Request for analysis

Project review by Scientific Commitee form

Use this form to request a project review by the Registry’s Scientific Committee.

Submit this completed form and all other documentation to info@registrecancersein.org

 

registre cancer du sein

Applications will be evaluated by the Registry’s Scientific Committee according to the following conditions:

  • The project submitted is considered scientifically valid and is in line with the objectives of the Registry; 
  • The data necessary for the project completion are present (or searchable) in the Registry for a sufficient number of participants.

 

For any questions, contact us at info@breastcancerregistry.org

Process

1. After receiving your request, we will send you an email with the following information:
  • The application number assigned to your project.
  • The fee for the Registry’s Scientific Committee review.
  • How to proceed with the payment of this fee.
    • Payment of this fee is required before starting the review process.
  • 2. The project will be reviewed by the Registry's Scientific Committee and the decision will be communicated to the Principal Investigator.
  • The principal investigator will be required to sign a research agreement detailing the terms of use of the data (e.g., biostatistical analysis costs, patient record search costs, confidentiality, publication policy).
  • The principal investigator must send us the approval of the project by his or her Research Ethics Board (REB).
  • The registry’s biostatistician will undertake the analysis, provided that the study has received approval from the Research Ethics Board (REB).
  • When ready, the results of the analysis will be transferred to the principal investigator with the final invoice for the hours of analysis and/or research and data collection in the patient file.
  • Please note that under no circumstances will the raw data be transmitted to the applicants, only the result of the requested analysis will be shared.
  • The registry team will identify potential participants for each hospital center of interest for the project and transfer the de-identified list to the local registrar team.
  • The local registrar team will provide the local clinical research team with the names and file numbers of potential participants.
  • The local clinical research team makes initial contact with potential participants to assess their interest in participating in the research project and obtain their approval to be contacted by a member of the project team.
  • The local clinical research team will provide the principal investigator with a list of potential participants who have agreed to be contacted for this project.
Demande d’analyse – FORMULAIRE DE RÉVISION DE PROJET PAR LE COMITÉ SCIENTIFIQUE - EN

1. Applicant

2. Applicant type
3. Source of funding
4. Type de demande

Maximum file size: 268.44MB

Attach a copy of your research protocol to your application.

7. Epidemiological variables and measures

Please complete this section only if the variables of interest are different from those described when submitting your "Feasibility Assessment Form".

The information in the Registry’s database relates to participants’ health status, including hospitalizations, diagnoses, medications, medical procedures and imaging, pathology, or laboratory results. It also contains demographic information (gender, age, ethnic origin, lifestyle).

For a specific research project requiring it, the data can be completed through the Dossier Santé Québec and the RAMQ (Régie de l’assurance maladie du Québec) file. There is an additional charge associated with this search for off-register data.

Please indicate all variables of interest for this request.

8. Confirmation and signature of the applicant

The applicant certifies that the information reported on this form is accurate and agrees to abide by the terms and conditions listed on this form.

Improving the fight against breast cancer by increasing access to and participation in clinical research studies.

info@breastcancerregistry.org

+1 514 509 8855

+1 514 509 8855

+1 514 509 8855