Questions | Possible responses | |
---|---|---|
1. How do you perform routine lung screening during the post treatment follow-up of head and neck cancer | Lung radiography | All patients |
Low-dose CT | Only symptomatic patients | |
PET/CT | Only high risk patients (smokers, radiation exposure, family history and advanced HNSCC) | |
Sputum cytology | ||
Physical exam | ||
No routine screen | ||
2. What is the frequency and duration of lung screening in head and neck cancer during follow up in your practice | 5 years | Biennially |
10 years | Annually | |
Lifelong | Half-yearly | |
3. How effective do you believe the screening procedures listed in question 1 are in reducing lung cancer mortality during the follow-up of head and neck cancer | Very effective | |
Somewhat effective | ||
No effective | ||
Don’t know | ||
4. Have any of your patients during the past 12 months inquired about lung screening | Yes | |
No | ||
5. Number of years of your clinical head and neck practice and years since graduation from medical school | 0-5 years | |
6-10 years | ||
11-20 years | ||
More than 20 years | ||
6. What is your practicing census region and the patient volume during a typical week of your head & neck practice | Alberta | <75 patients/week |
Manitoba | ||
Saskatchewan | ||
British Columbia | ||
New Brunswick | 75-125 patients/week | |
Nova Scotia | ||
Prince Edward Island | ||
Newfoundland and Labrador | ||
Northwest Territories | >125 patients/week | |
Nunavut | ||
Ontario | ||
Quebec | ||
Yukon |