A literature review to assess the use of claims databases in identifying incident cancer cases

Health Services and Outcomes Research Methodology

Volumn 4, Issue 1, 2003, Pages 49-63

  Couris, Chantal M ^a   Schott, Anne Marie ^a   Ecochard, René ^a   Morgon, Eliane ^a   Colin, Cyrille ^a  

^a HOSPICES CIVILS DE LYON   (France)

Author keywords

Claims database; Incidence; Medicare; Neoplasm; Registry

Indexed keywords

ACCURACY; ANALYTIC METHOD; BREAST CANCER; CANCER DIAGNOSIS; CANCER INCIDENCE; CANCER REGISTRY; CODING; CONTROLLED STUDY; DATA BASE; DEVELOPED COUNTRY; HEALTH INSURANCE; HOSPITAL MANAGEMENT; HUMAN; INFORMATION PROCESSING; MEDICAL INFORMATION; MEDICAL LITERATURE; MEDICAL RECORD; MEDICARE; MEDLINE; PATIENT INFORMATION; PRIORITY JOURNAL; REIMBURSEMENT; REVIEW; SENSITIVITY AND SPECIFICITY; STANDARD; STATISTICAL ANALYSIS;

EID: 0142029512     PISSN: 13873741     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1025828911298     Document Type: Review

References (46)

1. Boyko, E.J., Koepsell, T.D., Gaziano, J.M., Horner, R.D., and Feussner, J.R., "US department of veterans affairs medical care system as a resource to epidemiologists," Am. J. Epidemiol. 151(3), 307-314, 2000.
2. Bright, R.A., Avorn, J,, and Everitt, D.E., "Medicaid data as a resource for epidemiologic studies: Strengths and limitations," J. Clin. Epidemiol. 42(10), 937-945, 1989.
3. Colin, C., Ecochard, R., Delahaye, F., Landrivon, G., Messy, P., Morgon, E., and Matillon, Y., "Data quality in a DRG-based information system," Int. J. Qual. Health. Care 6(3), 275-280, 1994.
4. Cooper, G.S., Yuan, Z., Stange, K.C., Amini, S.B., Dennis, L.K., and Rimm, A.A., "The utility of Medicare claims data for measuring cancer stage," Med. Care 37(7), 706-711, 1999.
5. Cooper, G.S., Yuan, Z., Stange, K.C., Dennis, L.K., Amini, S.B., and Rimm, A.A., "The sensitivity of Medicare claims data for case ascertainment of six common cancers," Med. Care 37(5), 436-444, 1999.
6. Cooper, G.S., Yuan, Z., Stange, K.C., Dennis, L.K., Amini, S.B., and Rimm, A.A., "Agreement of Medicare claims and tumor registry data for assessment of cancer-related treatment," Med. Care 38(4), 411-421, 2000.
7. Couris, C.M., Colin, C., Rabilloud, M., Schott, A.M., and Ecochard, R., "Method of correction to assess the number of hospitalized incident breast cancer cases based on claims databases," J. Clin. Epidemiol. 55(4), 386-391, 2002.
8. Doebbeling, B.N., Wyant, D.K., McCoy, K.D., Riggs, S., Woolson, R.F., Wagner, D., Wilson, R.T., and Lynch, C.F., "Linked insurance-tumor registry database for health services research," Med. Care 37(11), 1105-1115, 1999.
9. Du, X., Freeman, J.L., and Goodwin, J.S., "Information on radiation treatment in patients with breast cancer: The advantages of the linked medicare and SEER data. Surveillance, epidemiology and end results," J. Clin. Epidemiol. 52(5), 463-470, 1999.
10. Du, X., Freeman, J.L., Warren, J.L., Nattinger, A.B., Zhang, D., and Goodwin, J.S., "Accuracy and completeness of Medicare claims data for surgical treatment of breast cancer," Med. Care 38(7), 719-727, 2000.
11. Dussaucy, A., Viel, J.F., Mulin, B., and Euvrard, J., "The framework prospective payment information systems: Bias, sources of errors and consequences," Rev. Epidemiol. Santé. Publique 42(4), 345-358, 1994.
12. Fetter, R.B., "Diagnosis related groups: The product of the hospital," Clin. Res. 32(3), 336-340, 1984.
13. Fisher, E.S., Baron, J.A., Malenka, D.J., Barrett, J., and Bubolz, T.A., "Overcoming potential pitfalls in the use of Medicare data for epidemiologic research," Am. J. Public Health 80(12), 1487-1490, 1990.
14. Fisher, E.S., Whaley, F.S., Krushat, W.M., Malenka, D.J., Fleming, C., Baron, J.A., and Hsia, D.C., "The accuracy of Medicare's hospital claims data: Progress has been made, but problems remain," Am. J. Public Health 82(2), 243-248, 1992.
15. Freeman, J.L., Zhang, D., Freeman, D.H., and Goodwin, J.S., "An approach to identifying incident breast cancer cases using Medicare claims data," J. Clin. Epidemiol. 53(6), 605-614, 2000.
16. Johansson, L.A. and Westerling, R., "Comparing Swedish hospital discharge records with death certificates: Implications for mortality statistics," Int. J. Epidemiol. 29(3), 495-502, 2000.
17. Kahn, L.H., Blustein, J., Arons, R.R., Yee, R., and Shea, S., "The validity of hospital administrative data in monitoring variations in breast cancer surgery," Am. J. Public Health 86(2), 243-245, 1996.
18. Kashner, T.M., "Agreement between administrative files and written medical records: A case of the Department of Veterans Affairs," Med. Care 36(9), 1324-1336, 1998.
19. Leung, K.M., Hasan, A.G., Rees, K.S., Parker, R.G., and Legorreta, A.P., "Patients with newly diagnosed carcinoma of the breast: Validation of a claim-based identification algorithm," J. Clin. Epidemiol. 52(1), 57-64, 1999.
20. Librero, J., Peiro, S., and Ordinana R., "Chronic comorbidity and outcomes of hospital care: Length of stay, mortality, and readmission at 30 and 365 days," J. Clin. Epidemiol. 52(3), 171-179, 1999.
21. Lombrail, P., Minvielle, E., Comar, L., and Gottot S., "Prospective payment information systems and epidemiology: A difficult link to establish," Rev. Epidemiol. Sante Publique 42(4), 334-344, 1994.
22. Lu-Yao, G.L., Potosky, A.L., Albertsen, P.C., Wasson, J.H., Barry M.J., and Wennberg J.E., "Follow-up prostate cancer treatments after radical prostatectomy: A population-based study," J. Natl. Cancer Inst. 88(3-4), 166-173, 1996.
23. MacLennan, R., "Items of patients information which may be collected by registries," in Cancer registration: Principles and methods. (O. Jensen, D. Parkin, R. MacLennan, C. Muir, and R. Skeet, eds.), IARC Scientific publications ed. Lyon, IARC, vol. 95, pp. 43-63, 1991.
24. McBean, A.M., Babish, J.D., and Warren, J.L., "Determination of lung cancer incidence in the elderly using Medicare claims data," Am. J. Epidemiol. 137(2), 226-234, 1993.
25. McBean, A.M., Warren, J.L., and Babish, J.D., "Measuring the incidence of cancer in elderly Americans using Medicare claims data," Cancer 73(9), 2417-2425, 1994.
26. McClish, D.K., Penberthy, L., Whittemore, M., Newschaffer, C., Woolard, D., Desch, C.E., and Retchin, S., "Ability of Medicare claims data and cancer registries to identify cancer cases and treatment," Am. J. Epidemiol. 145(3), 227-233, 1997.
27. Ménégoz, F., Black, R.J., Arveux, P., Magne, V., Ferlay, J., Buemi, A., Carli, P.M., Chapelain, G., Faivre, J., Gignoux, M., Grosclaude, P., Mace-Lesec'h, J., Raverdy, N., and Schaffer, P., "Cancer incidence and mortality in France in 1975-95," Eur. J. Cancer Prev. 6(5), 442-466, 1997.
28. Mitchell, J.B,, Bubolz, T., Paul, J.E., Pashos, C.L., Escarce, J.J., Muhlbaier, L.H., Wiesman, J.M., Young, W.W., Epstein, R.S., and Javitt, J.C., "Using Medicare claims for outcomes research," Med. Care 32(7 Suppl), JS38-JS51, 1994.
29. Nattinger, A.B., Gottlieb, M.S., Veum, J., Yahnke, D., and Goodwin, J.S., "Geographic variation in the use of breast-conserving treatment for breast cancer," N. Engl. J. Med. 326(17), 1102-1107, 1992.
30. Parkin, D.M., Pisani, P., and Ferlay, J., "Estimates of the worldwide incidence of 25 major cancers in 1990," Int. J. Cancer 80(6), 827-841, 1999.
31. Quantin, C., Dusserre, L., Foucher, P., Allaert, F.A., Metral, P., Bernard, A., Roignot, P., and Coudert, B., "Proposition méthodologique pour l'utilisation du PMSI dans le suivi des cancers bronchiques," Santé. Publique. 6, 16-25, 1993.
32. Riley, G.F., Potosky, A.L., Klabunde, C.N., Warren, J.L., and Ballard-Barbash, R., "Stage at diagnosis and treatment patterns among older women with breast cancer: An HMO and fee-for-service comparison," Jama 281(8), 720-726, 1999.
33. Rodrigues, J., Trombert-Paviot, B., Mennerat, F., and Rusch, P., "Les systèmes DGR en Europe et dans le monde," Hospitalisation Nouvelle 229, 16-19, 1995.
34. Roos, L.L., Mustard, C.A., Nicol, J.P., McLerran, D.F., Malenka, D.J., Young, T.K., and Cohen, M.M., "Registries and administrative data: Organization and accuracy," Med. Care 31(3), 201-212, 1993.
35. Simonato, L., Zambon, P., Rodella, S., Giordano, R., Guzzinati, S., Stocco, C., Tognazzo, S., and Winkelmann, R., "A computerised cancer registration network in the Veneto region, north-east of Italy: A pilot study," Br. J. Cancer 73(11), 1436-1439, 1996.
36. Solin, L.J., Legorreta, A., Schultz, D.J., Levin, H.A., Zatz, S., and Goodman, R.L., "Analysis of a claims database for the identification of patients with carcinoma of the breast," J. Med. Syst. 18(1), 23-32, 1994.
37. Solin, L.J., MacPherson, S., Schultz, D.J., and Hanchak N.A., "Evaluation of an algorithm to identify women with carcinoma of the breast," J. Med. Syst. 21(3), 189-199, 1997.
38. Stang, A., Glynn, R.J., Gann, P.H., Taylor, J.O., and Hennekens, C.H., "Cancer occurrence in the elderly: Agreement between three major data sources," Ann Epidemiol. 9(1), 60-67, 1999.
39. Vergnon, P., Morgon, E., Dargent, S., Benyamine, D., Favre, M., Perrot, L., Pradat, E., and Colin, C., "Quality assessment of the medical information on the standardized discharge summary," Rev. Epidemiol. Sante Publique 46(1), 24-33, 1998.
40. Wang, P.S., Walker, A.M., Tsuang, M.T., Orav, E.J., Levin, R., and Avorn, J., "Finding incident breast cancer cases through US claims data and a state cancer registry," Cancer Causes Control 12(3), 257-265, 2001.
41. Warren, J.L., Feuer, E., Potosky, A.L., Riley, G.F., and Lynch, C.F., "Use of Medicare hospital and physician data to assess breast cancer incidence," Med. Care 37(5), 445-456, 1999.
42. Warren, J.L., Riley, G.F., McBean, A.M., and Hakim, R., "Use of Medicare data to identify incident breast cancer cases," Health Care Financ. Rev. 18(1), 237-246, 1996.
43. Warren, J.L., Riley, G.F., Potosky, A.L., Klabunde, C.N., Richter, E., and Ballard-Barbash, R., "Trends and outcomes of outpatient mastectomy in elderly women," J. Natl. Cancer Inst. 90(11), 833-840, 1998.
44. Whittle, J., Steinberg, E.P., Anderson, G.F., and Herbert, R., "Accuracy of Medicare claims data for estimation of cancer incidence and resection rates among elderly Americans," Med. Care 29(12), 1226-1236, 1991.
45. Whittle, J., Steinberg, E.P., Anderson, G.F., and Herbert, R., "Use of Medicare claims data to evaluate outcomes in elderly patients undergoing lung resection for lung cancer," Chest. 100(3), 729-734, 1991.
46. Whittle, J., Steinberg, E.P., Anderson, G.F., and Herbert, R., "Results of colectomy in elderly patients with colon cancer, based on Medicare claims data," Am. J. Surg. 163(6), 572-576, 1992.