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Detection of incident breast and colorectal cancer cases from an administrative healthcare database in Catalonia, Spain.
Escribà, J M; Banqué, M; Macià, F; Gálvez, J; Esteban, L; Pareja, L; Clèries, R; Sanz, X; Castells, X; Borrás, J M; Ribes, J.
Afiliação
  • Escribà JM; Catalan Cancer Registry, Cancer Planning Directorate, Department of Health, Generalitat de Catalunya, Av. Gran Via 199-203, 1st floor, 08908, L' Hospitalet de Llobregat, Spain. jmescriba@iconcologia.net.
  • Banqué M; Department of Clinical Sciences, University of Barcelona, Campus de Bellvitge, Feixa Llarga s/n, 08907, L' Hospitalet de Llobregat, Barcelona, Spain. jmescriba@iconcologia.net.
  • Macià F; Unit of Prevention and Cancer Registry, Service of Epidemiology and Evaluation, Parc de Salut Mar, Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain.
  • Gálvez J; Anoia Health Consortium, Av. Catalunya 11, 08700, Igualada, Barcelona, Spain.
  • Esteban L; Unit of Prevention and Cancer Registry, Service of Epidemiology and Evaluation, Parc de Salut Mar, Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain.
  • Pareja L; Catalan Cancer Registry, Cancer Planning Directorate, Department of Health, Generalitat de Catalunya, Av. Gran Via 199-203, 1st floor, 08908, L' Hospitalet de Llobregat, Spain.
  • Clèries R; Catalan Cancer Registry, Cancer Planning Directorate, Department of Health, Generalitat de Catalunya, Av. Gran Via 199-203, 1st floor, 08908, L' Hospitalet de Llobregat, Spain.
  • Sanz X; Catalan Cancer Registry, Cancer Planning Directorate, Department of Health, Generalitat de Catalunya, Av. Gran Via 199-203, 1st floor, 08908, L' Hospitalet de Llobregat, Spain.
  • Castells X; Catalan Cancer Registry, Cancer Planning Directorate, Department of Health, Generalitat de Catalunya, Av. Gran Via 199-203, 1st floor, 08908, L' Hospitalet de Llobregat, Spain.
  • Borrás JM; Department of Clinical Sciences, University of Barcelona, Campus de Bellvitge, Feixa Llarga s/n, 08907, L' Hospitalet de Llobregat, Barcelona, Spain.
  • Ribes J; Catalan Cancer Registry, Cancer Planning Directorate, Department of Health, Generalitat de Catalunya, Av. Gran Via 199-203, 1st floor, 08908, L' Hospitalet de Llobregat, Spain.
Clin Transl Oncol ; 22(6): 943-952, 2020 Jun.
Article em En | MEDLINE | ID: mdl-31586294
OBJECTIVE: To validate the Catalan minimum basic data set (MBDS) of hospital discharges as an information source for detecting incident breast (BC) and colorectal cancer (CRC), against the Hospital del Mar Cancer Registry (RTHMar) in Barcelona (Spain) as the gold standard. METHODS: Using ASEDAT software (Analysis, Selection and Extraction of Tumour Data), we identified Catalan public hospital discharge abstracts in patients with a first-time diagnosis of BC and CRC in the years 2005, 2008, and 2011, aggregated by unique patient identifiers and sorted by date. Once merged with the RTHMar database and anonymized, tumour-specific algorithms were validated to extract data on incident cases, tumour stage, surgical treatment, and date of incidence. RESULTS: MBDS had a respective sensitivity and positive predictive value (PPV) of 78.0% (564/723) and 90.5% (564/623) for BC case detection; and 83.9% (387/461) and 94.9% (387/408) for CRC case detection. The staging algorithms overestimated the proportion of local-stage cases and underestimated the regional-stage cases in both cancers. When loco-regional stage and surgery were combined, sensitivity and PPV reached 98.3% and 99.8%, respectively, for BC and 96.4% and 98.4% for CRC. The differences between dates of incidence between RTHMar and MBDS were greater for BC cases without initial surgery, whereas they were generally smaller and homogeneous for CRC cases. CONCLUSIONS: The MBDS is a valid and efficient instrument to improve the completeness of a hospital-based cancer registry (HBCR), particularly in BC and CRC, which require hospitalization and are predominantly surgical.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Neoplasias Colorretais / Bases de Dados Factuais / Hospitalização Tipo de estudo: Diagnostic_studies / Incidence_studies / Prognostic_studies Limite: Humans País/Região como assunto: Europa Idioma: En Revista: Clin Transl Oncol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Espanha País de publicação: Itália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Neoplasias Colorretais / Bases de Dados Factuais / Hospitalização Tipo de estudo: Diagnostic_studies / Incidence_studies / Prognostic_studies Limite: Humans País/Região como assunto: Europa Idioma: En Revista: Clin Transl Oncol Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Espanha País de publicação: Itália