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Oral/Pharyngeal Cancer Incidence from Medicare Claims

医疗保险索赔中的口腔/咽癌发病率

基本信息

批准号：
7430475
负责人：
JONATHAN D MAHNKEN
金额：
$ 14.54万
依托单位：
UNIVERSITY OF KANSAS MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-06-01 至 2010-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7430475
关键词：
Adult African Age Aging Algorithms American Cancer Burden Coupling Data Databases Dental Diagnosis Disease Early Diagnosis Effectiveness Elderly Ethnic Origin Future Gender Goals Gold Health Health Personnel Incidence Individual Institutes Insurance Carriers Intervention Link Malignant Neoplasms Malignant neoplasm of pharynx Marital Status Measures Medical Surveillance Medicare Minority Groups Numbers Oral health Oropharyngeal Population Poverty Prevention Primary Health Care Procedures Race Randomized Rate Registries Research Research Personnel Sampling Screening procedure Sensitivity and Specificity Societies Standards of Weights and Measures Subgroup Survival Rate Time Treatment Effectiveness Underserved Population United States Validation age group base beneficiary cancer diagnosis cancer type cost craniofacial ethnic minority population health disparity improved member outcome forecast racial and ethnic trend tumor

项目摘要

DESCRIPTION (provided by applicant): Oral and pharyngeal cancer has remained a persistent oral health problem among the elderly in the United States. Survival rates have shown little improvement over the past decades. Health disparities also exist such as higher incidence and lower survival among racial and ethnic minority populations. Baseline and trend data by which progress can be measured are lacking-particularly among the underserved populations most in need of intervention. The goals of this research are to derive and validate an algorithm based on Medicare claims to identify incident oral and pharyngeal cancer cases among Medicare beneficiaries. This algorithm will be derived using the Surveillence, Epidimiology and End Result (SEER)-Medicare linked database. These data provide a unique linkage of the SEER tumor registry with Medicare claims, ie, it combines the "gold standard" tumor registry with the health claims of the largest insurer of the elderly in the United States. Half of the data will be randomly allocated to determine the algorithm, and the other have will be used for validation. This algorithm will have broad applications that include generating and improving upon oral and pharyngeal cancer baseline and trend data, which the National Institutes of Dental and Craniofacial Research have noted are lacking. This algorithm will also allow future studies to link cancer diagnoses with Medicare claims to study of prevention, early detection and treatment of oral and pharyngeal cancer. The strength in numbers of this population-based study, including racial and ethnic minority popuations, make this research a useful first step toward improving the oral health of the elderly as well as reducing health disparities. For this study, we will use Medicare claims to determine the best combination of procedures and diagnoses that identify individuals with oral and pharyngeal cancer. The ability to identify these cancer cases from Medicare claims will facilitate a cost-effective way to accurately measure the burden of oral and pharyngeal cancer, and to investigate the effectiveness of prevention, early detection and treatment strategies for this debilitating disease.

描述（由申请人提供）：口腔癌和咽癌仍然是美国老年人中持续存在的口腔健康问题。在过去几十年中，存活率几乎没有改善。健康方面也存在差异，如少数种族和族裔人口的发病率较高，存活率较低。缺乏可以衡量进展的基线和趋势数据，特别是在最需要干预的得不到充分服务的人口中。本研究的目的是推导和验证一种基于医疗保险索赔的算法，以识别医疗保险受益人中的口腔癌和咽癌病例。该算法将使用监测、流行病学和最终结果（SEER）-医疗保险链接数据库得出。这些数据提供了SEER肿瘤登记与医疗保险索赔的独特联系，即它将“金标准”肿瘤登记与美国最大的老年人保险公司的健康索赔相结合。一半的数据将被随机分配以确定算法，另一半将用于验证。该算法将具有广泛的应用，包括生成和改进口腔和咽癌基线和趋势数据，而美国国立牙科和颅面研究所指出缺乏这些数据。该算法还将允许未来的研究将癌症诊断与医疗保险索赔联系起来，以研究口腔和咽癌的预防，早期检测和治疗。这项基于人口的研究，包括种族和少数民族人口的数量优势，使这项研究成为改善老年人口腔健康和减少健康差距的有用的第一步。对于这项研究，我们将使用医疗保险索赔，以确定程序和诊断的最佳组合，以确定个人与口腔和咽癌。从医疗保险索赔中识别这些癌症病例的能力将有助于以具有成本效益的方式准确衡量口腔癌和咽癌的负担，并调查预防，早期发现和治疗这种使人衰弱的疾病的有效性。