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NCT00408408 NSABP Protocol B-40 - WORKSHEET FOR REPORTING BREAST RECONSTRUCTION INFORMATION

- 7/3/15 - 1 form, 3 itemgroups, 9 items, 1 language
Itemgroups: Header, BREAST RECONSTRUCTION INFORMATION, Footer
NCT00408408 NSABP Protocol B-40 - WORKSHEET FOR REPORTING BREAST RECONSTRUCTION INFORMATION A Randomized Phase III Trial of Neoadjuvant Therapy in Patients With Palpable and Operable Breast Cancer Evaluating the Effect on Pathologic Complete Response (pCR) of Adding Capecitabine or Gemcitabine to Docetaxel When Administered Before AC With or Without Bevacizumab and Correlative Science Studies Attempting to Identify Predictors of High Likelihood for pCR With Each of the Regimens Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7D9B7B8C-E72A-A457-E040-BB89AD4372F6

Treatment - Breast Cancer DataMart Common Data Elements Surgical Template - 2723098v1.0 - Breast Cancer DataMart Common Data Elements Surgical Template

- 9/20/17 - 1 form, 5 itemgroups, 24 items, 1 language
Itemgroups: Tumor Assessment, Assessment of Lymph Nodes, Surgical Procedures, Margins, Breast Reconstruction
Breast Cancer DataMart Common Data Elements Surgical Template Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=443F4BFB-7974-666C-E044-0003BA3F9857

Bladder Cancer NCT01224665 Treatment - S1011 Intra-Op Surgical Assessment Form Standard Versus Extended LND (#10689) - 3153877v1.0 - S1011 Intra-Op Surgical Assessment Form Standard Versus Extended LND (#10689)

- 1/9/15 - 1 form, 7 itemgroups, 43 items, 1 language
Itemgroups: Header Module, INTRA-OPERATIVE EXTENT-OF-DISEASE ASSESSMENT, SURGICAL ASSESSMENT OF NODAL DISSECTION, DESCRIPTION OF HOW NODAL PACKETS WERE SUBMITTED TO YOUR PATHOLOGIST, RECONSTRUCTION, OPERATIVE INFORMATION, Comments
S1011 Intra-Op Surgical Assessment Form Standard Versus Extended LND (#10689) Standard or Extended Pelvic Lymphadenectomy in Treating Patients Undergoing Surgery for Invasive Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=940453E3-434E-BBC7-E040-BB89AD431F9F

Pancreatic Cancer NCT00075686 Treatment - S0205 PAIN MEDICATION LOG - 2291766v3.0 - S0205 PAIN MEDICATION LOG

- 1/9/15 - 1 form, 2 itemgroups, 14 items, 1 language
Itemgroups: Administrative documentation, Analgesics
S0205 PAIN MEDICATION LOG S0205 Gemcitabine With or Without Cetuximab as First-Line Therapy in Treating Patients With Locally Advanced Unresectable or Metastatic Adenocarcinoma of the Pancreas Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=E30D7C36-2312-0722-E034-0003BA12F5E7

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