Validity of Administrative Databases in Comparison to Medical Charts for Breast Cancer Treatment Data.

IF 1.8 Q3 ONCOLOGY

Journal of Cancer Epidemiology Pub Date : 2018-05-14 eCollection Date: 2018-01-01 DOI:10.1155/2018/9218595

Ashini Weerasinghe, Courtney R Smith, Vicky Majpruz, Anjali Pandya, Kristina M Blackmore, Claire M B Holloway, Roanne Segal-Nadlere, Cathy Paroschy Harris, Ashley Hendry, Amanda Hey, Anat Kornecki, George Lougheed, Barbara-Anne Maier, Patricia Marchand, David McCready, Carol Rand, Simon Raphael, Neelu Sehgal, Anna M Chiarelli

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引用次数: 2

Abstract

Objective: Medical chart abstraction is the gold standard for collecting breast cancer treatment data for monitoring and research. A less costly alternative is the use of administrative databases. This study will evaluate administrative data in comparison to medical charts for breast cancer treatment information.

Study design and setting: A retrospective cohort design identified 2,401 women in the Ontario Breast Screening Program diagnosed with invasive breast cancer from 2006 to 2009. Treatment data were obtained from the Activity Level Reporting and Canadian Institute of Health Information databases. Medical charts were abstracted at cancer centres. Sensitivity, specificity, positive and negative predictive value, and kappa were calculated for receipt and type of treatment, and agreement was assessed for dates. Logistic regression evaluated factors influencing agreement.

Results: Sensitivity and specificity for receipt of radiotherapy (92.0%, 99.3%), chemotherapy (77.7%, 99.2%), and surgery (95.8%, 100%) were high but decreased slightly for specific radiotherapy anatomic locations, chemotherapy protocols, and surgeries. Agreement increased by radiotherapy year (trend test, p < 0.0001). Stage II/III compared to stage I cancer decreased odds of agreement for chemotherapy (OR = 0.66, 95% CI: 0.48-0.91) and increased agreement for partial mastectomy (OR = 3.36, 95% CI: 2.27-4.99). Exact agreement in treatment dates varied from 83.0% to 96.5%.

Conclusion: Administrative data can be accurately utilized for future breast cancer treatment studies.

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管理数据库与医学图表比较乳腺癌治疗数据的有效性。

目的:医学图表抽象是收集乳腺癌治疗数据进行监测和研究的金标准。一种成本较低的替代方法是使用管理数据库。本研究将评估管理数据与医学图表对乳腺癌治疗信息的比较。研究设计和背景:一项回顾性队列设计确定了2006年至2009年安大略省乳腺筛查项目中诊断为浸润性乳腺癌的2401名妇女。治疗数据来自活动水平报告和加拿大卫生信息研究所的数据库。癌症中心摘录了医学图表。计算接受治疗和治疗类型的敏感性、特异性、阳性和阴性预测值以及kappa，并评估日期的一致性。Logistic回归评价影响一致性的因素。结果:放疗(92.0%，99.3%)、化疗(77.7%，99.2%)和手术(95.8%，100%)的敏感性和特异性较高，但对特定的放疗解剖部位、化疗方案和手术的敏感性和特异性略有下降。一致性随着放疗年份的增加而增加(趋势检验，p < 0.0001)。与I期癌症相比，II/III期癌症同意化疗的几率降低(OR = 0.66, 95% CI: 0.48-0.91)，部分乳房切除术的几率增加(OR = 3.36, 95% CI: 2.27-4.99)。治疗日期的确切一致性从83.0%到96.5%不等。结论:行政数据可以准确地用于未来的乳腺癌治疗研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cancer Epidemiology ONCOLOGY-

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： Journal of Cancer Epidemiology is a peer-reviewed, open access journal that publishes original research articles, review articles, case reports, and clinical studies in all areas of cancer epidemiology.