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Titolo:
The sensitivity of medicare claims data for case ascertainment of six common cancers
Autore:
Cooper, GS; Yuan, Z; Stange, KC; Dennis, LK; Amini, SB; Rimm, AA;
Indirizzi:
Case Western Reserve Univ, Dept Med, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA CaseAWestern Reserve Univ, Dept Epidemiol & Biostat, Cleveland, OH 44106 US Case Western Reserve Univ Cleveland OH USA 44106 , Cleveland, OH 44106 US Case Western Reserve Univ, Dept Family Med, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA Case Western Reserve Univ, Canc Res Ctr, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA
Titolo Testata:
MEDICAL CARE
fascicolo: 5, volume: 37, anno: 1999,
pagine: 436 - 444
SICI:
0025-7079(199905)37:5<436:TSOMCD>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
COLORECTAL-CANCER; ELDERLY AMERICANS; BREAST-CANCER; LUNG-CANCER; RATES; MORTALITY; RESECTION; SURVIVAL; ACCURACY; OUTCOMES;
Keywords:
breast neoplasms; colorectal neoplasms; endometrial neoplasms; lung neoplasms; pancreatic neoplasms; prostatic neoplasms; Medicare; incidence;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Cooper, GS Univ06osp Cleveland, Div Gastroenterol, 11100 Euclid Ave, Cleveland, OH 441 Univ Hosp Cleveland 11100 Euclid Ave Cleveland OH USA 44106 441
Citazione:
G.S. Cooper et al., "The sensitivity of medicare claims data for case ascertainment of six common cancers", MED CARE, 37(5), 1999, pp. 436-444

Abstract

BACKGROUND. Although Medicare claims data have been used to identify casesof cancer in older Americans, there are few data about their relative sensitivity. OBJECTIVES. To investigate the sensitivity of diagnostic and procedural coding for case ascertainment of breast, colorectal, endometrial, lung, pancreatic, and prostate cancer. SUBJECTS. Three hundred and eighty nine thousand and two hundred and thirty-six patients diagnosed with cancer between 1984 and 1993 resided in one of nine Surveillance Epidemiology and End Results (SEER) areas. MEASURES. The sensitivity of inpatient and Part B diagnostic and cancer-specific procedural codes for case finding were compared with SEER. RESULTS. The sensitivity of inpatient and inpatient plus Part B claims forthe corresponding cancer diagnosis was 77.4% and 91.2%, respectively. The sensitivity of inpatient claims alone was highest for colorectal (86.1%) and endometrial (84.1%) cancer and lowest for prostate cancer (63.6%). However, when Part B claims were included, the sensitivity for diagnosis of breast cancer was greater than for other cancers (93.6%). Inpatient claim sensitivity was highest for earlier years of the study, and, because of more complete data and longer follow up, the highest sensitivity of combined inpatient and Part B claims was achieved in the late 1980s or early 1990s. CONCLUSIONS. Medicare claims provide reasonably high sensitivity for the detection of cancer in the elderly, especially if inpatient and Part B claims are combined. Because the study did not measure other dimensions of accuracy, such as specificity and predictive value, the potential costs of including false positive cases need to be assessed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 14:23:45