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. 2015 Jan 15;6(3):233–238. doi: 10.1111/1759-7714.12218

Table 1.

Essential questionnaire items

Hospital information questionnaire
  1. Number of lung cancer/SCLC patients for primary treatment in 2005 and 2010, respectively

  2. Age, gender, stage, with or without brain metastasis at diagnosis of SCLC patients for primary treatment

  3. First-line treatment options for LS-SCLC

  4. Second-line chemotherapy regimens for patients who responded to first-line treatment and progressed

  5. Ranking of several factors including effectiveness, cost, and toxicity in regimen selection

  6. Ranking of efficacy evaluation including response rate, time to progression, progression-free survival, overall survival, quality of life

Patient information questionnaire
  1. Gender, age, smoking history, and family history

  2. Diagnosis, stage, with or without brain metastasis

  3. First-line treatment information, including therapeutic modalities (chemotherapy alone, concurrent chemoradiotherapy or sequential chemoradiotherapy), regimen and cycles of chemotherapy, efficacy, and prophylactic cranial irradiation

  4. Second-line treatment information, including therapeutic modalities, chemotherapy regimen and cycles, efficacy

  5. Time to progression, loss of follow-up or death

LS, limited stage; SCLC, small cell lung cancer.