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Titolo:
Finding incident breast cancer cases through US claims data and a state cancer registry
Autore:
Wang, PS; Walker, AM; Tsuang, MT; Orav, EJ; Levin, R; Avorn, J;
Indirizzi:
Harvard Univ, Sch Med, Brigham & Womens Hosp, Div Pharmacoepidemiol & Pharmacoecon, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 iol & Pharmacoecon, Boston, MA 02115 USA Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 th, Dept Epidemiol, Boston, MA 02115 USA Harvard Univ, Sch Med, Massachusetts Mental Hlth Ctr, Boston, MA 02115 USAHarvard Univ Boston MA USA 02115 ts Mental Hlth Ctr, Boston, MA 02115 USA Harvard Univ, Sch Med, Brigham & Womens Hosp, Clin Epidemiol Sect, Boston,MA USA Harvard Univ Boston MA USA mens Hosp, Clin Epidemiol Sect, Boston,MA USA
Titolo Testata:
CANCER CAUSES & CONTROL
fascicolo: 3, volume: 12, anno: 2001,
pagine: 257 - 265
SICI:
0957-5243(2001)12:3<257:FIBCCT>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
MEDICAID DATA; ASCERTAINMENT; INFORMATION; OUTCOMES; ACCURACY; RATES; CARE;
Keywords:
breast cancer; cancer diagnoses; cancer registries; Medicaid; Medicare;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Wang, PS Harvard Univ, Sch Med, Brigham & Womens Hosp, Div Pharmacoepidemiol & Pharmacoecon, 221 Longwood Ave, Boston, MA 02115 USA Harvard Univ 221 Longwood Ave Boston MA USA 02115 n, MA 02115 USA
Citazione:
P.S. Wang et al., "Finding incident breast cancer cases through US claims data and a state cancer registry", CANC CAUSE, 12(3), 2001, pp. 257-265

Abstract

Objective: With the increasing availability of automated health-care data,new methods are available to screen large populations for the presence of cancer diagnoses. However, it is crucial to evaluate how completely incident cancer cases can be ascertained using these data sources. Methods: We used capture-recapture techniques to estimate the total numberof incident breast cancer cases occurring within one state during a 3-yearperiod. We then compared the ascertainment of these cases by the followingtwo data sources: claims for breast cancer surgery recorded in Medicaid and Medicare data vs a cancer registry in the same state. Results: Medicaid-Medicare breast cancer surgery claims identified 68% of the total estimated number of incident breast cancer cases while cancer registry data identified 78%. Case ascertainment improved markedly to 91% whenboth registry and Medicare-Medicaid data sources were used together. The sensitivity of ascertainment was lower for Medicaid-Medicare data among those aged under 65 and non-white; ascertainment was lower for the registry among women who were aged under 65, poor, and non-white. Conclusions: Combining health insurance claims data with a population-based cancer registry improved the identification of incident cases of breast cancer, and may be particularly useful among demographic groups found to be at highest risk of under-ascertainment such as younger women, the poor, andracial minorities.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 20:57:49