Survey Instrument


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Thank you for taking part in this brief survey, conducted by Boston University School of Medicine and focused on management of geriatric cancer in the academic and community settings. You have been invited to participate in this survey because you are part of the multidisciplinary team of healthcare professionals that care for geriatric patients with cancer. Your responses will help shape medical education in this important area. Thank you for your kind assistance with this important project.

Demographic Questions

1. Please indicate your profession.

    1. Physician
    2. Nurse Practitioner
    3. Other

2. Please indicate your specialty.

    1. Medical Oncology
    2. Radiation Oncology
    3. Surgical Oncology
    4. Other

3. Please indicate the number of years you have been practicing: (after fellowship)

    1. 0-10
    2. 11-20
    3. 21-30
    4. >30

4. Please indicate the practice setting in which you work.

    1. Academic
    2. Community
    3. A combination of academic and community
    4. Freestanding cancer center
    5. Other

5. What types of cancer do you treat? (Select all that apply)

    1. Carcinoma
    2. Sarcoma
    3. Myeloma
    4. Leukemia
    5. Lymphoma
    6. Mixed Types

6. What percent of the patients that you treat are >70 years old?

    1. 0%
    2. 1-25%
    3. 26-50%
    4. 51-75%
    5. >75%

7. Does your electronic health record system assist with therapy selection? (eg, link to guidelines, pathways, pop- up window, etc.)

    1. Yes
    2. No
    3. I do not have an electronic health record system

8. Please rate your overall confidence in treating the following patients with cancer:

      a. Younger patients  slider scale 1-100
b. Geriatric patients  slider scale 1-100

General Questions

9. If you were designing education for your specialty related to the treatment of geriatric patients with cancer, what issues would be most important to cover?

10. Related to the NCCN Guidelines and guidance for the care of geriatric patients with cancer…I wish the guideline provided:

    1. Less guidance
    2. More guidance
    3. The guideline provides just the right amount of information

11. Why do you feel this way about the guidelines? (any clarification you can provide is appreciated)

12. How useful do you find the following in learning about new therapies?

1

2

3

4

5

NCCN Guidelines

Websites (Up-to-date, Medscape, etc.)

Journals

Meetings

email updates

Conversations with colleagues

Forces for Change

13. In regards to treating geriatric patients with cancer, please indicate your level of agreement with each of the following statements:

1

2

3

4

5

I feel pressure from some colleagues to adopt new practices in this clinical area.

I wish I were more knowledgeable in this area.

The expectations of the systems (hospital, ACO, etc.) in which I work are a force for change in treating geriatric patients.

New information in the literature has increased my interest in adopting new practices in this area.

Recent regulations or policies require that I do things differently in this area of my clinical practice.

There are financial advantages to changing my approach with geriatric patients.

14. For the following statements related to geriatric oncology, please indicate your present ability to the left, and your desired ability to the right.

Ability [Low, High]

1

2

3

4

5

Assess patient health status (comorbidities, physical function, cognition, social status, etc.)

Adjust treatment options for geriatric patients based on health status

Address language, religious, and other cultural issues that may affect management of the geriatric patient with cancer

Communicate with the geriatric patient, family, and caregivers about desired goals of care

Determine the optimal treatment regimen(s), including timing and dosing, for the geriatric patient

Communicate with the patient/family/caregivers about treatment options and patient concerns

Manage side effects

Revise the treatment plan when necessary

Collaborate with the multidisciplinary team (including primary care) about the care of the geriatric patient

15. In regard to managing geriatric patients with cancer…

1

2

3

4

5

The way I practice in this clinical area is acceptable to me.

I may need to examine one or more of my clinical practices in this area.

I plan to change the way I practice in this area in the near future.

16. Please rate the following as barriers to adopting new therapies for geriatric patients:

1

2

3

4

5

Lack of time to learn about new therapies

Lack of data specifically for geriatric patients

Unknown effects of comorbidities

Lack of insurance coverage

High cost to patients

17. Please rate your level of agreement with the following statements.

1

2

3

4

5

I regularly use formal tools (ECOG, Karnofsky, ADLs, IADLs, etc.) to assess geriatric patient performance status

I regularly use formal tools (MMSE, MOCA, Mini-Cog, SLUMS, etc.) to assess geriatric patient cognitive status

I regularly use formal tools (CARG, CRASH) to identify patients who are at a higher risk for chemotherapy intolerance

I regularly use resources (NCI, ACS, FDA, etc.) to educate my geriatric patients on their condition and treatment.

I regularly refer geriatric patients for a consult with a geriatrician or palliative care physician.