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Evaluation

Are you evaluating a patient prior to chemotherapy?

Age of the patient

years

Serum LDH

IU/L

Upper limit of the normal (ULN) reference range for serum LDH

IU/L

Diastolic blood pressure

mm Hg

Instrumental Activity of Daily Living (IADL)

Mini-Mental Status

Mini-Nutritional Assessment

Select an appropriate answer for each finding

Toxicity of chemotherapy regimen

ECOG performance

Results

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