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Titolo:
Agreement of Medicare claims and tumor registry data for assessment of cancer-related treatment
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 Case Western Reserve Univ, Dept Epidemiol & Biostat, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA 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: 4, volume: 38, anno: 2000,
pagine: 411 - 421
SICI:
0025-7079(200004)38:4<411:AOMCAT>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
BREAST-CANCER; RADICAL PROSTATECTOMY; ELDERLY PATIENTS; ACCURACY; MASTECTOMY; RESECTION; OUTCOMES; SURGERY; RATES; WOMEN;
Keywords:
breast neoplasms; colorectal neoplasms; endometrial neoplasms; lung neoplasms; pancreatic neoplasms; prostatic neoplasms; Medicare;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Cooper, GS Univ Hosp Cleveland, Div Gastroenterol, 11100 Euclid Ave, Cleveland, OH 44106 USA Univ Hosp Cleveland 11100 Euclid Ave Cleveland OH USA 44106 USA
Citazione:
G.S. Cooper et al., "Agreement of Medicare claims and tumor registry data for assessment of cancer-related treatment", MED CARE, 38(4), 2000, pp. 411-421

Abstract

BACKGROUND. Although health claims data are increasingly used in evaluating variations in patterns of cancer care and outcomes, little is known aboutthe comparability of these data with tumor registry information. OBJECTIVES. To evaluate the agreement between Medicare claims and tumor registry data in measuring patterns of diagnostic and therapeutic procedures for older cancer patients. RESEARCH DESIGN. Analysis of a database linking Surveillance, Epidemiologyand End Results (SEER) registry data and Medicare claims in patients aged greater than or equal to 65 years with cancer. SUBJECTS. 361,255 Medicare patients with invasive breast, colorectal, endometrial, lung, pancreatic, and prostate cancer diagnosed between 1984 and 1993. MEASURES. Concordance of SEER files with corresponding Medicare claims. RESULTS. Medicare claims generally identified patients who underwent resection and radical surgery according to SEER (ie, concordance greater than orequal to 85%-90%) but less likely biopsy or local excision (ie, concordance less than or equal to 50%). In some instances, claims also categorized patients as having more invasive surgery than was listed in SEER and also provided incremental information about the use of surgical treatment after 4 months. SEER files and, to a lesser degree, Medicare claims identified radiation therapy not included in the other data source, and Medicare files alsocaptured a significant number of patients with codes for chemotherapy. CONCLUSIONS. Medicare files may be appropriate for studies of patterns of use of surgical treatment, but not for diagnostic procedures. The potentialbenefit of Medicare claims in identifying delayed surgical intervention and chemotherapy deserves further study.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 18:57:44