Résultats de recherche - Portail des modèles médicaux de données (portail MDM)

North Central Cancer Treatment Group Pretreatment Measurement Form NCT00377156

- 08/06/2015 - 1 Formulaire, 2 Groupes Item, 11 Eléments de données, 1 Langue

Groupes Item: Header, Target lesion

North Central Cancer Treatment Group Pretreatment Measurement Form NCT00377156 Stereotactic Radiation Therapy With or Without Whole-Brain Radiation Therapy in Treating Patients With Brain Metastases Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=10B2D3B7-59E0-0044-E044-0003BA3F9857

Initial Evaluation Prostate Cancer Stage II RTOG-0415 I1 NCT00331773

- 04/08/2015 - 1 Formulaire, 10 Groupes Item, 62 Eléments de données, 1 Langue

Groupes Item: RTOG clinical trial administrative data, Patient demographics, Other Patient Disease Type, Prostate: Prior Treatment, Prostate: Initial Diagnosis, Prostate: Disease Description Localized, Prostate Cancer Staging, STUDY ENTRY PSA MEASUREMENTS, Baseline Lab Values, Footer

Radiation Therapy in Treating Patients With Stage II Prostate Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=06269FC0-82B9-40C5-E044-0003BA3F9857

Cervical Cancer NCT01414608 Pre-Study - ANZGOG-0902 Radiotherapy Form - 3143029v1.0 - ANZGOG-0902 Radiotherapy Form

- 09/01/2015 - 1 Formulaire, 3 Groupes Item, 19 Eléments de données, 1 Langue

Groupes Item: Header, External Beam Radiotherapy (EBRT), Footer Module

ANZGOG-0902 Radiotherapy Form Cisplatin and Radiation Therapy With or Without Carboplatin and Paclitaxel in Patients With Locally Advanced Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=910A7DEE-7F67-4FA7-E040-BB89AD4352F8

Breast Cancer NCT01272037 Pre-Study - S1007 Prestudy Form (45282) - 3141026v1.0 - S1007 Prestudy Form (45282)

- 09/01/2015 - 1 Formulaire, 5 Groupes Item, 40 Eléments de données, 1 Langue

Groupes Item: Header Module, PATIENT AND DISEASE DESCRIPTION, ADDITIONAL PRESTUDY DATA, PRIOR TREATMENT RELATED TO THIS CANCER, Comments

S1007 Prestudy Form (45282) Tamoxifen Citrate, Letrozole, Anastrozole, or Exemestane With or Without Chemotherapy in Treating Patients With Invasive RxPONDER Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=90DB6C43-AEA1-137D-E040-BB89AD432116

Pre-Study Form Prostate Cancer High-Risk RTOG-0521 I1 NCT00288080

- 05/08/2015 - 1 Formulaire, 11 Groupes Item, 71 Eléments de données, 1 Langue

Groupes Item: RTOG clinical trial administrative data, Prior cancer, Other Patient Disease Type, Prostate: Prior Treatment, Prostate: Initial Diagnosis, STUDY ENTRY PSA MEASUREMENTS, Prostate: Disease Description Localized, Prostate Cancer Staging, Baseline Lab Values, PROSTATE: TREATMENT SCHEDULE (HORMONE THERAPY), Comments

RTOG-0521 I1: Radiation Therapy Oncology Group Phase III Randomized Study of Localized, High-Risk Prostate Cancer Initial Evaluation Form NCT00288080 Hormone Therapy and Radiation Therapy or Hormone Therapy and Radiation Therapy Followed by Docetaxel and Prednisone in Treating Patients With Localized Prostate Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0C37725E-C9CF-4EEC-E044-0003BA3F9857

Breast Cancer NCT01101438 Pre-Study - NCIC MA.32 Baseline Report - 3027459v1.0 - NCIC MA.32 Baseline Report

- 09/01/2015 - 1 Formulaire, 13 Groupes Item, 54 Eléments de données, 1 Langue

Groupes Item: TOBACCO SMOKING HISTORY - BASELINE, ALCOHOL CONSUMPTION - QUESTION, BILATERAL BREAST CARCINOMA - QUESTION, BILATERAL BREAST CARCINOMA, BASELINE ADVERSE EVENTS - QUESTION, BASELINE ADVERSE EVENTS, CARDIOVASCULAR HISTORY - QUESTION, CARDIOVASCULAR HISTORY, BASELINE CONCOMITANT MEDICATIONS, ADJUVANT RADIATION THERAPY, SYSTEMIC THERAPY, MAJOR MEDICAL PROBLEMS AT BASELINE, OTHER CLINICAL TRIAL PARTICIPATION

NCIC MA.32 Baseline Report A Phase III Randomized Trial of Metformin vs Placebo in Early Stage Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=81E21D11-128C-1198-E040-BB89AD434372

Lung Cancer NCT00946712 Pre-Study - Southwest Oncology Group S0819 Prestudy Form - 2863901v1.0 - Southwest Oncology Group S0819 Prestudy Form

- 20/09/2021 - 1 Formulaire, 8 Groupes Item, 72 Eléments de données, 1 Langue

Groupes Item: Header Module, PATIENT AND DISEASE DESCRIPTION, PATIENT AND DISEASE DESCRIPTION1, LABORATORY VALUES, LABORATORY VALUES1, ADDITIONAL PRESTUDY DATA, PRIOR TREATMENT RELATED TO THIS CANCER, Comments

Southwest Oncology Group S0819 Prestudy Form Carboplatin and Paclitaxel With or Without Bevacizumab and/or Cetuximab in Treating Patients With Stage IV or Recurrent Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=684FE956-5AAF-A7DA-E040-BB89AD432A2B

Cervical Cancer NCT00262821 Pre-Study - GOG-0219 Pre-Treatment Summary Form - 2430333v1.0 - GOG-0219 Pre-Treatment Summary Form

- 09/01/2015 - 1 Formulaire, 4 Groupes Item, 26 Eléments de données, 1 Langue

Groupes Item: HEADER MODULE, NON-INVASIVE DIAGNOSTIC PROCEDURES, COMMENTS, FOOTER MODULE

GOG-0219 Pre-Treatment Summary Form Cisplatin and Radiation Therapy With or Without Tirapazamine in Treating Patients With Cervical Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=05D798D6-4049-2457-E044-0003BA3F9857

Breast Cancer NCT00103233 Pre-Study - SOUTHWEST ONCOLOGY GROUP Prestudy Form (S0347) - 2412719v1.0 - SOUTHWEST ONCOLOGY GROUP Prestudy Form (S0347)

- 09/01/2015 - 1 Formulaire, 6 Groupes Item, 36 Eléments de données, 1 Langue

Groupes Item: Header, PATIENT CHARACTERISTICS, MENOPAUSAL STATUS, DISEASE DESCRIPTION, PRIOR TREATMENT RELATED TO THIS CANCER, Comments

SOUTHWEST ONCOLOGY GROUP Prestudy Form (S0347) Vinorelbine With or Without Trastuzumab in Treating Women With Progressive Metastatic Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=01ECF016-02E2-1026-E044-0003BA3F9857

Breast Cancer NCT00382018 Pre-Study - SOUTHWEST ONCOLOGY GROUP S0500 Prestudy Form - 2436725v1.0 - SOUTHWEST ONCOLOGY GROUP S0500 Prestudy Form

- 09/01/2015 - 1 Formulaire, 6 Groupes Item, 37 Eléments de données, 1 Langue

Groupes Item: Header, PATIENT CHARACTERISTICS, MENOPAUSAL STATUS, DISEASE DESCRIPTION, PRIOR TREATMENT RELATED TO THIS CANCER, Comments

SOUTHWEST ONCOLOGY GROUP S0500 Prestudy Form Treatment Decision Making Based on Blood Levels of Tumor Cells in Women With Metastatic Breast Cancer Receiving Chemotherapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=07D022D9-F34F-20A8-E044-0003BA3F9857

Breast Cancer NCT01272037 Pre-Study - S1007 Prestudy Form - Randomized Study (6230) - 3141162v1.0 - S1007 Prestudy Form - Randomized Study (6230)

- 09/01/2015 - 1 Formulaire, 3 Groupes Item, 18 Eléments de données, 1 Langue

Groupes Item: Header Module, PATIENT AND DISEASE DESCRIPTION, Comments

S1007 Prestudy Form - Randomized Study (6230) Tamoxifen Citrate, Letrozole, Anastrozole, or Exemestane With or Without Chemotherapy in Treating Patients With Invasive RxPONDER Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=90DE259F-A7AB-E9EB-E040-BB89AD436D98

Lung Cancer NCT00863512 Pre-Study - CALGB 30506 Pre-Study/Surgical Resection Form - 2821782v1.0 - CALGB 30506 Pre-Study/Surgical Resection Form

- 20/09/2021 - 1 Formulaire, 9 Groupes Item, 46 Eléments de données, 1 Langue

Groupes Item: Header Module, Header, Initial Laboratory Values, Smoking Status, Pre-surgical Disease Status, Surgical Disease Status, Planned Treatment, Contact Information, Footer Module

CALGB 30506 Pre-Study/Surgical Resection Form Chemotherapy or Observation in Treating Patients With Early Stage Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=5FE8C8A3-6705-BC07-E040-BB89AD4332A8

Mots-clés

Table des matières

Modèles de données sélectionnés