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COVID-19 and IBC
IBC-IC Questionnaire for health care providers
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* Indicates required question
Occupation
*
Oncologist
Radiologist
Surgeon
Nurse Practitioner
Social Worker
Other:
Work Environment
*
Hospital/Cancer Center
Clinic
Private Office
Other:
3.
How many IBC cases were diagnosed between March 2020-November 2020 in your Center?
*
0-5
5-10
>10
4.
Do you think this number is different, higher or lower, compared to regular pre-COVID clinic?
*
Same
Lower
Higher
5.
How many metastatic IBC cases between March 2020-November 2020 in your Center?
*
1-2
2-5
>5
8.
Do you think this number is different, higher or lower compared to regular pre-COVID clinic?
*
Same
Lower
Higher
9.
How worried are you about contracting the coronavirus (SARS-CoV-2)?
*
Not worried
Somewhat worried
Very worried
10.
How do you protect your clinic patients (in addition to social distancing and hand washing)? (select all that apply)
*
Surgical mask patient and health care staff
Non sterile glove for any direct patient contact
Phone call prior to visit to identify any symptomatic patient who will not be admitted
Assessment at check-in
Systematic Corona test
Symptomatic Corona test
Only targeted patient care, stop of any systematic procedures such as blood pressure determination
Antibody test when available and separation of patient care according to test result
Required
11.
What percentage of IBC patients have attended clinical visits between March-October in your Center?
*
0-25%
26-50%
>50%
12.
What percentage of your visits for IBC patients is remote or telemedicine?
*
0-25%
26-50%
>50%
13.
Any delay in diagnostic imaging for IBC patients? (select all that apply)
*
Mammogram
Breast MRI
CT Scans
PET/CT
None
Required
14.
Did you delay or postpone any local therapy for IBC patients due to Coronavirus pandemic?
*
No, never postponed
0-25%
26-50%
Yes, I do not know details
15.
Did you delay or postpone any systemic therapy for non-metastatic IBC patients?
*
No, never postponed
0-25%
26-50%
Yes, I do not know details
16.
Did you delay or postpone any systemic therapy for metastatic IBC patients?
*
No, never postponed
0-25%
26-50%
Yes, I do not know details
17.
Have you increased communications with IBC patients in your Center between March 2020 - November 2020?
*
Yes
No
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