Description:

Southwest Oncology Group Ovarian Function Assessment (S0230) Goserelin in Preventing Ovarian Failure in Women Receiving Chemotherapy for Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BEA6A9CC-6D74-0D93-E034-0003BA12F5E7

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BEA6A9CC-6D74-0D93-E034-0003BA12F5E7

Keywords:
Versions (2) ▾
  1. 8/26/12
  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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Breast Cancer NCT00068601 Pre-Study - Southwest Oncology Group Ovarian Function Assessment (S0230) - 2170708v3.0

Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section.

  1. StudyEvent: Southwest Oncology Group Ovarian Function Assessment (S0230)
    1. Instructions: All dates are MONTH, DAY, YEAR. Explain any blank fields or blank dates in the Comments section.
Menstrual Cycle
Have the patient's menstrual periods been absent for the entire preceding 6 months?
If no, have the patient's menstrual periods been absent for the entire preceding 3 months?
Laboratory Test
Were these hormone levels measured on days 2, 3, or 4 of the menstrual cycle?
Ccrr Module For Southwest Oncology Group Ovarian Function Assessment (s0230)
Assessment Time

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