ISoLP SiLaC & EPSiT Recommendation Development Group
Screening Form
Name:
Email:
SECTION 1 — Clinical Experience
1. Do you regularly diagnose and manage patients with pilonidal sinus disease (PSD)?
Select...
Yes
No
2. Approximately how many PSD cases do you treat per year?
Select...
<10
10–30
30–60
>60
3. Which PSD techniques do you personally perform? (Select all that apply)
SiLaC
E-SiLaC
EPSiT
Open / Flap procedures
Other
4. How many SiLaC or EPSiT procedures have you performed in total?
Select...
<20
20–50
50–100
>100
5. Do you routinely use imaging (US/MRI) in PSD evaluation?
Select...
US
MRI
Both
No
SECTION 2 — Academic & Scientific Background
6. Have you published research related to PSD or minimally invasive proctology?
Select...
Yes
No
7. Do you have experience in literature review or evidence-based medicine?
Select...
Yes
Limited
No
8. Are you familiar with GRADE or AGREE II?
Select...
Yes
Partially
No
SECTION 3 — Participation Requirements
9. Are you willing to actively contribute to drafting recommendations?
Select...
Yes
No
10. Are you available for regular online meetings and monthly deadlines?
Select...
Yes
No
11. Can you contribute written sections or literature extraction?
Select...
Yes
Possibly
No
SECTION 4 — Professional Background
12. Do you hold a recognized medical qualification (MD/DO or equivalent)?
Select...
Yes
No
13. What is your current specialty?
Select...
General Surgery
Colorectal
Proctology
Pediatric
Other
14. How many years have you managed PSD patients?
Select...
<3
3–7
7–15
>15
SECTION 5 — Conflicts of Interest & Diversity
15. Do you have any financial or professional relationship with relevant industry?
Select...
Yes
No
If yes, specify:
16. Country and clinical setting
Country:
Clinical setting: (Public hospital,Private Clinic,Mixed Practice)
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