Description:

NSABP C-11 Worksheet for Surgical Complications Form Combination Chemotherapy Before or After Surgery in Treating Patients With Colorectal Cancer With Liver Metastases That Could Be Removed By Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8875CBD2-E809-4D15-E040-BB89AD43751B

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=8875CBD2-E809-4D15-E040-BB89AD43751B

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  1. 8/27/12
  2. 1/9/15
Uploaded on:

January 9, 2015

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Creative Commons BY-NC 3.0 Legacy
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Colorectal Cancer NCT01189227 Toxicity - NSABP C-11 Worksheet for Surgical Complications Form - 3107700v1.0

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  1. StudyEvent: NSABP C-11 Worksheet for Surgical Complications Form
    1. No Instruction available.
Header
Header
Need for reoperation within the 30-day postoperative period (Did the patient experience:)
Any grade 5 event (Did the patient experience:)
Blood bilirubin > 10 mg/dL for > 3 consecutive days? (Hepatectomy-specific morbidity)
Biliary fistula with drain output > 100 mL/day for > 10 days (Hepatectomy-specific morbidity)
Adverse Event
Grade
Selected Surgical Complications
Did the patient start postoperative therapy on or before postoperative day 31 (If postoperative therapy will not start after surgery, report surgical complications through postoperative day 84 in this section.)
Any grade 5 event (Did the patient experience:)
Did the patient initiate postoperative therapy
Adverse Event
Grade

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