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3.4 Charlson Comorbidity Index (CCI)

- 6/28/16 - 1 form, 1 itemgroup, 1 item, 1 language
Itemgroup: Social situation
Charlson Comorbidity Index (CCI) Part 3.4 Social Situation To be completed by: Clinician or trained coder. Source: Charlson et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. 1987. J. Chronic Dis. 40, pp. 373–383.

3.2 Charlson Comorbidity Index (CCI)

- 6/28/16 - 1 form, 1 itemgroup, 9 items, 1 language
Itemgroup: G8 Screening tool
Charlson Comorbidity Index (CCI) Part 3.2 G8 geriatric assessment screening tool To be completed by: Clinician, nurse or trained coder. Notes: This screening tool includes 7 items of the Mini Nutritional Assessment and the age of the patient. Score: Total score by adding up coded answers. Ref.: P. Soubeyran et al. Validation of a screening test for elderly patients in oncology. JCO. Vol 26, 15S, 2008 Source: Charlson et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. 1987. J. Chronic Dis. 40, pp. 373–383.

3.1 Charlson Comorbidity Index (CCI)

- 6/28/16 - 1 form, 1 itemgroup, 20 items, 1 language
Itemgroup: Co-morbidities
Charlson Comorbidity Index Part 3.1 Co-morbidities To be completed by: Clinician or trained coder, using the key below the table. Notes: This is not the age-adjusted version of the index. This tool will be used within oncology trials; the tumor type under investigation does not score. Score: Total score by adding up coded answers. Source: Charlson et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. 1987. J. Chronic Dis. 40, pp. 373–383.

General health and comorbidities, Social Environment Nursing Documentation UK Erlangen - General health and comorbidities

- 5/15/16 - 1 form, 1 itemgroup, 21 items, 1 language
Itemgroup: General health and comorbidities
General health and comorbidities Social Environment Nursing Documentation UK Erlangen General information about patient's health and comorbidities

Comorbidity AML Pazopanib NCT01361334

- 2/11/16 - 1 form, 2 itemgroups, 7 items, 2 languages
Itemgroups: Comorbidities, Comorbidities
Pilot Clinical Trial of Pazopanib in Patients With Relapsed or Refractory Acute Myeloid Leukemia (AML) or at Initial Diagnosis When no Intensive Treatment is Possible (PAZOPANIB-AML) https://clinicaltrials.gov/ct2/show/NCT01361334 Principal Investigator: PD Dr. Torsten Kessler, University Hospital Muenster, Germany

Endometrial Cancer NCT00807768 On-Study - GOG-0249 Comorbid Illness Reporting Form - 2760082v1.0 - GOG-0249 Comorbid Illness Reporting Form

- 1/9/15 - 1 form, 3 itemgroups, 10 items, 1 language
Itemgroups: HEADER MODULE, PERSONAL MEDICAL HISTORY, COMMENTS
GOG-0249 Comorbid Illness Reporting Form Pelvic Radiation Therapy or Vaginal Implant Radiation Therapy, Paclitaxel, and Carboplatin in Treating Patients With High-Risk Stage I or Stage II Endometrial Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=4FF32E53-FBDB-394B-E044-0003BA3F9857

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