Comparison of Cases Captured in the National Cancer Data Base with Those in Population-based Central Cancer Registries
Comparison of Cases Captured in the National Cancer Data Base with Those in Population-based Central Cancer Registries
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DOI：
10.1245/s10434-013-2901-1
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发表时间：
2013-06-01
影响因子：
3.7
通讯作者：
Stewart, Andrew K.
中科院分区：
文献类型：
--
作者：
Lerro, Catherine C.;Robbins, Anthony S.;Stewart, Andrew K.
国家癌症数据库（NCDB）是一个大型的，地理上多样化的医院癌症登记处，已被用于研究与癌症诊断，治疗和生存相关的因素。本研究的主要目的是比较NCDB中的病例数和患者特征与美国癌症统计局（USCS）报告的基于人群的登记处。将NCDB的癌症病例数与USCS的病例数进行比较，以衡量NCDB的病例覆盖率或病例捕获率。病例覆盖率通过各种特征进行检查，包括居住州、种族/民族、年龄和原发癌部位。NCDB的总体病例覆盖率为67.4%，从特拉华州的88.7%到亚利桑那州的27.1%。白色、黑人和亚洲/太平洋岛民病例的病例覆盖率很高（64. 7%至67. 4%），但美洲印第安人/阿拉斯加原住民（32. 8%）和西班牙裔（51. 1%）的病例覆盖率要低得多。在老年人（65岁以上）中，病例覆盖率远低于65岁以下的人（分别为63.0%和73.0%）。病例覆盖率也因地点而异，最高的是子宫颈（77.9%），最低的是黑色素瘤（50.6%）。这项研究强调了NCDB病例覆盖率的地理和地点特异性变化，主要是由于NCDB设施的存在以及数据收集和处理协议。这些发现说明了NCDB作为全国范围内癌症诊断，治疗和生存数据资源的优势和局限性。
The National Cancer Data Base (NCDB) is a large, geographically diverse hospital-based cancer registry that has been used to study factors related to cancer diagnosis, treatment, and survival. The primary purpose of this study was to compare the case counts and characteristics of patients in NCDB with population-based registries reported in the United States Cancer Statistics (USCS).Cancer case counts from NCDB were compared to case counts from USCS to measure NCDB's case coverage, or the percentage of cases captured. Case coverage was examined by a variety of characteristics, including state of residence, race/ethnicity, age, and primary cancer site.The overall NCDB case coverage was 67.4 %, ranging from a high of 88.7 % for Delaware to a low of 27.1 % for Arizona. Case coverage for white, black, and Asian/Pacific Islander cases was high (64.7 % to 67.4 %), but it was much lower for American Indians/Alaskan Natives (32.8 %) and those of Hispanic ethnicity (51.1 %). Among the elderly (aged 65 + years), case coverage is much lower compared to persons younger than 65 (63.0 % and 73.0 %, respectively). Case coverage also varied widely by site, with the highest being cervix (77.9 %) and the lowest being melanoma (50.6 %).This study highlights the geographic- and site-specific variation in NCDB case coverage, primarily as a result of NCDB facility presence and data collection and processing protocols. These findings illustrate the strengths and limitations of NCDB as a resource for nationwide data on cancer diagnosis, treatment, and survival.