Incident Cases Captured in the National Cancer Database Compared with Those in US Population Based Central Cancer Registries in 2012-2014
Incident Cases Captured in the National Cancer Database Compared with Those in US Population Based Central Cancer Registries in 2012-2014
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DOI：
10.1245/s10434-019-07213-1
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发表时间：
2019-06-01
影响因子：
3.7
通讯作者：
Nelson, Heidi
中科院分区：
文献类型：
--
作者：
Mallin, Katherine;Browner, Amanda;Nelson, Heidi
国家癌症数据库（NCDB）是一个以医院为基础的癌症登记处，包括美国新诊断的癌症患者的诊断、分期、治疗和结果数据。国家数据库的数据包括1985年至2015年间诊断的3100万例患者记录。自2010年以来，癌症委员会认可的机构的研究人员已经可以获得基于这些数据子集的参与者用户文件。本研究旨在比较国家癌症数据库和国家人口癌症登记处的癌症发病率。方法将2012-2014年NCDB的癌症发病率与2012-2014年美国癌症统计数据中的癌症病例数进行比较。通过原发部位和其他因素进行比较。结果2012-2014年，NCDB捕获了美国72%的癌症病例，略高于之前两次评估报告的67%和69%。在十大主要癌症部位中，乳腺癌的覆盖率最高（80%），皮肤黑色素瘤（52%）和前列腺黑色素瘤（58%）的覆盖率最低。结肠癌、膀胱癌、肾癌和肾盂癌的覆盖率相对较高，分别为71%、70%和78%，而肺癌和支气管癌的覆盖率略低（65%）。NCDB对美国癌症病例的覆盖率仍然相对较高（72%），但不同的癌症部位和其他因素仍然存在差异，这是NCDB数据使用者应该考虑的因素。
BackgroundThe National Cancer Database (NCDB) is a hospital-based cancer registry that includes diagnostic, staging, treatment, and outcomes data for newly diagnosedcancer patients in the United States. The NCDB data include 31 million records for patientsdiagnosed between 1985-2015. A Participant User File based on a subset of these data has been available to researchers at facilities accredited by the Commission on Cancer since 2010. This study aimed to compare the number of incident cancer cases in the NCDB with a national population cancer registry.MethodsIncident cancer cases in the NCDB in 2012-2014 were compared with the number of cancer cases in the United States Cancer Statistics data for the 2012-2014 diagnosis years. Comparisons were made by primary site and other factors.ResultsIn 2012-2014, the NCDB captured 72% of the cancer cases in the United States, which was slightly higher than the 67% and 69% reported respectively in two prior assessments. Among the top 10 major cancer sites, the highest coverage (80%) was found for breast cancer, and the lowest was found for melanoma of the skin (52%) and prostate (58%). Colon, bladder, and kidney and renal pelvis cancers had relatively high coverage of 71%, 70% and 78%, respectively, whereas lung and bronchus had slightly lower coverage (65%).ConclusionsThe NCDB coverage of U.S. cancer cases has remained relatively high (72%), but differences remain by cancer site and other factors that should be taken into account by users of the NCDB data.