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Present aftercare Physician’s questionnaire for aftercare ABC study - Present aftercare Physician’s questionnaire for aftercare

- 9/20/21 - 1 form, 11 itemgroups, 99 items, 1 language
Itemgroups: Administrative, Medical Examination, Medical consultation, laboratory tests, Aftercare, medical consultation early cancer prevention, vaccination status, cardiovascular risk factor, Rehabilitation measures, Physical therapy, Medication
Study part: Present aftercare Physician’s questionnaire for aftercare ABC Study. Aftercare pattern in adult patients with blood cancer and blood cancer early stage: Impact on health related endpoints, quality of life and health resource use. University clinic essen, (Klinik für Hämatologie Uniklinik Essen, UKE), department hematology. Permission granted by Claudia Ose.

General aspects Physician’s questionnaire for aftercare ABC study - General aspects Physician’s questionnaire for aftercare

- 10/24/16 - 1 form, 4 itemgroups, 45 items, 1 language
Itemgroups: Administrative, Comorbidity, Aftercare, Aftercare importance
Study part: General aspects Physician’s questionnaire for aftercare ABC Study. Aftercare pattern in adult patients with blood cancer and blood cancer early stage: Impact on health related endpoints, quality of life and health resource use. University clinic essen, (Klinik für Hämatologie Uniklinik Essen, UKE), department hematology. Permission granted by Claudia Ose.

A. Disease and general conditions of the aftercare Questionnaire for aftercare ABC study - A. Disease and general conditions of the aftercare Questionnaire for aftercare

- 10/26/16 - 1 form, 10 itemgroups, 85 items, 1 language
Itemgroups: therapy blood cancer, Aftercare condition, Period aftercare, Medical Examination, medical support, Supportive care, relapse blood cancer, symptoms relapse blood cancer, Medical Examination Relapse blood cancer, therapy Relapse blood cancer
Study part: A. Disease and general conditions of the aftercare Questionnaire for aftercare ABC Study. Aftercare pattern in adult patients with blood cancer and blood cancer early stage: Impact on health related endpoints, quality of life and health resource use. University clinic essen, (Klinik für Hämatologie Uniklinik Essen, UKE), department hematology. Permission granted by Claudia Ose.

B. Possible late effects of disease or treatment Questionnaire for aftercare ABC study - B. Possible late effects of disease or treatment Questionnaire for aftercare

- 9/20/21 - 1 form, 20 itemgroups, 147 items, 1 language
Itemgroups: Infection, Infection, Fertility, measure Fertility, Therapy; Offspring desire, Therapy; Offspring desire, Medical Examination; Fertility problem, number of children Therapy naive, number of children therapy end, Second or other cancer diagnoses, Second or other cancer diagnoses symptom First, Medical Examination Second or other cancer diagnoses, therapy Second Primary Cancers, Cardiovascular Diseases, Cardiovascular Diseases, Medical Examination Cardiovascular Diseases, Therapy Cardiovascular Diseases, Polyneuropathy, Medical Examination Polyneuropathy, Therapy Polyneuropathy
Study part: B. Possible late effects of disease or treatment Questionnaire for aftercare ABC Study. Aftercare pattern in adult patients with blood cancer and blood cancer early stage: Impact on health related endpoints, quality of life and health resource use. University clinic essen, (Klinik für Hämatologie Uniklinik Essen, UKE), department hematology. Permission granted by Claudia Ose.

E. Detailed information on the last 12 months Questionnaire for aftercare ABC study - E. Detailed information on the last 12 months Questionnaire for aftercare

- 11/23/16 - 1 form, 10 itemgroups, 115 items, 1 language
Itemgroups: occupation earnings, Level of Care, recreational activities; Self-help group support; Religious Group, Aftercare hospitalization hematologic neoplasm, Aftercare physician hematologic neoplasm, Medical Examination hematologic neoplasms, Aftercare rehabilitation measures hematologic neoplasm, Medication, Aftercare Physical therapy hematologic neoplasm, Aftercare hematologic neoplasm
Study part: E. Detailed information on the last 12 months Questionnaire for aftercare ABC Study. Aftercare pattern in adult patients with blood cancer and blood cancer early stage: Impact on health related endpoints, quality of life and health resource use. University clinic essen, (Klinik für Hämatologie Uniklinik Essen, UKE), department hematology. Permission granted by Claudia Ose.

D. Personal information and information about circumstances Questionnaire for aftercare ABC study - D. Personal information and information about circumstances Questionnaire for aftercare

- 11/21/16 - 1 form, 7 itemgroups, 62 items, 1 language
Itemgroups: Personal Information, Family history Neoplastic disease, health insurance previous, health insurance, Occupations, social contacts previous, social contacts
Study part: D. Personal information and information about circumstances Questionnaire for aftercare ABC Study. Aftercare pattern in adult patients with blood cancer and blood cancer early stage: Impact on health related endpoints, quality of life and health resource use. University clinic essen, (Klinik für Hämatologie Uniklinik Essen, UKE), department hematology. Permission granted by Claudia Ose.

C. General health care and medical check-ups Questionnaire for aftercare ABC study - C. General health care and medical check-ups Questionnaire for aftercare

- 9/20/21 - 1 form, 6 itemgroups, 45 items, 1 language
Itemgroups: Health Care, Medical Examination Screening for cancer, Precaution cardiovascular diseases, Medical Examination Complication Diabetes Mellitus, Medical Examination Complication Hypertension, Vaccinations
Study part: C. General health care and medical check-ups Questionnaire for aftercare ABC Study. Aftercare pattern in adult patients with blood cancer and blood cancer early stage: Impact on health related endpoints, quality of life and health resource use. University clinic essen, (Klinik für Hämatologie Uniklinik Essen, UKE), department hematology. Permission granted by Claudia Ose.

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