Medical Web Surveys to Access, then export results to excel worksheet for analysis.
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Please enter your 3-digit ID:
Do you refer your melanoma patients for sentinel lymph node (SLN) mapping?
Yes
No
If you do not refer any for SLN mapping, why not?

Do you use other diagnostic procedures?

Yes
No

If so, what other diagnostic protocols do you use?


What percent of melanoma patients request SLN procedures?

patients requesting SLN procedures


Of your melanoma patients, what percent were pathologically staged by SLN biopsy in the last 12 months (by stage)?

Stage I
Stage IIa
Stage IIb
Stage IIc
Stage IIIa
Stage IIIb
Stage IIIc
Stage IV


Has the number of melanoma patients getting SLN increased / decreased / remained the same over the last 12 months?

More................ % increase (estimate)
Less................ % decrease (estimate)
About the same


Of those patients that had the SLN biopsy procedure, please estimate the percent of cases that were upgraded from the initial diagnoses?

of stage I patients upgraded to stage III
of stage IIa patients upgraded to stage III
of stage IIb patients upgraded to stage III
of stage IIc patients upgraded to stage III
of stage III patients upgraded to stage IV

For a patient found to be node positive through a SLN biopsy, what percent of time do you:

Recommend a complete lymph node dissection (CLND)
Recommend a CLND and treat with interferon-alfa
Recommend a CLND and treat with interleukin-2
Recommend a CLND and treat with chemotherapy
Recommend a CLND and treat with an experimental protocol
Others (please specify)

Total= 0%
(Responses should total 100%)


Using a 5-point scale, where 1="no value" and 5="very valuable," in your opinion, how valuabie is SLN mapping & biopsy in the diagnosis and treatment of microscopic disease?

No value
Very valuable
1
2
3
4
5


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Medical Web Surveys to Access, then export results to excel worksheet for analysis.
ASP Javascript Web Server, with OS X. Dreamweaver MX