Chemotherapy regimen templates
[DOC File]SAMPLE Informed Consent Form - BC Cancer
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Long term effects of the[specify; radiation therapy/chemotherapy and radiation from imagine tests] used in this study include an increased risk of developing other cancers. If applicable: Some cancer treatments such as chemotherapy or other drugs may slightly increase the risk of blood clots in your veins.
[DOCX File]Alexandria VA Health Care System
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Only 1 patient received chemotherapy in the last 14 days of life. 13% received a new chemotherapy regimen in the last 30 days of life. These indicators were selected because use of new anticancer therapies or continuation of ongoing treatment very near death may indicate overuse or …
[DOC File]Dana–Farber/Harvard Cancer Center
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Jan 31, 2020 · Include separate definitions for duration as needed (e.g., at least 4 weeks since prior chemotherapy or radiation therapy, 6 weeks if the last regimen included BCNU or mitomycin C). Include site/total dose for prior radiation exposure as needed (e.g., no more than 3000 cGy to fields including substantial marrow). Age ≥18 years.
[DOCX File]CHARM Protocol Management - | Health
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A hand written inpatient medication chart or medical oncology chemotherapy sheet (for outpatients) will be accepted in the following circumstances An outage occurs in the CHARM™ System. An acute emergency occurs where there is no defined diagnosis or defined treatment pathway (an interim individualised chemotherapy protocol template must also ...
[DOC File]Oral Chemotherapy for Cancer Audit Tool
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This Audit Tool has been developed to be used in conjunction with the Quality Use of Medicines Notice – Caution with Oral Chemotherapy for Cancer to assist organisations to evaluate local practices for orally administered cancer chemotherapy. Designate an individual or committee to complete this Audit Tool.
[DOCX File]SCHEMA - Cancer Therapy Evaluation Program (CTEP)
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Mar 16, 2012 · , including information to support safety issues and the rationale for the proposed starting dose, dose escalation scheme, and regimen chosen. Please also provide information on the mechanism of action, summaries of nonclinical and clinical studies, nonclinical and clinical pharmacokinetics, and major route of elimination.
[DOC File]CASE xxxx
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May 05, 2017 · Describe how radiation will be scheduled relative to chemotherapy administration if applicable. ... Protocol must specify if attribution is required for individual components of the treatment regimen or the treatment regimen as a whole. ... The outline below is modified from CTEP protocol templates for standard Phase I and II studies (http ...
[DOCX File]Introduction - Homepage | HL7 International
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Templates in this release of the implementation guide are specific to a Breast Cancer Treatment Plan and Summary (BCTPS). Standardization of information used in this form will promote interoperability; create information suitable for reuse in quality measurement, public …
Abbreviated Title:
requires one of 3 protocol templates for CCR Intramural protocols: 1. ... at least 4 weeks since prior chemotherapy or radiation therapy, 6 weeks if the last regimen included BCNU or mitomycin C). Incl. ude site/total dose for prior . radiation exposure as needed (e.g., no more than 3000 ...
[DOC File]NCI Protocol - National Cancer Institute
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These organ dysfunction templates are designed to evaluate toxicity and to measure pharmacokinetic and pharmacodynamic parameters in each of five cohorts of patients with varying degrees of organ dysfunction at each dose of the agent administered. ... the choice of regimen and (2) the need for extensive sampling and PK measurements to isolate ...
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