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Titolo:
Linked insurance-tumor registry database for health services research
Autore:
Doebbeling, BN; Wyant, DK; McCoy, KD; Riggs, S; Woolson, RF; Wagner, D; Wilson, RT; Lynch, CF;
Indirizzi:
Univ Iowa, Coll Med, Dept Internal Med, Iowa City, IA 52242 USA Univ IowaIowa City IA USA 52242 pt Internal Med, Iowa City, IA 52242 USA Vet Affairs Med Ctr, Iowa City, IA 52242 USA Vet Affairs Med Ctr Iowa City IA USA 52242 d Ctr, Iowa City, IA 52242 USA Univ Iowa, Coll Med, Dept Epidemiol, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 Dept Epidemiol, Iowa City, IA 52242 USA Univ Iowa, Coll Publ Hlth, Dept Hlth Policy & Management, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 cy & Management, Iowa City, IA 52242 USA Wellmark Blue Cross Blue Shield Iowa, Des Moines, IA USA Wellmark Blue Cross Blue Shield Iowa Des Moines IA USA es Moines, IA USA Univ Iowa, Coll Publ Hlth, Dept Biostat, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 h, Dept Biostat, Iowa City, IA 52242 USA
Titolo Testata:
MEDICAL CARE
fascicolo: 11, volume: 37, anno: 1999,
pagine: 1105 - 1115
SICI:
0025-7079(199911)37:11<1105:LIRDFH>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
BREAST-CONSERVING SURGERY; MEDICARE CLAIMS DATA; RADIATION-THERAPY; ELDERLY AMERICANS; RISING INCIDENCE; CANCER INCIDENCE; PROSTATE-CANCER; STAGE; DIAGNOSIS; SURVIVAL;
Keywords:
health services; breast cancer; cancer registry; preventive health services; mammography; data linkage; epidemiology; validity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Doebbeling, BN Univ Iowa, Coll Med, Dept Internal Med, 200 Hawkins Dr, Iowa City, IA 52242 USA Univ Iowa 200 Hawkins Dr Iowa City IA USA 52242 A 52242 USA
Citazione:
B.N. Doebbeling et al., "Linked insurance-tumor registry database for health services research", MED CARE, 37(11), 1999, pp. 1105-1115

Abstract

OBJECTIVE. Breast cancer screening and treatment data are often limited torestricted populations, including women older than 65 years old, The goal of this project was to develop procedures to link tumor registry and insurance claims databases on women younger than 65 years old with breast cancer and to assess the accuracy and validity of the linked dataset,METHODS. Iowa Cancer Registry (ICR) and Wellmark Blue Cross/Blue Shield ofIowa (BC/BS) membership files of women with incident in situ or invasive breast cancer from 1989 to 1996 were linked. An automated deterministic match was followed with visual inspection from three independent reviewers applying a matching protocol. Matched and overall registry data were compared to assess population representativeness. Claims from BC/BS for incident cases during 1994 were examined for coding of a recent breast cancer diagnosis or treatment. RESULTS, The final dataset included 4,397 matched cases of patients aged 21 years and older from 1989 to 1996. The sociodemographic and tumor characteristics of the ICR population younger than 65 years old (n = 7,469) with breast cancer or carcinoma in situ were nearly identical with those of the matched patients younger than 65 years old (n = 3,449), Nearly all (96%) of the 445 matched incident cases in 1994 had claims data (CPT, DRG, or ICD-9 code) indicative of breast cancer. Treatment patterns varied by data source, with agreement ranging from 76% to 82%CONCLUSIONS. The validity and generalizability of these data demonstrate their potential for further health services research among younger insured women with breast cancer. Additionally the process outlined may be useful for developing other datasets to study other cancers in the population younger than 65 years old.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 14:03:47