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Dear Participant,

You are being asked to take part in a research study because you have been identified as a practicing general surgeon. This survey aims to evaluate perceptions and practice patterns among general surgeons in Ontario with regards to the utility of repeat endoscopy prior to surgery for colorectal cancer. It will take approximately 5 - 7 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 without any consequences. If you decide to participate, please complete all of the questions to the best of your ability. It is very important for us to learn your opinion.


All information obtained during the study will be held in strict confidence. Representatives of the University Health Network Research Ethics Board may look at the study records to check that the information collected for the study is correct and to make sure the study followed proper laws and guidelines. You will not be named in any reports, publication or presentations that may come from this study. Responses will be stored in a locked cabinet at Toronto Western Hospital and no identifying information will be on the questionnaire sheet.


Questions About the Study

If you have any questions, concerns or would like to speak to the study team for any reason, please call: Dr. Fayez Quereshy at 416-603-5553 or Dr. Carolina Jimenez at 416-831-5218. If you have any questions about your rights as a research participant or have concerns about this study, call the Chair of the University Health Network Research Ethics Board (REB) or the Research Ethics office number at 416-581-7849. The REB is a group of people who oversee the ethical conduct of research studies. These people are not part of the study team. Everything that you discuss will be kept confidential.


By completing and returning this questionnaire, you are providing consent to participate in this study. We thank you for your time and participation.
 
 
 
1. Which of the following best describes your current practice?
 
Surgical oncologist
 
Colorectal surgeon
 
General surgeon
 
Fellow
 
Resident
 
 
 
2. What is your gender?
 
Female
 
Male
 
 
 
3. How many years have you been in practice as a surgeon?
 
Trainee
 
<5
 
5 – 10
 
11 - 15
 
16 - 20
 
>20
 
 
 
4. What is your current location of practice?
 
Urban
 
Rural
 
 
 
5. Where is your primary practice setting?
 
Teaching hospital
 
Non-teaching hospital
 
Private clinic
 
 
 
6. Do you perform colonoscopies?
 
Yes
 
No
 
 
 
7. Where do you perform colonoscopies? (Check all that apply)
 
Private clinic
 
Hospital-based
 
None

 
 
 
8. In your practice setting, who does the majority of colonoscopies in your patients?
 
I perform the majority of them
 
Another general surgeon
 
A gastroenterologist
 
 
 
9. Approximately how many colonoscopies have you performed in the past 12 months?
 
<50
 
51 - 100
 
101 - 150
 
151 - 200
 
>201
 
 
 
10. Do you perform elective surgery for colorectal cancer in your practice?
 
Yes
 
No
 
 
 
11. Approximately how many elective surgeries for colorectal cancer have you performed in the past 12 months?
 
<5
 
5 - 10
 
11 - 20
 
21 - 40
 
>40
 
 
 
12. Approximately what percentage of elective surgery for colorectal cancer do you perform laparoscopically?
 
None
 
< 25%
 
25 - 50%
 
51 - 75%
 
76 - 100%
 
 
 
13. If you did not perform the initial colonoscopy, approximately what percentage of colonoscopies have you repeated prior to elective surgery for colorectal cancer in the past 12 months?
 
None
 
<25%
 
26 - 50%
 
51 - 75%
 
76 - 100%
 
 
 
14. If you repeat a colonoscopy prior to elective surgery for colorectal cancer, what is the most common reason?

Please drag and rank the following options in order of frequency, where 1 corresponds to the most frequent reason and 5 to the least frequent one:
Drag your choices here to rank them
     
     
     
    15. If you did not perform the initial colonoscopy, in which of the following cases would you be more likely to repeat the colonoscopy prior to elective surgery for colorectal cancer? Check all that apply.
     
    Right colon cancer
     
    Left colon cancer
     
    Rectum
     
    Laparoscopic surgery planned
     
    Open surgery planned
     
    Neither

     
     
    16. If you repeat a colonoscopy prior to elective surgery for colorectal cancer, please select the procedure of choice:
    Colonoscopy Sigmoidoscopy Neither
    Right colon cancer
    Left colon cancer
    Rectum cancer
    Laparoscopic surgery planned
    Open surgery planned
     
     
    17. Please rate your agreement/disagreement with the following statements as they pertain to elective surgery for colorectal cancer:
    Completely agree Somewhat agree Somewhat disagree Completely disagree I don’t know
    “Repeat colonoscopy prior to surgery is the standard of care”
    “I have access to appropriate resources in my practice to perform a colonoscopy prior to surgery in a timely fashion”
    “I am more likely to repeat a colonoscopy prior to surgery if the initial colonoscopy was performed outside of my practice group”
    “The findings of a repeat colonoscopy prior to surgery often lead me to change my operative plan”
    “Repeat colonoscopy prior to surgery has minimal impact on time to definitive surgery”
    “Repeat colonoscopy prior to surgery has minimal impact on the total cost of care”
     
     
     
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