Consolidation of Cancer Registry and Administrative Claims Data on Cancer Diagnosis and Treatment in the US Military Health System

被引：11

作者：

Eaglehouse, Yvonne L. ^{[1
,2
,3
,4
]}

Park, Amie B. ^{[1
,2
,4
]}

Georg, Matthew W. ^{[1
,2
,4
]}

Brown, Derek W. ^{[1
,2
,5
]}

Lin, Jie ^{[1
,2
,3
,4
]}

Shao, Stephanie ^{[1
,2
,6
]}

Bytnar, Julie A. ^{[1
,2
,4
]}

Shriver, Craig D. ^{[1
,2
,3
]}

Zhu, Kangmin ^{[1
,2
,3
,4
,7
]}

机构：

[1] Uniformed Serv Univ Hlth Sci, Murtha Canc Ctr, Res Program, 6720A Rockledge Dr,Ste 310, Bethesda, MD 20817 USA

[2] Walter Reed Natl Mil Med Ctr, Bethesda, MD USA

[3] Uniformed Serv Univ Hlth Sci, F Edward Hebert Sch Med, Dept Surg, Bethesda, MD 20814 USA

[4] Henry M Jackson Fdn Adv Mil Med, Bethesda, MD USA

[5] NCI, Div Canc Epidemiol & Genet, Rockville, MD USA

[6] Gen Dynam Informat Technol Fed Hlth, Rockville, MD USA

[7] Uniformed Serv Univ Hlth Sci, Dept Prevent Med & Biostat, F Edward Hebert Sch Med, Bethesda, MD 20814 USA

来源：

JCO CLINICAL CANCER INFORMATICS | 2020年 / 4卷

关键词：

SEER-MEDICARE DATA; CARE DATA; COMPLETENESS; AGREEMENT; RECORDS;

D O I：

10.1200/CCI.20.00043

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

PURPOSE Linked cancer registry and medical claims data have increased the capacity for cancer research. However, few efforts have described methods to select information between data sources, which may affect data use. We developed a systematic process to evaluate and consolidate cancer diagnosis and treatment information between the linked Department of Defense Central Cancer Registry (CCR) and Military Health System Data Repository (MDR) administrative claims database, called Military Cancer Epidemiology Data System (MilCanEpi). METHODS MilCanEpi contains information on cancer diagnosis and treatment of patients receiving care from 1998 to 2014. We used an iterative process guided by knowledge of data features, current literature, and logical comparisons between the CCR and MDR data to evaluate and consolidate cancer diagnosis and treatment received (yes or no) and their dates. We applied the processes to breast cancer data as an example. Agreement between diagnosis and treatment dates in the two data sources was evaluated using Cohen's kappa with 95% CIs. RESULTS In MilCanEpi, we identified 15,965 patients with a breast cancer diagnosis and 15,145 patients who underwent breast cancer surgery; 97.9% and 84.1% of patients had records in both CCR and MDR for diagnosis and surgery, respectively. Exact agreement was 13.7% for diagnosis dates (Cohen's kappa = 0.14; 95% CI, 0.13 to 0.14) and 68.9% for surgery dates (Cohen's kappa = 0.69; 95% CI, 0.68 to 0.70) between the two data sources. After applying systematic processes, 98.1% of patients with a breast cancer diagnosis and 99.7% of patients with surgery had information selected for analytic data sets. CONCLUSION The developed processes resulted in high consolidation rates of breast cancer data in MilCanEpi and may serve as a data selection template for other tumor sites and linked data sources. (c) 2020 by American Society of Clinical Oncology

引用

页码：906 / 917

页数：12

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