RTI International, Research Triangle Park, North Carolina.
Centers for Disease Control and Prevention, Atlanta, Georgia.
J Registry Manag. 2022 Spring;49(1):10-16.
We aim to assess external and internal attributes and operations of the Centers for Disease Control and Prevention (CDC)'s National Program of Cancer Registries (NPCR) central cancer registries by their consistency in meeting national data quality standards.
The NPCR 2017 Program Evaluation Instrument (PEI) data were used to assess registry operational attributes, including adoption of electronic reporting, compliance with reporting, staffing, and software used among 46 NPCR registries. These factors were stratified by (1) registries that met the NPCR 12-month standards for all years 2014-2017; (2) registries that met the NPCR 12-month standards at least once in 2014-2017 and met the NPCR 24-month standards for all years 2014-2017; and (3) registries that did not meet the NPCR 24-month standards for all years 2014-2017. Statistical tests helped identify significant differences among registries that consistently, sometimes, or seldom/never achieved data standards.
Registries that always met the standards had a higher level of electronic reporting and a higher compliance with reporting among hospitals than registries that sometimes or seldom/never met the standards. Although not a statistically significant finding, the same registries also had a higher proportion of staffing positions filled, a higher proportion of certified tumor registrars, and more quality assurance and information technology staff.
This information may be used to understand the importance of various factors and characteristics, including the adoption of electronic reporting, that may be associated with a registry's ability to consistently meet NPCR standards. The findings may be helpful in identifying best practices for processing high-quality cancer data.
通过评估疾病预防控制中心（CDC）国家癌症登记处（NPCR）中央癌症登记处是否符合国家数据质量标准，评估其外部和内部属性和运作。
使用 NPCR 2017 年计划评估工具（PEI）数据来评估登记处的运营属性，包括电子报告的采用、报告的遵守情况、人员配备以及 46 个 NPCR 登记处使用的软件。这些因素按以下方式分层：（1）符合 NPCR 2014-2017 年所有年份 12 个月标准的登记处；（2）至少在 2014-2017 年期间符合 NPCR 12 个月标准且符合 NPCR 2014-2017 年所有年份 24 个月标准的登记处；（3）不符合 NPCR 2014-2017 年所有年份 24 个月标准的登记处。统计检验有助于确定始终、有时或很少/从不达到数据标准的登记处之间的显著差异。
始终符合标准的登记处与有时或很少/从不符合标准的登记处相比，医院的电子报告水平更高，报告遵守程度更高。尽管这不是一个统计学上显著的发现，但同样的登记处也有更高比例的职位空缺、更高比例的认证肿瘤登记员，以及更多的质量保证和信息技术人员。
这些信息可用于了解各种因素和特征的重要性，包括电子报告的采用，这些因素可能与登记处持续符合 NPCR 标准的能力有关。这些发现可能有助于确定处理高质量癌症数据的最佳实践。
