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Titolo:
Accuracy and completeness of medicare claims data for surgical treatment of breast cancer
Autore:
Du, XL; Freeman, JL; Warren, JL; Nattinger, AB; Zhang, D; Goodwin, JS;
Indirizzi:
Univ Texas, Med Branch, Dept Internal Med, Galveston, TX 77555 USA Univ Texas Galveston TX USA 77555 t Internal Med, Galveston, TX 77555 USA Univ Texas, Med Branch, Sealy Ctr Aging, Galveston, TX 77555 USA Univ Texas Galveston TX USA 77555 ealy Ctr Aging, Galveston, TX 77555 USA NCI, Appl Res Branch, Bethesda, MD 20892 USA NCI Bethesda MD USA 20892NCI, Appl Res Branch, Bethesda, MD 20892 USA Med Coll Wisconsin, Div Gen Internal Med, Milwaukee, WI 53226 USA Med CollWisconsin Milwaukee WI USA 53226 al Med, Milwaukee, WI 53226 USA Univ Texas, Med Branch, Off Biostat, Galveston, TX 77555 USA Univ Texas Galveston TX USA 77555 h, Off Biostat, Galveston, TX 77555 USA
Titolo Testata:
MEDICAL CARE
fascicolo: 7, volume: 38, anno: 2000,
pagine: 719 - 727
SICI:
0025-7079(200007)38:7<719:AACOMC>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
GEOGRAPHIC-VARIATION; ELDERLY AMERICANS; LINKED MEDICARE; DATA-BASE; SURGERY; STAGE; WOMEN; SURVEILLANCE; ADVANTAGES; MASTECTOMY;
Keywords:
breast cancer; mastectomy; breast conserving surgery; SEER; Medicare;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Du, XL Univ Texas, Med Branch, Dept Internal Med, 301 Univ Blvd, Galveston, TX 77555 USA Univ Texas 301 Univ Blvd Galveston TX USA 77555 eston, TX 77555 USA
Citazione:
X.L. Du et al., "Accuracy and completeness of medicare claims data for surgical treatment of breast cancer", MED CARE, 38(7), 2000, pp. 719-727

Abstract

BACKGROUND. Although a number of studies have used Medicare claims data tostudy trends and variations in breast cancer treatment, the accuracy and completeness of information on surgical treatment for breast cancer in the Medicare data have not been validated. OBJECTIVES. This study assessed the accuracy and completeness of Medicare claims data for breast cancer surgery to determine whether Medicare claims can serve as a source of data to augment information collected by cancer registries. METHODS. We used the Surveillance, Epidemiology and End Results (SEER) Cancer Registry-Medicare data and compared Medicare claims on surgery with thesurgery recorded by the SEER registries for 23,709 women diagnosed with breast cancer at greater than or equal to 65 years of age from 1991 through 1993. RESULTS. More than 95% of women having mastectomies according to the Medicare data were confirmed by SEER. For breast-conserving surgery, 91% of cases were confirmed by SEER. The Medicare physician services claims and inpatient claims were approximately equal in accuracy on type of surgery. The Medicare outpatient claims were less accurate for breast-conserving surgery. In terms of completeness, when the 3 claims sources were combined, 94% of patients receiving breast cancer surgery according to SEER were identified byMedicare. CONCLUSIONS. The combined Medicare claims database, which includes the inpatient, outpatient, and physician service claims, provides valid information on surgical treatment among women known to have breast cancer. The claimsare a rich source of data to augment the information collected by tumor registries and provide information that can be used to follow long-term outcomes of Medicare beneficiaries.

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Documento generato il 31/03/20 alle ore 20:28:34