SCD Pre-Infusion Data

The Sickle Cell Disease (SCD) Pre-Infusion Data Form (Form 2030) is one of the Comprehensive Report Forms. This form captures SCD-specific pre-infusion data such as: disease classification at diagnosis, transfusion status prior to the start of the preparative regimen, organ assessments prior to the start of the preparative regimen, and the indication for transplant.
This form must be completed for all recipients randomized to the Comprehensive Report Form (CRF) track whose primary disease is reported on the Pre-TED Disease Classification Form (Form 2402) as “Sickle Cell Disease (SCD).”

Links to Sections of the Form

Q1: Subsequent Transplant or Cellular Therapy
Q2 – 5: Disease Classification at Diagnosis
Q6 – 18: Transfusion Therapy
Q19 – 21: Iron Therapy
Q22 – 26: Pulmonary Assessments
Q27 – 37: Cardiovascular Assessments
Q38 – 46: Hepatic Assessments
Q47 – 51: Renal Assessments
Q52 – 56: Splenic Assessments
Q57 – 61: Acute Chest Syndrome
Q62 – 64: Pain
Q65 – 67: Avascular Necrosis
Q68 – 76: Central Nervous System
Q77 – 85: Other Symptoms
Q86 – 92: Disease Modifying Therapies
Q93 – 119: Other Laboratory Studies
Q120 – 121: Reason for Transplant

Manual Updates:
Sections of the Forms Instruction Manual are frequently updated. The most recent updates to the manual can be found below. For additional information, select the manual section and review the updated text.

If you need to reference the historical Manual Change History for this form, please click here or reference the retired manual section on the Retired Forms Manuals webpage.

Date Manual Section Add/Remove/Modify Description
10/23/2020 2030: SCD Pre-Infusion Add Added the following guidance on answering questions 17 and 18: Questions 17 and 18 are currently disabled and should not be completed on this form. These data are already collected on the Baseline (2000) Form and do not need to be reported again.
7/24/2020 2030: SCD Pre-Infusion Add Version 1 of the 2030: Sickle Cell Disease (SCD) Pre-Infusion Data section of the Forms Instruction Manual released. Version 1 corresponds to revision 3 of the Form 2030.
Last modified: Nov 11, 2020

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