Treatment Patterns for Prostate Cancer

Details

• Alternative Title:
  Med Care
• Personal Author:
  Fleming, Steven T. ; Hamilton, Ann S. ; Sabatino, Susan A. ; Kimmick, Gretchen G. ; Wu, Xiao-Cheng ; Owen, Jean B. ; Huang, Bin ; Hwang, Wenke
• Description:
  Background
  
  As evidence-based guidelines increasingly define standards of care, the accurate reporting of patterns of treatment becomes critical to determine if appropriate care has been provided. We explore the level of agreement between claims and record abstraction for treatment regimens for prostate cancer.
  
  Methods
  
  Medicare claims data were linked to medical records abstraction using data from the Centers for Disease Control and Prevention’s National Program of Cancer Registry–funded Breast and Prostate Patterns of Care study. The first course of therapy included surgery, radiation therapy (RT), and hormonal therapy with luteinizing hormone–releasing hormone agonists.
  
  Results
  
  The linked sample included 2765 men most (84.7%) of whom had stage II prostate cancer. Agreement was excellent for surgery (κ = 0.92) and RT (κ = 0.92) and lower for hormonal therapy (κ = 0.71); however, most of the discrepancies were due to greater number of patients reported who received hormonal therapy in the claims database than in the medical records database. For some standard multicomponent management strategies sensitivities were high, for example, hormonal therapy with either combination RT (86.9%) or cryosurgery (96.6%).
  
  Conclusions
  
  Medicare claims are sensitive for determining patterns of multicomponent care for prostate cancer and for detecting use of hormonal therapy when not reported in the medical records abstracts.
  
  
• Subjects:
  Aged Aged, 80 And Over Combined Modality Therapy Comorbidity Data Collection Humans Insurance Claim Review Male Medical Records Neoplasm Staging Prostatic Neoplasms Registries SEER Program

  More +
• Source:
  Med Care. 52(9):e58-e64.
• Pubmed ID:
  23222532
• Pubmed Central ID:
  PMC5874805
• Document Type:
  Journal Article
• Funding:
  U01 DP000261/DP/NCCDPHP CDC HHS/United States ; U01 DP000258/DP/NCCDPHP CDC HHS/United States ; U01 DP000251/DP/NCCDPHP CDC HHS/United States ; 1-U01-DP000264/DP/NCCDPHP CDC HHS/United States ; U01 DP000264/DP/NCCDPHP CDC HHS/United States ; U01 DP000259/DP/NCCDPHP CDC HHS/United States ; U01 DP000260/DP/NCCDPHP CDC HHS/United States ; 1-U01-DP000259/DP/NCCDPHP CDC HHS/United States ; 1-U01-DP000258/DP/NCCDPHP CDC HHS/United States ; CC999999/Intramural CDC HHS/United States ; 1-U01-DP000261/DP/NCCDPHP CDC HHS/United States ; U01 DP000253/DP/NCCDPHP CDC HHS/United States ; 1-U01-DP000253/DP/NCCDPHP CDC HHS/United States ; 1-U01-DP000251/DP/NCCDPHP CDC HHS/United States ; 1-U01-DP000260/DP/NCCDPHP CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  52
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5e4b3f5b984b421038675ecc6f4f1ad168252f88f14d5833f71c64d5d5a265b4
• Download URL:
  https://stacks.cdc.gov/view/cdc/52952/cdc_52952_DS1.pdf
• File Type:
  [PDF - 347.87 KB ]