萨斯喀彻温癌症机构登记处、医院病历和死亡登记中癌症记录的一致性。
Concordance on the recording of cancer in the Saskatchewan Cancer Agency Registry, hospital charts and death registrations.
作者信息
Rawson N S, Robson D L
机构信息
Division of Community Health, Faculty of Medicine, Memorial University of Newfoundland, St. John's.
出版信息
Can J Public Health. 2000 Sep-Oct;91(5):390-3. doi: 10.1007/BF03404814.
Accurate and complete registries are an important source of knowledge about cancer. The concordance of the recording of neoplasms in the Saskatchewan cancer registry with that in hospital charts and death registrations was evaluated for 368 patients. The agreement between registry and hospital charts or death registrations was excellent (kappa: 0.93; 95% confidence interval: 0.89, 0.97), with 91.3% of those with cancer having the same neoplasm recorded in their chart or death registration as in the registry. There was only one patient whose hospital chart indicated cancer who was not in the registry and one apparent major discrepancy relating to the cancer site, which was due to the recording of the primary site in the registry and a secondary in the hospital chart. Although based on a relatively small number of patients, these results suggest a high degree of consistency between cancer registry, hospital charts and death registrations in Saskatchewan.
准确且完整的登记系统是了解癌症的重要知识来源。对368名患者评估了萨斯喀彻温省癌症登记系统中肿瘤记录与医院病历及死亡登记记录的一致性。登记系统与医院病历或死亡登记之间的一致性非常好（kappa值：0.93；95%置信区间：0.89，0.97），91.3%的癌症患者在病历或死亡登记中记录的肿瘤与登记系统中的相同。只有一名医院病历显示患有癌症的患者未在登记系统中，以及一处明显与癌症部位有关的重大差异，这是由于登记系统记录的是原发部位而医院病历记录的是继发部位。尽管基于相对较少的患者数量，但这些结果表明萨斯喀彻温省癌症登记系统、医院病历和死亡登记之间具有高度一致性。
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