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Inhaltsverzeichnis
  1. 1. Klinische Studie
    1. 1.1. Ein-/Ausschluss
    1. 1.2. Anamnese
    1. 1.3. Körperliche Untersuchung
    1. 1.4. Score
    1. 1.5. Apparative Diagnostik
    1. 1.6. Labor
    1. 1.7. Pathologie/Histologie
    1. 1.8. Aufklärung/Einverständis
    1. 1.9. Therapie
    1. 1.10. Operationsbericht
    1. 1.11. Unerwünschtes Ereignis
    1. 1.12. Follow-Up
  2. 2. Routinedokumentation
  3. 3. Register-/Kohortenstudien
  4. 4. Qualitätssicherung
  5. 5. Datenstandard
  6. 6. Patientenfragebogen
  7. 7. Medizinische Fachrichtung
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NCT00565851 GYNECOLOGIC ONCOLOGY GROUP Surgical Reporting Form - FORM C

- 27.06.15 - 1 Formular, 3 Itemgruppen, 24 Datenelemente, 1 Sprache
Itemgruppen: Patient demographics, Surgery assessment, Comments
NCT00565851 GYNECOLOGIC ONCOLOGY GROUP Surgical Reporting Form - FORM C Carboplatin and Paclitaxel With or Without Bevacizumab After Surgery in Treating Patients With Recurrent Ovarian Epithelial Cancer, Primary Peritoneal Cavity Cancer, or Fallopian Tube Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=DA3F6FCF-2BF6-2D9B-E034-0003BA12F5E7

LASER ADMINISTRATION FELLOW EYE (UNSCHEDULED) CRFs Roche FVF4170G Macular Edema NCT00473382

- 28.06.17 - 1 Formular, 2 Itemgruppen, 10 Datenelemente, 1 Sprache
Itemgruppen: Patient administration, LASER ADMINISTRATION STUDY EYE
Terms of use: You may not use this document or the information contained herein to a regulatory authority in connection with an application for a marketing authorization or any other regulatory submission without the express written consent of Roche Study #: FVF4168g Drug: Ranibizumab Study Title: A Phase III, Double-Masked, Multicenter, Randomized, Sham-Controlled Study Of The Efficacy And Safety Of Ranibizumab Injection In Subjects With Clinically Significant Macular Edema With Center Involvement Secondary To Diabetes Mellitus

ChroPac-trial: duodenum-preserving pancreatic head resection versus pancreatoduodenectomy for chronic pancreatitis - start

- 06.02.23 - 7 Formulare, 11 Itemgruppen, 40 Datenelemente, 1 Sprache
Itemgruppen: Date of Visit, Inclusion Criteria, Exclusion Criteria, Quality of Life, Demography, Clinical Data, Duration of Symptoms, Imaging Techniques, Results preop imaging, Results preop Endoscopy, ERCP
Duodenum-preserving head resection versus pancreatico-duodenectomy for chronic pancreatitis of the head. Study Center of the German Surgical Society (SDGC) Trial protocol of a randomised controlled multicentre trial. Trials. 2010 Apr 29;11:47. doi: 10.1186/1745-6215-11-47. PMID: 20429912; PMCID: PMC2874785. Controlled-trials.com ISRCTN38973832

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9 Itemgruppen 14 Datenelemente

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6 Itemgruppen 15 Datenelemente

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6 Itemgruppen 19 Datenelemente

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6 Itemgruppen 14 Datenelemente

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6 Itemgruppen 14 Datenelemente

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5 Itemgruppen 11 Datenelemente

Eligibility Insufficiency; Cardiac, Complicating Surgery NCT02231463

- 21.04.20 - 1 Formular, 2 Itemgruppen, 13 Datenelemente, 1 Sprache
Itemgruppen: Inclusion Criteria, Exclusion Criteria
Influence of Two Different PEEP Niveaus and a Trendelenburg Positioning Manoeuvre on Subclavian Vein Diameter; ODM derived from: https://clinicaltrials.gov/show/NCT02231463

Eligibility Cardiothoracic Surgery NCT02029534

- 18.10.19 - 1 Formular, 2 Itemgruppen, 12 Datenelemente, 1 Sprache
Itemgruppen: Inclusion Criteria, Exclusion Criteria
Intensive Statin Therapy Effect on Post-Operative Atrial Fibrillation (POAF); ODM derived from: https://clinicaltrials.gov/show/NCT02029534

Eligibility Cardiac Surgery NCT01552187

- 18.10.19 - 1 Formular, 2 Itemgruppen, 12 Datenelemente, 1 Sprache
Itemgruppen: Inclusion Criteria, Exclusion Criteria
COlchicine for Prevention of the Post-pericardiotomy Syndrome and Post-operative Atrial Fibrillation (COPPS-2 Trial); ODM derived from: https://clinicaltrials.gov/show/NCT01552187

Pre-Study - PRIOR SURGERY SUPPLEMENT - 2398212v1.0 - PRIOR SURGERY SUPPLEMENT

- 20.09.21 - 1 Formular, 2 Itemgruppen, 8 Datenelemente, 1 Sprache
Itemgruppen: PRIOR SURGERY SUPPLEMENT, COMMENTS
Prior Surgery form for C3D 3.12 Adopters Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FF2F7B22-5065-707B-E034-0003BA3F9857

Eligibility Complications NCT00968045

- 08.01.18 - 1 Formular, 2 Itemgruppen, 10 Datenelemente, 1 Sprache
Itemgruppen: Inclusion Criteria, Exclusion Criteria
Fibrinogen and Bleeding After Cardiac Surgery; ODM derived from: https://clinicaltrials.gov/show/NCT00968045

Treatment - Gynecologic Oncology Group Surgical Status Form - 2918053v1.0 - Gynecologic Oncology Group Surgical Status Form

- 09.01.15 - 1 Formular, 7 Itemgruppen, 28 Datenelemente, 1 Sprache
Itemgruppen: HEADER MODULE, SURGICAL INFORMATION, FIRST SURGICAL PROCEDURE, SECOND SURGICAL PROCEDURE, THIRD SURGICAL PROCEDURE, FOURTH SURGICAL PROCEDURE, Comments
Gynecologic Oncology Group Surgical Status Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6E5EDF6F-8B38-E23E-E040-BB89AD435A10

Eligibility Rheumatoid Arthritis NCT00650078

- 20.09.21 - 1 Formular, 2 Itemgruppen, 14 Datenelemente, 1 Sprache
Itemgruppen: Inclusion Criteria, Exclusion Criteria
Study to Assess the Safety and Efficacy of Modified-Release Prednisone (Lodotra®) Therapy in Patients With Active Rheumatoid Arthritis; ODM derived from: https://clinicaltrials.gov/show/NCT00650078

Eligibility Heart Transplantation NCT00723281

- 07.04.18 - 1 Formular, 2 Itemgruppen, 12 Datenelemente, 1 Sprache
Itemgruppen: Inclusion Criteria, Exclusion Criteria
Comparison of CT Angiography With Conventional Angiography and Intravascular Ultrasound in Heart Transplant Patients; ODM derived from: https://clinicaltrials.gov/show/NCT00723281

Eligibility Early Rheumatoid Arthritis NCT01185301

- 08.12.19 - 1 Formular, 2 Itemgruppen, 17 Datenelemente, 1 Sprache
Itemgruppen: Inclusion Criteria, Exclusion Criteria
Study to Determine the Effects of Different Doses of Methotrexate (MTX) When Taken With Adalimumab in Subjects With Early Rheumatoid Arthritis (RA); ODM derived from: https://clinicaltrials.gov/show/NCT01185301

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