LTR

Metadata Report

Concomitant Therapy(CMT)
Version 2.00

Key FieldField NameFull NameQuestion TextTypeLength and DecimalsExpected
*SITECenterC5Yes
*PROTProtocolC5Yes
*PROJIDParticipant IDC5Yes
*PROTSEGSegmentC1Yes
*VISNOVisit NumberC4Yes
*DTASSESSDate of assessmentD8Yes
CMTCORTISystemic corticosteroidsSystemic (oral or IV) corticosteroids (e.g. prednisone, Medrol):C1Yes
CMTINTRFInterferonInterferon (gamma or beta):C1Yes
CMTIMSUPImmune suppressive agentsImmune suppressive agents (such as cyclophosphamide, azathioprine, mycophenylate, TNF-alpha antagonists, methotrexate or other immune suppressive agents or investigational drugs):C1Yes
CMTCHEM1Chemotherapy for cancer 1Chemotherapy for cancer (such as bleomycin, cyclophosphamide, ARA-C, nitrosoureas, Gemcytibine, Imuran, Iressa):C1Yes
CMTAMDAmiodaroneAmiodaroneC1Yes
CMTAMDDAmiodarone durationDuration number of years:N4(1)Yes
CMTAMDSAmiodarone stop yrHow long ago stopped in years:N4(1)Yes
CMTNTRNitrofurantoinNitrofurantoinC1Yes
CMTNTRDNitrofurantoin durationDuration number of years:N4(1)Yes
CMTNTRSNitrofurantoin stop yrHow long ago stopped in years:N4(1)Yes
CMTCHEM2Chemotherapy for cancer 2Chemotherapy for cancer (such as bleomycin, cyclophosphamide, ARA-C, nitrosoureas, Gemcytibine, Imuran, Iressa):C1Yes
CMTCHEMDChemotherapy durationDuration number of years:N4(1)Yes
CMTCHEMSChemotherapy stop yrHow long ago stopped in years:N4(1)Yes
CMTRADThoracic radiationThoracic radiation therapy for malignancy:C1Yes
CMTRADDThoracic radiat durationDuration number of years:N4(1)Yes
CMTRADSThoracic radiat stop yrHow long ago stopped in years:N4(1)Yes
CMTSTEROInhaled steroidsHave you taken any inhaled steroids (e.g. Flovent, Pulmicort, Aerobid, Advair) within the past 30 days?C1Yes
CMTSTEROInhaled steroidsHave you taken any inhaled steroids (e.g. Flovent, Pulmicort, Aerobid, Advair) since the previous visit?C1Yes
CMTINHLBInhaled beta agonistInhaled beta-agonist such as Serevent, salmeterol, Ventolin, Proventil, albuterol, Foradil:C1Yes
CMTANTICAnticholinergicsAnticholinergics such as Atrovent, Combivent, Spiriva:C1Yes
CMTORALBOral beta agonistOral beta-agonists, such as Brethaire, Ventolin, Proventil:C1Yes
CMTTHEOTheophyllineTheophylline:C1Yes
CMTOTOtherOther:C1Yes
CMTOTSPOther specifyIf Yes, specify:C150Yes
CMTACEAce inhibitorLast 30 days:C1Yes
CMTACEDAce durationDuration number of years:N4(1)Yes
CMTSTATStatinsLast 30 days:C1Yes
CMTSTATDStatins durationDuration number of years:N4(1)Yes
CMTSTNList of statinsType of statins:C2Yes
CMTSTSPStatin specifyIf Other, specify:C50Yes
CMTMACROMacrolidesLast 30 days:C1Yes
CMTMACDMacrolides durationDuration number of years:N4(1)Yes
CMTCOXCox-2 inhibitorsLast 30 days:C1Yes
CMTCOXDCox-2 durationDuration number of years:N4(1)Yes
CMTKETAKetaconazoleLast 30 days:C1Yes
CMTKETADKetaconazole durationDuration number of years:N4(1)Yes
CMTCOMMCommentsComments:M4No