Form:URS Ineligibility v5.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 2176)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 2186)
* 1066Date participant was determined to be ineligible (MM/DD/YYYY): (Go To: 2186)
* 2186Reason(s) for ineligibility: (Go To: 1097)
 
Permissible Values (value):Participant decided not to participate (10)
 
 Prostate cancer not diagnosed within 2 years of scheduled radical prostatectomy (60)
 
 Prostate cancer graded as greater than Gleason 3+3 (61)
 
 Slides from biopsy and/or prostatectomy not available for Central Pathology review (62)
 
 Radical prostatectomy not selected as only treatment for prostate cancer (63)
 
 Not willing to provide long-term follow-up information (64)
 
 Not willing to contribute samples to the EDRN Upgrading Reference Set (65)
 
 Prior treatment for prostate cancer (66)
 
 Specimens collected outside the time period described in the protocol (67)
 
 Minimum number of tissue specimens not available for the repository (84)
 
 Urine specimens were not post-DRE (85)
 
 Other, specify: (97) (Go To: 2184)
* 2184Reason for ineligibility (Other, specify): (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)