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Dear CSO-HNS members:
You are invited to participate in our survey on Oral Corticosteroid Prescribing Habits of Canadian Head and Neck Surgeons. It will take approximately 15 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. The success of this study depends on your cooperation.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Dr. Leigh Sowerby, Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario, Canada at the email address specified below.
Thank you very much for your time and support. You can start the survey now by clicking on the Continue button below. Once completed, you will be directed to an online form to enter in a draw for a $100 AMAZON.CA GIFT CARD!
Sincerely,
Dr. Leigh Sowerby, B.Sc. (Hon), MD, FRCSC
Dr. Brian Rotenberg, B.Sc., MD, MPH, FRCSC
Saad Ansari, B.Sc.
Department of Otolaryngology-Head and Neck Surgery
Western University
London, Ontario, Canada
Ph: (519) 646-6143 Fax: (519) 646-6173
Email: [email protected] |
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Please Note:
Due to multiple chains in the survey, IT IS NOT POSSIBLE TO GO BACKWARDS. Please consider your answers carefully before clicking "Continue" on each page. If you require to restart the survey, click on "Exit Survey" and re-open the link. |
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| Demographical Information |
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What is your current status? |
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| * What year of residency/fellowship are you in? |
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How many years have you been in practice? Choose "0" if you are a resident/fellow.
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In which province are you currently practicing/training? |
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Where did you receive/are currently receiving your
Otolaryngology training? |
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* In which of the following settings are you currently practicing/training? (Select all that apply)practicing/training? (Select all that apply)
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* In what subspecialty are you trained in/will be
trained in?(Select all that apply) |
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* Generally, what resources have helped you to develop your
oral corticosteroid dosing regimens? (Select all that apply) |
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| Please provide up to three (3) peer-reviewed scientific journals that you read most often to develop your oral corticosteroid dosing regimens.
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| Complications of Oral Corticosteroids |
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Have you observed any complications associated with
oral corticosteroid use for any condition? |
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What complication(s) was/were observed and how
many of each type?
NOTE: If a complication is not listed below, please skip to the next question.
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| What other complications have you observed? Please record the approximate number of cases in the textbox beside each complication. If none, please skip to the next question by clicking "Continue" below.
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| Indications for Oral Corticosteroid Use |
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| * In your current practice/training, do you prescribe oral corticosteroids for Chronic Rhinosinusitis with polyposis (CRSwP/AERD)? |
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| Chronic Rhinosinusitis with Polyposis (CRSwP/AERD) |
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For what indications do you prescribe oral
corticosteroids in CRSwP/AERD patients? |
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What oral corticosteroid do you use most often in CRSwP/AERD patients? |
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What starting oral corticosteroid dose do you
generally prescribe for medical therapy of CRSwP/AERD. Please enter the dose below.
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What frequency and duration of oral
corticosteroid do you prescribe for this dose in CRSwP/AERD patients?
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For CRSwP/AERD, do you use a taper in your oral corticosteroid regimen? |
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Please specify the taper. If you have a unique taper, please record it in the
"Comments" section.
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| * In your current practice/training, do you prescribe oral corticosteroids for Chronic Rhinosinusitis without Polyposis (CRSsP) |
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| Chronic Rhinosinusitis without Polyposis (CRSsP) |
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For what indications do you prescribe oral
corticosteroids in CRSsP patients? |
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| * What oral corticosteroid do you use most often in CRSsP patients? |
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What starting oral corticosteroid dose do you
generally prescribe for medical therapy of CRSsP? Please enter the dose below:
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| What frequency and duration of oral corticosteroid do you prescribe for this dose in CRSsP patients?
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| * For CRSsP, do you use a taper in your oral corticosteroid regimen? |
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Please specify the taper. If you have a unique taper, please record it in the
"Comments" section.
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| * In your current practice/training, do you prescribe oral corticosteroids for Acute Rhinosinusitis (ARS)? |
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| Acute Rhinosinusitis (ARS) |
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For what indications do you prescribe oral
corticosteroids in ARS patients? |
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What oral corticosteroid do you use most often in ARS patients? |
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What starting oral corticosteroid dose do you
generally prescribe for medical therapy of ARS? Please enter the dose below:
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| What frequency and duration of oral corticosteroid do you prescribe for this dose in ARS patients?
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For ARS, do you use a taper in your oral corticosteroid
regimen? |
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Please specify the taper. If you have a unique taper, please record it in the
"Comments" section.
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| * In your current practice/training, do you prescribe oral corticosteroids for sudden Sensorineural Hearing Loss (SNHL)? |
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| Sudden Sensorineural Hearing Loss (SNHL) |
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For what purpose do you prescribe oral corticosteroids
in sudden SNHL? |
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| * What oral corticosteroid do you use most often in sudden SNHL patients? |
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What starting oral corticosteroid dose do you
generally prescribe for medical therapy of sudden SNHL? Please enter the dose
below:
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| What frequency and duration of oral corticosteroid do you prescribe for this dose in sudden SNHL patients?
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For sudden SNHL, do you use a taper in your oral
corticosteroid regimen? |
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Please specify the taper. If you have a unique taper, please record it in the
"Comments" section.
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| * In your current practice/training, do you prescribe oral corticosteroids for Facial Paralysis? |
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| * What oral corticosteroid do you use for patients with facial paralysis? |
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What starting oral corticosteroid dose do you
generally prescribe for medical therapy of facial paralysis? Please enter the
dose below:
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| What frequency and duration of oral corticosteroid do you prescribe for this dose in facial paralysis patients?
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For facial paralysis, do you use a taper in your oral
corticosteroid regimen? |
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Please specify the taper. If you have a unique taper, please record it in the
"Comments" section.
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| Other Uses of Oral Corticosteroids in Otolaryngology |
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| Do you prescribe oral corticosteroids for any of the following indications?
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| Please enter the dosing regimen.
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| What other indications do you use oral corticosteroids? Please enter the dosing regimen.
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