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Pancreatic Cancer NCT00058149 Quality of Life - Brief Pain Inventory - 2031356v3.0 - Brief Pain Inventory

- 09.01.15 - 1 Formular, 2 Itemgruppen, 23 Datenelemente, 1 Sprache
Itemgruppen: Header, CCRR MODULE
Brief Pain Inventory A Phase III, Randomized Study of Gemcitabine (Fixed-Dose Rate Infusion) and Oxaliplatin (NSC 266046) Versus Gemcitabine (Fixed-Dose Rate Infusion) Versus Gemcitabine (30-Minute Infusion) in Pancreatic Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=AE65F8E1-704E-30A0-E034-0003BA12F5E7

EORTC QLQ_C30 - EORTC QLQ_C30 MS University Hospital Muenster (UKM)

- 07.11.17 - 1 Formular, 1 Itemgruppe, 3 Datenelemente, 1 Sprache
Itemgruppe: General information
Used as Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: EORTC QLQ-C30 MS. Copyright: 1995 EORTC Quality of Life Group. All rights reserved. Version 3.0 German description: EORTC QLQ-C30 (version 3.0) Wir sind an einigen Angaben interessiert, die Sie und Ihre Gesundheit betreffen. Bitte beantworten Sie die folgenden Fragen selbst, indem Sie die Zahl ankreuzen, die am besten auf Sie zutrifft. Es gibt keine "richtigen" oder "falschen" Antworten. Ihre Angaben werden streng vertraulich behandelt.

Radiation Therapy Oncology Group Phase III Lung Prophylactic Cranial RT Neurocognitive Evaluation Summary Form NCT00048997

- 03.06.15 - 1 Formular, 3 Itemgruppen, 18 Datenelemente, 1 Sprache
Itemgruppen: Header Module, Neurocognitive Evaluation, CCRR MODULE
Radiation Therapy Oncology Group Phase III Lung Prophylactic Cranial RT Neurocognitive Evaluation Summary Form NCT00048997 Radiation Therapy in Preventing CNS Metastases in Patients With Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A5472EED-0175-07F2-E034-080020C9C0E0

Radiation Therapy Oncology Group Phase III Lung Prophylactic Cranial RT MMSE NCT00048997

- 03.06.15 - 1 Formular, 3 Itemgruppen, 35 Datenelemente, 1 Sprache
Itemgruppen: Header Module, Neurocognitive Evaluation, CCRR MODULE
Radiation Therapy Oncology Group Phase III Lung Prophylactic Cranial RT MMSE NCT00048997 Radiation Therapy in Preventing CNS Metastases in Patients With Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A5D1AB4A-E01B-3595-E034-080020C9C0E0

Prostate Cancer NCT00567580 Quality of Life - RTOG-0534 HP: HSCL-25 - 2712777v1.0 - RTOG-0534 HP: HSCL-25

- 09.01.15 - 1 Formular, 2 Itemgruppen, 22 Datenelemente, 1 Sprache
Itemgruppen: Header Module, Module2
RTOG-0534 HP: HSCL-25 Prostate Radiation Therapy or Short-Term Androgen Deprivation Therapy and Pelvic Lymph Node Radiation Therapy With or Without Prostate Radiation Therapy in Treating Patients With a Rising PSA After Surgery for Prostate Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=40EFE507-C9EC-031B-E044-0003BA3F9857

Distress Thermometer - NCCN Distress Thermometer

- 17.04.15 - 1 Formular, 6 Itemgruppen, 36 Datenelemente, 2 Sprachen
Itemgruppen: Distress Thermometer, Practical problems, Family problems, Emotional problems, Spiritual/religious concerns, Physical problems
Copyright National Comprehensive Cancer Network German Version: Anja Mehnert, Diana Müller, Claudia Lehmann und Uwe Koch. Die deutsche Versiondes NCCN Distress-Thermometers. Empirische Prüfung eines Screening-Instruments zur Erfassung psychosozialer Belastung bei Krebspatienten. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 54 (3), 2006, 213–223

Lung Cancer NCT00113386 Quality of Life - RTOG-0412 FA: Funcation Assessment Cancer Therapy - Lung Trial Outcome Index (TOI) - 2288075v3.0 - RTOG-0412 FA: Funcation Assessment Cancer Therapy - Lung Trial Outcome Index (TOI)

- 20.09.21 - 1 Formular, 4 Itemgruppen, 32 Datenelemente, 1 Sprache
Itemgruppen: MODULE 1, PHYSICAL WELL-BEING, FUNCTIONAL WELL-BEING, ADDITIONAL CONCERNS
RTOG-0412 FA: Funcation Assessment Cancer Therapy - Lung Trial Outcome Index (TOI) Cisplatin and Docetaxel With or Without Radiation Therapy in Treating Patients Who Are Undergoing Surgery for Newly Diagnosed Stage III Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E48B0FD8-0824-0529-E034-0003BA3F9857

NCT00533949 RTOG-0617 FA: Radiation Therapy Oncology Group Phase III High-dose Vs Standard-dose Conformal XRT with Chemotherapy Functinal Assessment Trial Outcome Index (TOI) Form

- 20.09.21 - 1 Formular, 6 Itemgruppen, 47 Datenelemente, 1 Sprache
Itemgruppen: RTOG clinical trial administrative data, Various questionnaire related information, PHYSICAL WELL-BEING, FUNCTIONAL WELL-BEING, ADDITIONAL CONCERNS, Footer module
NCT00533949 RTOG-0617 FA: Radiation Therapy Oncology Group Phase III High-dose Vs Standard-dose Conformal XRT with Chemotherapy Functinal Assessment Trial Outcome Index (TOI) Form High-Dose or Standard-Dose Radiation Therapy and Chemotherapy With or Without Cetuximab in Treating Patients With Newly Diagnosed Stage III Non-Small Cell Lung Cancer That Cannot Be Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=24E78551-175E-6260-E044-0003BA3F9857

Southwest Oncology Group FACT-L TOI (Version 4)

- 20.09.21 - 1 Formular, 4 Itemgruppen, 33 Datenelemente, 1 Sprache
Itemgruppen: SWOG clinical trial administrative data, Quality of life self-assessment, Patient demographics, CCRR MODULE
Southwest Oncology Group FACT-L TOI (Version 4) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A4CF50CD-3A8F-2ECB-E034-080020C9C0E0

NCT01336894 Quality of Life - ACOSOG-Z4099 Lung Cancer Symptom Scale (LCSS) Form - 3180568v1.0 - ACOSOG-Z4099 Lung Cancer Symptom Scale (LCSS) Form

- 17.09.21 - 1 Formular, 2 Itemgruppen, 12 Datenelemente, 1 Sprache
Itemgruppen: Header Module, Lung Cancer Symptom Scale
ACOSOG-Z4099 Lung Cancer Symptom Scale (LCSS) Form Surgery With or Without Internal Radiation Therapy Compared With Stereotactic Body Radiation Therapy in Treating Patients With High-Risk Stage I Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=990876FE-87A9-F817-E040-BB89AD433C2C

Ovarian Cancer null Quality of Life - FACT-0 (Version 4), GOG-0202 - 2101017v3.0 - FACT-0 (Version 4), GOG-0202

- 20.09.21 - 1 Formular, 6 Itemgruppen, 39 Datenelemente, 1 Sprache
Itemgruppen: Physical Well-Being, SOCIAL/FAMILY WELL-BEING, EMOTIONAL WELL_BEING, FUNCTIONAL WELL-BEING, Additional Concerns, CCRR MODULE
FACT-0 (Version 4), GOG-0202 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=BA8117F5-B6F7-2F74-E034-0003BA12F5E7

NCT00113399 RTOG-0421 HP: Radiation Therapy Oncology Group Health Utility Measurement Euro (EQ-5D) Miscellaneous Patient Assessment Form

- 20.09.21 - 1 Formular, 2 Itemgruppen, 23 Datenelemente, 1 Sprache
Itemgruppen: RTOG clinical trial administrative data, Miscellaneous Patient Assessment
NCT00113399 RTOG-0421 HP: Radiation Therapy Oncology Group Health Utility Measurement Euro (EQ-5D) Miscellaneous Patient Assessment Form Combination Chemotherapy With or Without Radiation Therapy in Treating Patients With Recurrent Head and Neck Cancer That Cannot Be Removed By Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=EBAEDD99-A13F-1374-E034-0003BA3F9857

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