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Accuracy of a Cancer Registry Versus Clinical Care Team Chart Abstraction in Identifying Cancer Recurrence.
Sutton, Elsa A; Kamdem Talom, Benjamin C; Ebner, Daniel K; Weiskittel, Taylor M; Breen, William G; Kowalchuk, Roman O; Gunn, Heather J; Day, Courtney N; Moore, Eric J; Holton, Sara J; Van Abel, Kathryn M; Abdel-Halim, Chadi N; Routman, David M; Waddle, Mark R.
Afiliación
  • Sutton EA; Department of Radiation Oncology, Mayo Clinic, Rochester, MN.
  • Kamdem Talom BC; Department of Radiation Oncology, Mayo Clinic, Rochester, MN.
  • Ebner DK; Department of Radiation Oncology, Mayo Clinic, Rochester, MN.
  • Weiskittel TM; Department of Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN.
  • Breen WG; Department of Radiation Oncology, Mayo Clinic, Rochester, MN.
  • Kowalchuk RO; Department of Radiation Oncology, Mayo Clinic, Rochester, MN.
  • Gunn HJ; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.
  • Day CN; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN.
  • Moore EJ; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, MN.
  • Holton SJ; Department of Radiation Oncology, Mayo Clinic, Rochester, MN.
  • Van Abel KM; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, MN.
  • Abdel-Halim CN; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, MN.
  • Routman DM; Department of Radiation Oncology, Mayo Clinic, Rochester, MN.
  • Waddle MR; Department of Radiation Oncology, Mayo Clinic, Rochester, MN.
Mayo Clin Proc Innov Qual Outcomes ; 8(3): 225-231, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38681179
ABSTRACT

Objective:

To evaluate the completeness and reliability of recurrence data from an institutional cancer registry for patients with head and neck cancer. Patients and

Methods:

Recurrence information was collected by radiation oncology and otolaryngology researchers. This was compared with the institutional cancer registry for continuous patients treated with radiation therapy for head and neck cancer at a tertiary cancer center. The sensitivity and specificity of institutional cancer registry data was calculated using manual review as the gold standard. False negative recurrences were compared to true positive recurrences to assess for differences in patient characteristics.

Results:

A total of 1338 patients who were treated from January 1, 2010, through December 31, 2017, were included in a cancer registry and underwent review. Of them, 375 (30%) had confirmed cancer recurrences, 45 (3%) had concern for recurrence without radiologic or pathologic confirmation, and 31 (2%) had persistent disease. Most confirmed recurrences were distant (37%) or distant plus locoregional (29%), whereas few were local (11%), regional (9%), or locoregional (14%) alone. The cancer registry accuracy was 89.4%, sensitivity 61%, and specificity 99%. Time to recurrence was associated with registry accuracy. True positives had recurrences at a median of 414 days vs 1007 days for false negatives.

Conclusion:

Currently, institutional cancer registry recurrence data lacks the required accuracy for implementation into studies without manual confirmation. Longer follow-up of cancer status will likely improve sensitivity. No identified differences in patients accounted for differences in sensitivity. New, ideally automated, data abstraction tools are needed to improve detection of cancer recurrences and minimize manual chart review.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Mayo Clin Proc Innov Qual Outcomes Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Mayo Clin Proc Innov Qual Outcomes Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos