Download Instruction and Questionaire - MSO-HNS

Ministry of Health
Malaysia
Department of
Otorhinolaryngology,
HUKM,Bandar Tun Razak,
Kuala Lumpur
Department of
Otorhinolaryngology,
Hospital Sultanah Bahiyah,
Alor Setar, Kedah
Malaysian Society Of
Otorhinolaryngologists
Head and Neck Surgeons
(MSO-HNS)
A National Survey on the Management of Laryngeal Cancer : A
Glimpse into the Malaysian Practice
A variety of guidelines in managing laryngeal carcinomas have been developed in
different parts of the world, tailored to the population and facilities present in those
respective countries. A comprehensive national database for head and neck cancers
comprising among others laryngeal cancers is currently being developed, spearheaded by
our Ministry of Health. We hope this preliminary survey will be a stepping stone to
future better surveys and research in our pledge to improve patients’ healthcare. Through
these studies and our future national database collection, we hope to develop our own
national guideline appropriate for our Malaysian setting and further improve the
nationwide management of laryngeal cancer patients.
The main aim of this national survey is to obtain a general overview of the current
practice among ORL surgeons in treating laryngeal cancer patients.
This survey seeks to identify:
1 . Hospitals and surgeons in Malaysia that are actively managing patients with laryngeal
cancer.
2. The common stage of laryngeal cancer presentation either early or advanced stage in
Malaysia
3. The preferred choice of laryngeal surgeries or treatments in Malaysia
4. The preferred choice of voice rehabilitation in Malaysia for laryngectomees
There are only 18 questions to b answered in the questionnaire. Upon completion please
email your answers to the email address below :
[email protected]
Thank you very much for your attention and participation.
Questionnaire
Name of Respondent :
Name of Hospital / Institution:
Instruction
Please place a tick ( / ) on one or more of the options provided for each question as
below. You may copy then paste the tick into the designated boxes below:
1. How long have you been an ORL surgeon?
Less than 5 years
Between 5 to 10 years
More than 10 years
2 . What type of hospital are you practising in?
Government Hospital
University Teaching Hospital
Private Hospital
3. Do you manage head & neck oncology cases in your center?
Yes
No
4. Do you perform head & neck oncology surgeries in your center?
Yes
No
5. Approximately how many laryngeal cancer cases do you see in a year?
less than 5
5 - 10
More than 10
6. What is the commonest subsite involved in the laryngeal cancer cases seen in
your clinic?
supraglottic
glottic
subglottic
transglottic
7. At what stage do the majority of laryngeal cancer patients present in your center?
(Based on the 2010 American Joint Committee on Cancer (AJCC) staging by TNM
classification )
I
II
III
IV A
IV B
IV C
8. What is the first line treatment option for T1 and T2 laryngeal cancer patients in
your center?
surgical
oncological
9. What is the first line treatment option for T3 and T4 laryngeal cancer patients in
your center?
surgical
oncological
10. What are the laryngeal preservation surgeries performed in your center?
(please provide more than 1 response if applicable)
Endoscopic partial laryngectomy
Open partial laryngectomy
Others (please specify)
11. Does your center have its own Oncology Department?
yes
no
12. When is the first oncology appointment scheduled upon surgeons request?
Less than 4 weeks
4 to 6 weeks
More than 6 weeks
13. Which of these services are available in your center ?
(please provide more than 1 response if applicable)
regular tumor board discussion between surgeon & oncologist
laser surgery facilities
frozen section service
auto fluorescence diagnostic services
surgeon sub specialized in laryngology or head neck surgery
fiberoptic endoscopic examination of swallowing (FEES)
videoflouroscopic swallowing evaluation
positron emission tomography (PET) scan
14. What would be your primary choice of voice rehabilitation for patients post total
laryngectomy ?
tracheoesophageal voice prosthesis
electrolarynx
esophageal speech
15. In your centre, what is the preference of voice rehabilitation by laryngectomees?
Please choose according to the priority of the patients' preference
tracheoesophageal voice prosthesis
electrolarynx
esophageal speech
none
16. What is your preference for tracheoesophageal speech surgery?
Primary tracheoesophageal fistula
Secondary tracheoesophageal fistula
17. What is the preference type of voice prosthesis
Provox 1
Provox 2
Provox Vega
Voice Master
Others (please specify)
18. Approximately what is the 5-year relative survival rate for laryngeal cancer
patients in your center
less than 50%
50% to 80%
More than 80%