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Treffer: Is quality of registry treatment data related to registrar experience and workload? A study of Taiwan cancer registry data.

Title:
Is quality of registry treatment data related to registrar experience and workload? A study of Taiwan cancer registry data.
Authors:
Cheng CY; Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan; Department of Cancer Centre, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan. Electronic address: d97846001@ntu.edu.tw., Chiang CJ; Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan; Taiwan Cancer Registry, Taipei, Taiwan., Hsieh CH; Department of Urology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan., Chang YK; Department of Radiation Oncology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan., Lai MS; Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan; Taiwan Cancer Registry, Taipei, Taiwan.
Source:
Journal of the Formosan Medical Association = Taiwan yi zhi [J Formos Med Assoc] 2018 Dec; Vol. 117 (12), pp. 1093-1100. Date of Electronic Publication: 2018 Jan 10.
Publication Type:
Journal Article; Multicenter Study
Language:
English
Journal Info:
Publisher: Formosan Medical Association, Elsevier Country of Publication: Singapore NLM ID: 9214933 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0929-6646 (Print) Linking ISSN: 09296646 NLM ISO Abbreviation: J Formos Med Assoc Subsets: MEDLINE
Imprint Name(s):
Publication: 2003- : Singapore : Formosan Medical Association, Elsevier
Original Publication: Taipei, Taiwan : Formosan Medical Association, [1991-
MeSH Terms:
Workload*, Medical Records/*statistics & numerical data , Neoplasms/*classification , Neoplasms/*therapy , Registries/*standards, Adult ; Aged ; Data Accuracy ; Female ; Hospitals ; Humans ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Retrospective Studies ; Taiwan
Contributed Indexing:
Keywords: Data quality; Peer review
Entry Date(s):
Date Created: 20180114 Date Completed: 20190307 Latest Revision: 20190307
Update Code:
20250114
DOI:
10.1016/j.jfma.2017.12.012
PMID:
29329964
Database:
MEDLINE

Weitere Informationen

Background: Although cancer treatment information has been collected through the Cancer Registry system in Taiwan for more than 10 years, the accuracy of such data has never been evaluated. This study examined the accuracy rate between registrar experience and on-site chart review for the first course of cancer treatment.
Methods: In this retrospective chart review study, 392 randomly selected medical records from 14 hospitals were re-abstracted by experienced abstractors. The kappa coefficients of accuracy for the abstracting data were calculated against the gold standard. Correlations between registrar background and workload were then identified through regression analysis.
Results: Regarding surgery type, low accuracy rates were noted for gastric cancer (84.0%), oral cavity cancer (84.6%), and bladder cancer (88.9%). For chemotherapy, low accuracy rates were observed for hematopoietic diseases (81.3%) and esophageal cancer (88.0%). For radiotherapy, low accuracy rates were noted for esophageal cancer (80.0%), cervical cancer (81.8%), and lymphoma (85.7%). When stratifying by surgery type after adjustment for hospital caseload, a high accuracy rate was found for cancer registrars who had progressed from basic to advanced licenses within 5 years of graduating.
Conclusion: The accuracy rate for the first course of cancer treatment was affected by the cancer type and the experience of cancer registrars, but it was not affected by the workload of cancer registrars. We recommend that cancer registrars with basic licenses upgrade to advanced licenses as soon as possible. Medical record collaboration should establish documentation for checklist of radiotherapy and surgical operation records.
(Copyright © 2018. Published by Elsevier B.V.)