Form:Canary Never Smokers Participant Data v1.2


CDE IDCDE Description
* 1063Site Participant ID (Go To: 422)
* 422EDRN Site ID (Go To: 423)
* 423EDRN Protocol ID (Go To: 2841)
   2841Matched pair ID: (Go To: 2603)
* 2603Study group: (Go To: 1319)
 
Permissible Values (value):Never Smoker Control (11)
 
 Former Smoker Control (12)
 
 Current Smoker Control (13)
 
 Never Smoker Case (14)
 
 Former Smoker Case (15)
 
 Current Smoker Case (16)
 
 Unknown/refused (99)
   1319Date participant signed consent form (MM/DD/YYYY): (Go To: 1852)
   1852Tobacco usage (Go To: 1715)
 
Permissible Values (value):Never (1)
 
 Former (2)
 
 Current (3)
 
 Unknown (99)
   1715Total number of pack years smoked. (Go To: 578)
   578Age at specimen collection (Go To: 1320)
   1320Gender (What is your gender?) (Go To: 1315)
 
Permissible Values (value):Male (1)
 
 Female (2)
 
 Unknown/refused (9)
   1315Race (What is your race? Check all that apply.) (Go To: 1837)
 
Permissible Values (value):White (1)
 
 Black or African-American (2)
 
 American Indian or Alaska Native (3)
 
 Asian (4)
 
 Native Hawaiian or other Pacific Islander (7)
 
 Other (95)
 
 Unknown/refused (99)
   1837Date of cancer diagnosis (MM/DD/YYYY): (Go To: 1889)
   1889Height (cm): (Go To: 1890)
   1890Weight (kg): (Go To: 774)
   774Date of surgery (MM/DD/YYYY): (Go To: 1257)
   1257Histologic type (lung): (Go To: 2769)
 
Permissible Values (value):Squamous cell carcinoma (1)
 
 Papillary squamous cell carcinoma (2)
 
 Clear cell squamous cell carcinoma (3)
 
 Small cell squamous cell carcinoma (4)
 
 Basaloid squamous cell carcinoma (5)
 
 Small cell carcinoma (6)
 
 Combined small cell carcinoma (7)
 
 Adenocarcinoma (8)
 
 Acinar adenocarcinoma (9)
 
 Papillary adenocarcinoma (10)
 
 Bronchioloalveolar carcinoma (11)
 
 Non-mucinous (12)
 
 Mucinous (13)
 
 Mixed mucinous and non-mucinous or indeterminate (14)
 
 Solid adenocarcinoma with mucin formation (15)
 
 Adenocarcinoma with mixed subtypes (16)
 
 Large cell carcinoma (17)
 
 Other (95)
 
 Unknown/refused (99)
   2769Histologic type comment: (Go To: 786)
   786Lung T-Stage, Pathologic (Go To: 789)
 
Permissible Values (value):pTX (1)
 
 pT0 (2)
 
 pTis (4)
 
 pT1 (8)
 
 pT1a (10)
 
 pT1b (11)
 
 pT2 (13)
 
 pT2a (14)
 
 pT2b (15)
 
 pT3 (16)
 
 pT4 (19)
   789Lung N-Stage, Pathologic (Go To: 790)
 
Permissible Values (value):pNX (1)
 
 pN0 (2)
 
 pN1 (7)
 
 pN2 (12)
 
 pN3 (15)
   790Lung M-Stage, Pathologic (Go To: 2750)
 
Permissible Values (value):pMX (1)
 
 pM0 (2)
 
 pM1 (3)
   791Stage Grouping, Pathologic (Lung) (Go To: 1118)
 
Permissible Values (value):Stage 0 (1)
 
 Stage IA (2)
 
 Stage IB (3)
 
 Stage IIA (4)
 
 Stage IIB (5)
 
 Stage IIIA (6)
 
 Stage IIIB (7)
 
 Stage IV (8)
   2750AJCC Manual edition: (Go To: 1118)
 
Permissible Values (value):Edition 1 went into effect 1978 (1)
 
 Edition 2 went into effect 1984 (2)
 
 Edition 3 went into effect 1993 (3)
 
 Edition 4 went into effect 1997 (4)
 
 Edition 5 went into effect 1998 (5)
 
 Edition 6 went into effect 2003 (6)
 
 Edition 7 went into effect 2010 (7)
 
 Unknown (99)
   1118Tumor size (in cm) (Go To: 2765)
   2765Specimen dimensions: (Go To: 1357)
   1357Tumor laterality (Go To: 720)
 
Permissible Values (value):Right (1)
 
 Left (2)
 
 Both (3)
 
 N/A (8)
 
 Unknown/refused (9)
   720Anatomical site (Go To: 2766)
 
Permissible Values (value):Upper lobe (UL) (17)
 
 Lower lobe (LL) (18)
 
 Middle lobe (ML) (19)
 
 Other (95)
   2766Time at which surgery began: (Go To: 2768)
   2768Time specimen processed: (Go To: 2767)
   2767Time specimen obtained: (Go To: 545)
   545Approximate time elapsed between specimen collection and final storage: (value) (Go To: 1054)
   1054Specimen collection date (MM/DD/YYYY): (Go To: 1878)
   1878Date of last contact (MM/DD/YYYY): (Go To: 2477)
   2477Radiation therapy used? (Go To: 2275)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown/refused (9)
   2275Chemotherapy used? (Go To: 2546)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown/refused (9)
   2546Response to treatment: (Go To: 2638)
 
Permissible Values (value):Complete Response (CR) (1)
 
 Partial Response (PR) (2)
 
 Stable Disease (SD) (3)
 
 Progressive disease (PD) (4)
 
 No treatment administered (5)
 
 Unknown (99)
   2638Recurrent cancer? (Go To: 1336)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown/refused (9)
   1336Date of death (MM/DD/YYYY): (Go To: 1307)
   1307Ever had cancer [other than basal/squamous cell skin cancer] confirmed by a doctor? (Have you ever had cancer [other than basal/squamous cell skin cancer] confirmed by a doctor?) (Go To: 1097)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown/refused (9)
   1097Comments (do not include any participant identifiers) (Go To: 2749)
   2749Coordinating center data comments: (Go To: End of Form)