title: [Which choice would the radiation oncologist consider if facing an advanced stage laryngeal cancer?].
abstract: OBJECTIVE
  To analyse the therapeutic decision considered by radiation oncologists put in a position of being diagnosed with an advanced stage cancer of the larynx accessible either to a total laryngectomy or to an organ preservation protocol.
  
  
  METHODS
  Prospective analysis based on an anonymous survey filled by 104 radiation oncologists.
  
  
  RESULTS
  A total of 30.7% of radiation oncologists surveyed did not consider any trade in their cure rate to preserve their larynx. The median percentage of cure that they were willing to trade was 10% (2-100%); and 0.9% of them were willing to trade 100% of their chance for cure in order to "avoid" total laryngectomy. A total of 16.3% of radiation oncologists would like to receive more information before making their decision. The additional information most frequently requested concerned the precise stage of the tumour and the potential remedial treatment in case of failure of the laryngeal preservation protocol. None of the analysed demographic variables influenced the choice to trade or not survival chance to preserve the larynx, the percentage of chance that radiation oncologists would consider exchanging, and/or the wish to receive additional information.
  
  
  CONCLUSIONS
  This prospective study highlights that larynx preservation protocol is not the main therapeutic goal shared by all radiation oncologists put in a position of being diagnosed with an advanced stage cancer of the larynx. Total laryngectomy should remain a treatment option that as organ preservation protocols to be proposed and discussed.
authors.affiliation: Service d'oncologie-radiothérapie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France; Université Paris Descartes, Paris Cité Sorbonne, 75015 Paris, France. Electronic address: philippe.giraud@egp.aphp.fr.
authors.forename: P
authors.initials: P
authors.lastname: Giraud
authors.affiliation: Université Paris Descartes, Paris Cité Sorbonne, 75015 Paris, France; Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: Malinvaud
authors.affiliation: Université Paris Descartes, Paris Cité Sorbonne, 75015 Paris, France; Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Ménard
authors.affiliation: Université Paris Descartes, Paris Cité Sorbonne, 75015 Paris, France; Service de psychiatrie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Consoli
authors.affiliation: Université Paris Descartes, Paris Cité Sorbonne, 75015 Paris, France; Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Bonfils
authors.affiliation: Université Paris Descartes, Paris Cité Sorbonne, 75015 Paris, France; Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Laccourreye
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003657:Decision Making; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000628:therapy*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D059351:Organ Sparing Treatments; D010818:Practice Patterns, Physicians'; D011446:Prospective Studies; D018787:Radiation Oncology; D011795:Surveys and Questionnaires
keywords: Cancer; Information; Laryngeal preservation; Larynx; Medical information; Préservation laryngée; Trade off