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Brain and Central Nervous System Tumors NCT00978458 Follow-Up - E3F05 Primary Brain Tumor Follow-Up Disease Evaluation Form - 2902962v1.0 - E3F05 Primary Brain Tumor Follow-Up Disease Evaluation Form

- 2015-01-08 - 1 Formulär, 16 Item-grupper, 94 Dataelement, 1 Språk
Item-grupper: Header Module, Header, ON TREATMENT, OFF TREATMENT, Section I, Section II MEASURABLE LESIONS, T2/FLAIR, T1/Contrast, Section III - Lesions Reported as Non-Measurable at Baseline, T2/FLAIR , T1/Contrast, Section IV New CNS Lesions/New Enhancement of Previously Reported Lesions, T2/FLAIR, T1/Contrast, Section V Progression, Comments
E3F05 Primary Brain Tumor Follow-Up Disease Evaluation Form Radiation Therapy With or Without Temozolomide in Treating Patients With Low-Grade Glioma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=6CB91C46-8BDC-9A0D-E040-BB89AD433170

Breast Cancer NCT00433511 Follow-Up - E5103 Hypertension Status Form - 2683669v1.0 - E5103 Hypertension Status Form

- 2015-01-08 - 1 Formulär, 3 Item-grupper, 20 Dataelement, 1 Språk
Item-grupper: General information, Reporting Period, Footer Module
E5103 Hypertension Status Form Doxorubicin, Cyclophosphamide, and Paclitaxel With or Without Bevacizumab in Treating Patients With Lymph Node-Positive or High-Risk, Lymph Node-Negative Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=3AE22206-73CD-059C-E044-0003BA3F9857

Breast Cancer NCT00377156 Follow-Up - North Central Cancer Treatment Group Event Monitoring Form - 2470178v1.0 - North Central Cancer Treatment Group Event Monitoring Form

- 2015-01-08 - 1 Formulär, 8 Item-grupper, 27 Dataelement, 1 Språk
Item-grupper: Header, Unnamed Module, VITAL STATUS, Disease Follow-up Status, Notice of First Relapse/Progression, Notice of New Primary, Late Adverse Event, Late Adverse Events
North Central Cancer Treatment Group Event Monitoring Form 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=10C2A3FE-45CB-664E-E044-0003BA3F9857

Bladder Cancer NCT00014534 Follow-Up - NCI Cooperative Group Follow-Up Form (CALGB-90104) - 2056490v3.0 - NCI Cooperative Group Follow-Up Form (CALGB-90104)

- 2015-01-08 - 1 Formulär, 9 Item-grupper, 43 Dataelement, 1 Språk
Item-grupper: MSKCC 00-138; CALGB-90104; ECOG, Form Administration, Vital Status, Disease Follow-Up Status, Notice of Progression, Notice of New Primary, Notice of Long Term Toxicity, Comments, CCRR MODULE
NCI Cooperative Group Follow-Up Form (CALGB-90104) Combination Chemotherapy in Treating Patients With Bladder Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A9C23658-5AE0-303F-E034-0003BA12F5E7

Follow-Up - Melanoma-Follow-up Form - 2020198v2.31 - Melanoma-Follow-up Form

- 2015-01-08 - 1 Formulär, 8 Item-grupper, 33 Dataelement, 1 Språk
Item-grupper: CRF Header, MELANOMA: VITAL STATUS, MELANOMA: DISEASE FOLLOW-UP STATUS, MELANOMA: NOTICE OF PROGRESSION, MELANOMA: NON-PROTOCOL THERAPY, MELANOMA: NOTICE OF NEW PRIMARY, MELANOMA: LONG-TERM TOXICITY, Comments
Melanoma-Follow-up Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A99C-3FA4-E034-080020C9C0E0

Follow-Up - Superficial Bladder Cancer - Follow-Up Form - 2019332v2.31 - Superficial Bladder Cancer - Follow-Up Form

- 2015-01-08 - 1 Formulär, 9 Item-grupper, 50 Dataelement, 1 Språk
Item-grupper: CRF Header, BLADDER: FORM ADMINISTRATION, BLADDER: VITAL STATUS, BLADDER: DISEASE FOLLOW-UP STATUS, BLADDER: SUPERFICIAL DISEASE FOLLOW-UP ASSESSMENT, BLADDER: NOTICE OF PROGRESSION, BLADDER: NOTICE OF NEW PRIMARY, BLADDER: LONG-TERM TOXICITY, Comments
Superficial Bladder Cancer - Follow-Up Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A95F-3FA4-E034-080020C9C0E0

Follow-Up - Upper Gastrointestinal Cancers - Follow Up Form - 2020208v2.31 - Upper Gastrointestinal Cancers - Follow Up Form

- 2015-01-08 - 1 Formulär, 6 Item-grupper, 25 Dataelement, 1 Språk
Item-grupper: CRF Header, GI: VITAL STATUS, GI: DISEASE FOLLOW-UP STATUS, GI: NOTICE OF PROGRESSION, GI: NOTICE OF NEW PRIMARY, Comments
Upper Gastrointestinal Cancers - Follow Up Form Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=99CD59C5-A9B0-3FA4-E034-080020C9C0E0

Melanoma (Skin) NCT01274338 Follow-Up - E1609 Long-Term Follow-up Form - 3173517v1.0 - E1609 Long-Term Follow-up Form

- 2015-01-08 - 1 Formulär, 13 Item-grupper, 47 Dataelement, 1 Språk
Item-grupper: Header Module, OFF TREATMENT, Header, ECOG Performance Status, Section I - Vital Status, Section II - Reporting Period, Section III - Notice of New Primary, Section IV - Disease Follow-up Status, Section V - Salvage Therapy, Section VI - BRAF Mutation, Section VI - Adverse Events, Section VII - Non-Protocol Therapy Prior To Progression, Footer Module
E1609 Long-Term Follow-up Form Ipilimumab or High-Dose Interferon Alfa-2b in Treating Patients With High-Risk Stage III or Stage IV Melanoma That Has Been Removed by Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=97EE23A9-7DEA-11D3-E040-BB89AD437097

Prostate Cancer NCT00430183 Follow-Up - CALGB 90203: Follow-Up Form - 2525712v1.0 - CALGB 90203: Follow-Up Form

- 2015-01-08 - 1 Formulär, 9 Item-grupper, 68 Dataelement, 1 Språk
Item-grupper: Header, Vital Status, Disease Assessment, Notice of Progression, Postoperative Therapy, Postoperative Therapy (continued), Notice of New Primary, Long-Term Toxicity, Footer
CALGB 90203: Follow-Up Form [Form C-1244 v 1 11/08/2006] Surgery With or Without Docetaxel and Leuprolide or Goserelin in Treating Patients With High-Risk Localized Prostate Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=1F18671A-961D-6EE4-E044-0003BA3F9857

Lung Cancer NCT00863512 Follow-Up - CALGB 30506 Follow-Up Form - 2817823v1.0 - CALGB 30506 Follow-Up Form

- 2015-01-08 - 1 Formulär, 7 Item-grupper, 26 Dataelement, 1 Språk
Item-grupper: Header Module, Patient Information, Disease Status, Progression/Relapse Data, Progression/Relapse Data2, NON-PROTOCOL TREATMENT, Footer
CALGB 30506 Follow-Up 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=5EA3ECF9-4D34-6727-E040-BB89AD437448

Prostate Cancer NCT00079001 Follow-Up - CALGB 90202: Follow-Up Form - 2427399v1.0 - CALGB 90202: Follow-Up Form

- 2015-01-08 - 1 Formulär, 10 Item-grupper, 57 Dataelement, 1 Språk
Item-grupper: Header, Vital Status, Treatment Status, Current Supplements, Notice of Skeletal Related Event, Disease Follow-Up Status, Notice Of Progression, Notice of New Primary, Non-Protocol Therapy, Footer
CALGB 90202: Follow-Up Form Zoledronate in Preventing Skeletal (Bone)-Related Events in Patients Who Are Receiving Androgen Deprivation Therapy For Prostate Cancer and Bone Metastases Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=05291069-4AD0-383B-E044-0003BA3F9857

Breast Cancer Follow-Up - IBCSG Long Term Follow-Up Form (18-LTF) - 3108506v1.0 - IBCSG Long Term Follow-Up Form (18-LTF)

- 2015-01-08 - 1 Formulär, 3 Item-grupper, 16 Dataelement, 1 Språk
Item-grupper: Header Module, LONG TERM FOLLOW-UP, Footer Module
IBCSG Long Term Follow-Up Form (18-LTF) Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=889C3F60-2C47-8540-E040-BB89AD4303DD

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