Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/300
Título : Is hospital discharge administrative data an appropriate source of information for cancer registries purposes? Some insights from four Spanish registries
Autor : Bernal-Delgado, Enrique E
Martos, Carmen
Martínez, Natalia
Chirlaque, María D
Márquez, Mirari
Navarro, Carmen
Hernando, Lauro
Palomar, Joaquín
Izarzugaza, Isabel
Larrañaga, Nerea
Mokoroa, Olatz
Tobalina, Cres
Bidaurrazaga, Joseba
Sánchez, María José
Martínez, Carmen
Rodríguez, Miguel
Pérez, Esther
Chang, Yoe L
Filiación: [Bernal-Delgado E; Martínez, N] Instituto de Ciencias de la Salud de Aragón, Zaragoza, Spain. [Martos, C] Registro de Cáncer de Zaragoza, Departamento de Salud, Zaragoza, Spain. [Izarzugaza, I; Larranaga, N; Mokoroa, O; Tobalina, MC.; Bidaurrazaga, J] Registro de Cáncer del País Vasco, Departamento de Salud, Vitoria, Spain. [Chirlaque, MD; Marquez, M; Navarro, C] Registro de Cáncer de Murcia, Departamento de Salud Pública, Murcia, Spain. [Hernando, L; Palomar, J] Consejería de Salud, Departamento de Planificación y Economía de la Salud, Murcia, Spain. [Sánchez, MJ; Martinez, C; Rodriguez, M; Perez, E; Chang, YL] Escuela Andaluza de Salud Pública, Registro de Cáncer de Granada, Granada, Spain. [Chirlaque, MD; Marquez, M; Navarro, C; Izarzugaza, I; Sanchez, MJ; Martinez, C; Rodriguez, M; Perez, E; Chang, YL] CIBERESP Consorcio de Investigación Biomédica de Epidemiología y Salud Pública, Madrid, España
Palabras clave : Neoplasias de la próstata
Sistema de registros
Registro médico oordinado
Registros de hospitales
España
Estudios de validación
MeSH: Medical Subject Headings::Diseases::Neoplasms::Neoplasms by Site::Urogenital Neoplasms::Genital Neoplasms, Male::Prostatic Neoplasms
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Data Collection::Registries
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Data Collection::Records as Topic::Medical Records::Medical Record Linkage
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Data Collection::Records as Topic::Medical Records
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Publication Characteristics::Study Characteristics::Validation Studies
Medical Subject Headings::Publication Characteristics::Study Characteristics::Case Reports
Fecha de publicación : 8-Jan-2012
Editorial : Biomed Central
Cita Bibliográfica: Bernal-Delgado EE, Martos C, Martínez N, Chirlaque MD, Márquez M, Navarro C, et al. Is hospital discharge administrative data an appropriate source of information for cancer registries purposes? Some insights from four Spanish registries. BMC Health Serv Res. 2010 Jan 8; 10:9
Abstract: Background. The use of hospital discharge administrative data (HDAD) has been recommended for automating, improving, even substituting, population-based cancer registries. The frequency of false positive and false negative cases recommends local validation. Methods. The aim of this study was to detect newly diagnosed, false positive and false negative cases of cancer from hospital discharge claims, using four Spanish population-based cancer registries as the gold standard. Prostate cancer was used as a case study. Results. A total of 2286 incident cases of prostate cancer registered in 2000 were used for validation. In the most sensitive algorithm (that using five diagnostic codes), estimates for Sensitivity ranged from 14.5% (CI95% 10.3-19.6) to 45.7% (CI95% 41.4-50.1). In the most predictive algorithm (that using five diagnostic and five surgical codes) Positive Predictive Value estimates ranged from 55.9% (CI95% 42.4-68.8) to 74.3% (CI95% 67.0-80.6). The most frequent reason for false positive cases was the number of prevalent cases inadequately considered as newly diagnosed cancers, ranging from 61.1% to 82.3% of false positive cases. The most frequent reason for false negative cases was related to the number of cases not attended in hospital settings. In this case, figures ranged from 34.4% to 69.7% of false negative cases, in the most predictive algorithm. Conclusions. HDAD might be a helpful tool for cancer registries to reach their goals. The findings suggest that, for automating cancer registries, algorithms combining diagnoses and procedures are the best option. However, for cancer surveillance purposes, in those cancers like prostate cancer in which care is not only hospital-based, combining inpatient and outpatient information will be required.
URI: http://hdl.handle.net/10668/300
Versión del editor : http://www.biomedcentral.com/1472-6963/10/9
DOI: 10.1186/1472-6963-10-9
Appears in Collections:01- Artículos - EASP. Escuela Andaluza de Salud Pública

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