotherapy
Performance Status
Has the patient had a baseline LVEF measured by MUGA scan or echocardiogram within the past 3 months?
%
Does the patient have swallowing problems following treatment
Chemotherapy Regimen
Comments

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