National Cancer Database Conforms with Standardized Framework for Registry and Data Quality

Details

• Alternative Title:
  Ann Surg Oncol
• Personal Author:
  Palis, Bryan ; Janczewski, Lauren ; Browner, Amanda E. ; Cotler, Joseph ; Nogueira, Leticia ; Richardson, Lisa C. ; Benard, Vicki ; Wilson, Reda J. ; Walker, Nadine ; Boffa, Daniel ; Nelson, Heidi
• Description:
  Purpose
  
  Standardization of practices and procedures for data abstraction by cancer registries is fundamental for cancer surveillance, clinical and policy decision making, hospital benchmarking, and research efforts. The objective of the present study was to evaluate adherence to the 4 components (completeness, comparability, timeliness, and validity) defined by Bray and Parkin that determine registries’ ability to carry out these activities to the hospital-based National Cancer Database (NCDB).
  
  Methods
  
  We used data from US Cancer Statistics, the official federal cancer statistics and joint effort between CDC and NCI, which includes data from NPCR and SEER, to evaluate NCDB completeness between 2016 through 2020. We evaluated comparability of case identification and coding procedures. We utilized Commission on Cancer (CoC) Standards from 2022 to assess timeliness and validity.
  
  Results
  
  Completeness was demonstrated with a total of 6,828,507 cases identified within the NCDB, representing 73.7% of all cancer cases nationwide. Comparability was followed by the use of standardized and international guidelines on coding and classification procedures. For timeliness, hospital compliance with timely data submission was 92.7%. Validity criteria for re-abstracting, recording, and reliability procedures across hospitals demonstrated 94.2% compliance. Additionally, data validity was shown by a 99.1% compliance with histological verification standards, 93.6% assessment of pathological synoptic reporting, and 99.1% internal consistency of staff credentials.
  
  Conclusion
  
  The NCDB is characterized by a high level of case completeness and comparability with uniform standards for data collection and by hospitals with high compliance, timely data submission, and high rates of compliance with validity standards to registry and data quality evaluation.
  
  
• Subjects:
  Data Accuracy Databases, Factual Humans Neoplasms Registries SEER Program United States
• Keywords:
  Comparability Coverage NCDB Quality Registry Standardization Timeliness Validity
• Source:
  Ann Surg Oncol. 31(9):5546-5559
• Pubmed ID:
  38717542
• Pubmed Central ID:
  PMC11300494
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  31
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:fd76e7fcf42865614cebd864975d5bac65a2b98816acf4a93fd879f9ca2cc334340cc86dd8877847565c37352f444f7b9119d6f7b51773fcbe29caadcd3cc6e5
• Download URL:
  https://stacks.cdc.gov/view/cdc/159736/cdc_159736_DS1.pdf
• File Type:
  [PDF - 354.50 KB ]