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Nephron Sparing Treatment (NEST) multi-site study - for small renal tumours

Please indicate your specialism

Please indicate your specialism

Interventional radiologist

Urologist

Oncologist

other

Please indicate your current role

Please indicate your current role

Consultant/Attending

Trainee/resident/associate specialist

Fellow

Medical student

please enter the country and town you practice in

Please select the option that best describes your institution

Please select the option that best describes your institution

district/local hospital

secondary/tertiary hospital

Which management options for small renal tumours (cT1a) are offered in your department? (select all that apply)

biopsy

surgery (partial nephrectomy, radical nephrectomy)

cryoablation

other ablative therapies (e.g. microwave, IRE, RFA)

Stereotactic ablative radiotherapy

active surveillance

In your practice, are small renal tumours discussed at a multidisciplinary team meeting (MDT/tumour board? (choose one)

In your practice, are small renal tumours discussed at a multidisciplinary team meeting (MDT/tumour board? (choose one)

yes, all cases

yes, selected cases

no

Please indicate the number of cases of small renal tumours (cT1a) that your department manages per month (choose one)

Please indicate the number of cases of small renal tumours (cT1a) that your department manages per month (choose one)

<5

5-10

11-20

21-50

>50

Would you be interested in being involved in a clinical trial comparing outcomes in percutaneous cryotherapy to robot assisted partial nephrectomy for small renal tumours? (choose one)

Would you be interested in being involved in a clinical trial comparing outcomes in percutaneous cryotherapy to robot assisted partial nephrectomy for small renal tumours? (choose one)

yes, my department offers both cryotherapy and robot assisted partial nephrectomy

no

yes, I would be interested but my department does not offer cryoablation

yes, I would be interested but my department does not offer robot assisted partial nephrectomy

If you are interested in being involved, how many cases do you envisage being able to recruit per month?

If you are interested in being involved, how many cases do you envisage being able to recruit per month?

1

2-3

4 or more

Please leave any comments/suggestions for the researchers to take into account about the future trial:

(Optional) please leave your contact details if you'd like to be contacted with more information on the future trial

First Name

Last Name

Phone

Email Address

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