ID
934
Descripción
PACCT-1 TAILORx FACT - Fatique Scale Form Hormone Therapy With or Without Combination Chemotherapy in Treating Women Who Have Undergone Surgery for Node-Negative Breast Cancer (The TAILORx Trial) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=84B81FA9-D91A-473F-E040-BB89AD4317EF
Link
Palabras clave
Versiones (3)
- 26/8/12 26/8/12 -
- 8/1/15 8/1/15 - Martin Dugas
- 8/6/15 8/6/15 -
Subido en
26 de agosto de 2012
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00310180 Quality of Life - PACCT-1 TAILORx FACT - Fatique Scale Form - 3072107v1.0
INSTRUCTIONS: Please complete this form according to the forms submission schedule. Submit original to the ECOG Coordinating Center. Keep a copy for your files
- StudyEvent: PACCT-1 TAILORx FACT - Fatique Scale Form
Descripción
On Treatment
Descripción
TreatmentEvaluationPeriodType
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property
- C25616
- UMLS 2011AA Property
- C1948053
- NCI Thesaurus ObjectClass
- C15368
Descripción
Unnamed2
Descripción
DataAmendedInd-3
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C38148
- UMLS 2011AA ValueDomain
- C1512699
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
Descripción
DataAmendedDate
Tipo de datos
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
- NCI Thesaurus ValueDomain
- C25367
Descripción
DataAmendedDate
Tipo de datos
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS 2011AA ValueDomain
- C0011008
- NCI Thesaurus ObjectClass
- C25474
- UMLS 2011AA ObjectClass
- C1511726
- NCI Thesaurus Property
- C25416
- UMLS 2011AA Property
- C1691222
- NCI Thesaurus ValueDomain
- C25367
Descripción
Unnamed1
Descripción
Additional Concerns
Descripción
Quality-of-LifeAssessmentPatientFatigueScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
NeurotoxicityPatientMuscleWeaknessAssessmentQualityofLifeScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus ObjectClass
- C27961
- UMLS 2011AA ObjectClass
- C0235032
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus Property
- C0151786
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
Quality-of-LifeAssessmentPatientLethargicScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C50412
- UMLS 2011AA Property
- C0023380
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
Quality-of-LifeAssessmentPatientSmallFatigueScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus Property
- C25376
- UMLS 2011AA Property
- C0700321
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
Quality-of-LifeAssessmentPatientBeginFatigueScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus Property
- C25431
- UMLS 2011AA Property
- C0439659
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
Quality-of-LifeAssessmentPatientEndFatigueScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus Property
- C25496
- UMLS 2011AA Property
- C2746065
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
Quality-of-LifeAssessmentPatientEnergyScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C48058
- UMLS 2011AA Property
- C0542479
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
Quality-of-LifeAssessmentPatientActivityType
Tipo de datos
text
Alias
- NCI Thesaurus ValueDomain
- C25284
- UMLS 2011AA ValueDomain
- C0332307
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C43431
- UMLS 2011AA Property
- C0441655
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
Descripción
Quality-of-LifeAssessmentPatientDayRestingScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C25301
- UMLS 2011AA Property
- C0439228
- NCI Thesaurus Property
- C28185
- UMLS 2011AA Property
- C0035253
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
Quality-of-LifeAssessmentPatientIngestionFatigueScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus Property
- C28229
- UMLS 2011AA Property
- C0232478
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
Quality-of-LifeAssessmentPatientSupportActivityScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C43431
- UMLS 2011AA Property
- C0441655
- NCI Thesaurus Property
- C37902
- UMLS 2011AA Property
- C1521721
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
Quality-of-LifeAssessmentPatientFrustrationScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C61483
- UMLS 2011AA Property
- C0016770
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
Descripción
Quality-of-LifeAssessmentPatientFatigueActivityScale
Tipo de datos
text
Alias
- NCI Thesaurus ObjectClass
- C15584
- UMLS 2011AA ObjectClass
- C0281588
- NCI Thesaurus Property
- C16960
- UMLS 2011AA Property
- C0030705
- NCI Thesaurus Property
- C43431
- UMLS 2011AA Property
- C0441655
- NCI Thesaurus Property
- C3036
- UMLS 2011AA Property
- C0015672
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus ValueDomain
- C17047
- UMLS 2011AA ValueDomain
- C0518214
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INSTRUCTIONS: Please complete this form according to the forms submission schedule. Submit original to the ECOG Coordinating Center. Keep a copy for your files
- StudyEvent: PACCT-1 TAILORx FACT - Fatique Scale Form
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C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
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C1442488 (UMLS 2011AA)
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C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
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C1691222 (UMLS 2011AA Property)
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C0011008 (UMLS 2011AA ValueDomain)
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C0884358 (UMLS 2011AA Property)
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C91213 (NCI Thesaurus)
C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
C91216 (NCI Thesaurus)
C91217 (NCI Thesaurus)
C0030705 (UMLS 2011AA ObjectClass)
C27961 (NCI Thesaurus ObjectClass)
C0235032 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0151786 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
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C2003901 (UMLS 2011AA)
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C91217 (NCI Thesaurus)
C0281588 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C3036 (NCI Thesaurus Property)
C0015672 (UMLS 2011AA Property)
C25376 (NCI Thesaurus Property)
C0700321 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
C91213 (NCI Thesaurus)
C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
C91216 (NCI Thesaurus)
C91217 (NCI Thesaurus)
C0281588 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C3036 (NCI Thesaurus Property)
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C25431 (NCI Thesaurus Property)
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C17047 (NCI Thesaurus ValueDomain)
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C0030705 (UMLS 2011AA Property)
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C91217 (NCI Thesaurus)
C0281588 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C48058 (NCI Thesaurus Property)
C0542479 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
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C2003901 (UMLS 2011AA)
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C91217 (NCI Thesaurus)
C0332307 (UMLS 2011AA ValueDomain)
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C43431 (NCI Thesaurus Property)
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C25664 (NCI Thesaurus ValueDomain)
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C0518214 (UMLS 2011AA ValueDomain)
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C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
C91216 (NCI Thesaurus)
C91217 (NCI Thesaurus)
C0281588 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C61483 (NCI Thesaurus Property)
C0016770 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
C91213 (NCI Thesaurus)
C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
C91216 (NCI Thesaurus)
C91217 (NCI Thesaurus)
C0281588 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C43431 (NCI Thesaurus Property)
C0441655 (UMLS 2011AA Property)
C3036 (NCI Thesaurus Property)
C0015672 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
C91213 (NCI Thesaurus)
C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
C91216 (NCI Thesaurus)
C91217 (NCI Thesaurus)