ESTRO Head & Neck Focus Group Survey: Patterns-of-Care Analysis for Radiotherapy of Elderly Head and Neck Cancer Patients

Dear Colleagues,

THANK YOU very much for taking the time to complete the following questionnaire!

Please note that all questions specifically refer to the radiotherapy of elderly HNSCC patients with curative intent. This compiles squamous cell malignancies of the oro-/hypopharynx, larynx and the oral cavity.
Tumors located in the nasopharynx, nasal cavity/sinuses and salivary gland tumors are not subject of this survey.

Work-up and preparation

Question Title

* What age threshold do you typically use to classify a patient with HNSCC as elderly?

65 years

70 years

75 years

No specific value / individually

Question Title

* Which scores or classifications do you routinely assess in elderly head and neck cancer patients? (Multiple answers possible)

Performance status (e.g., ECOG/WHO, Karnofsky Index)

Comorbidity Scores (e.g., Charlson Comorbidity Index, ACE-27)

ADL

NRS

Geriatric screening / assessment (please specify)

Question Title

* Which imaging modalities are routinely used for staging in elderly head and neck cancer patients? (Multiple answers possible)

Contrast enhanced CT Head/Neck

Contrast enhanced MRI Head/Neck

Contrast enhanced CT Thorax/Abdomen

PET-CT

Question Title

* In oropharyngeal cancers, is HPV status routinely assessed in elderly patients at your institution?

p16 routinely

HPV DNA and p16 routinely

Upon request

Never

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17% of survey complete.