Tiangco Beatrice, Daguit Shanaia Esthelle Joy, Astrologo Nicole Cathlene, Flores Leo, Parma Ric Nonato, Celi Leo Anthony
Cancer CARE Registry and Research Philippines Foundation, Inc, Pasig, Philippines.
University of the Philippines National Institutes of Health, Manila, Philippines.
PLOS Digit Health. 2024 Jan 24;3(1):e0000328. doi: 10.1371/journal.pdig.0000328. eCollection 2024 Jan.
Hospital-based cancer registries (HBCRs) record data on all patients diagnosed and/or treated for cancer at healthcare facilities and evaluate the burden of the disease and the quality of healthcare services at that hospital, helping improve patient care, and providing an assessment of healthcare quality. The CARE PH app was created as a tool to facilitate a system of hospital-based cancer registries in the Philippines, a lower middle-income country. From 2017 to 2022, a total of 60,021 cancer registrants from 44 CARE PH hospitals were entered into the database. Breast cancer was the most common primary site, accounting for 17,660 cases (29.4%). This was followed by colorectal cancer at 11.1%, cervical cancer at 6.2%, head and neck cancer at 5.9%, and prostate and other male genital cancer at 5.1%.Among the 30 data fields collected, 17 exhibited 0-20% missing data, eight displayed 21%-90% missing data, while five depicted 91%-100% missing data. Most of the data fields with missing data are in the treatment and follow-up modules, which are stored in separate forms in a patient's record. Digital transformation of hospitals from paper-based charts to electronic medical records, and the integration of the HBCR to the EMR and hospital information system, will likely be the best solution for these limitations. It is recommended that the creation and maintenance of HBCRs nationwide must be harmonized, and embedded in all relevant national programs and legislations. The development of an information technology process that is based on a cancer patient's journey, should be built on an open system embedded in a well designed enterprise architecture, functioning under the guidance of a strong leadership and governance team. All these must be present in order to create and maintain a robust HBCR that is useful for furthering cancer registry and research in the country.
基于医院的癌症登记处（HBCRs）记录在医疗机构被诊断和/或治疗的所有癌症患者的数据，并评估该医院的疾病负担和医疗服务质量，有助于改善患者护理，并提供医疗质量评估。CARE PH应用程序是作为一种工具创建的，用于促进菲律宾（一个中低收入国家）基于医院的癌症登记系统。2017年至2022年，来自44家CARE PH医院的总共60,021名癌症登记者被录入数据库。乳腺癌是最常见的原发部位，占17,660例（29.4%）。其次是结直肠癌，占11.1%，宫颈癌占6.2%，头颈癌占5.9%，前列腺癌和其他男性生殖器癌占5.1%。在收集的30个数据字段中，17个字段的数据缺失率为0 - 20%，8个字段的数据缺失率为21% - 90%，而5个字段的数据缺失率为91% - 100%。大多数存在数据缺失的数据字段位于治疗和随访模块中，这些模块以单独的表格形式存储在患者记录中。医院从纸质病历向电子病历的数字化转型，以及将HBCR集成到电子病历和医院信息系统中，可能是解决这些局限性的最佳方案。建议全国范围内HBCRs的创建和维护必须协调一致，并纳入所有相关的国家计划和立法中。基于癌症患者病程的信息技术流程的开发，应建立在一个嵌入精心设计的企业架构的开放系统之上，并在一个强大的领导和管理团队的指导下运行。所有这些要素都必须具备，才能创建和维护一个强大的HBCR，以推动该国的癌症登记和研究工作。
