在行政数据中的癌症诊断研究中,注册表与基于索赔的索引日期对比
Sarah E Soppe1, Sharon Peacock Hinton1, Jamie C Halula1
1Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Cancer causes & control : CCC
|January 9, 2025
概括
使用注册日期的癌症诊断研究可能错误地分类了诊断前护理. 基于索赔的索引日期为癌症诊断前的医疗保健利用提供了更准确的评估.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数据科学数据科学数据科学
背景情况:
- 关于癌症诊断的研究越来越多地检查了诊断前的医疗保健利用情况.
- 由于抽象指南,癌症登记日期可能无法捕捉所有相关的诊断前遭遇.
- 日期的选择 (基于登记册或基于索赔) 可以影响诊断前医疗保健事件的分类.
研究的目的:
- 评估癌症注册诊断日期与基于索赔的索引日期之间的一致性.
- 检查使用不同数据源对分类急诊室 (ED) 参与癌症诊断的影响.
- 突出癌症诊断研究中的潜在错误分类问题.
主要方法:
- 使用一个算法来定义基于索赔的索引日期,从Medicare数据中最早的ICD代码.
- 基于索赔的指数和北卡罗来纳州癌症注册日期之间的一致性估计为66岁以上的患者.
- 涉及急诊部 (ED) 的癌症诊断途径使用两种数据源进行了分类.
主要成果:
- 基于索赔的索引日期与47%的患者的登记日期相匹配,并且在28%的患者之前.
- 根据癌症类型和患者的特征,协议有所不同.
- 与ED有关的诊断的分类因使用的日期来源而异,癌症类型的敏感性各不相同.
结论:
- 研究人员在研究癌症诊断附近的医疗保健利用时,应仔细选择评估窗口.
- 癌症注册日期和基于索赔的索引日期之间的选择可以显著影响变量分类.
- 意识到这些日期差异对于准确解释癌症诊断研究至关重要.
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