Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
JNCI Cancer Spectr. 2024 Sep 2;8(5). doi: 10.1093/jncics/pkae069.
The University of North Carolina at Chapel Hill Lineberger Comprehensive Cancer Center has developed a novel data resource, the Cancer Information and Population Health Resource (CIPHR), for conducting catchment area evaluation and cancer population health research that links the North Carolina Central Cancer Registry (NCCCR) to medical and pharmacy claims data from Medicare, Medicaid, and private plans operating within North Carolina. This study's aim was to describe the CIPHR data and provide examples of potential cohorts available in those data.
We present the underlying populations included in the NCCCR and claims data before linkage and demonstrate estimated sample sizes when these data are linked and commonly used insurance enrollment criteria are applied.
Data for the years 2003-2020 are present in CIPHR and include 947 977 cancer cases from the NCCCR and 21.6 million enrollees in public and private health insurance (cancer and noncancer cases). When limited to first or only cancers (n = 672 377), 86% could be linked to insurance enrollment for at least 1 month during 2003-2020 (n = 582 638), with 62% of individuals linking to enrollment during the month of cancer diagnosis. Among all registry cancer cases, 47% (n = 317 898) had continuous insurance enrollment for at least 12 months before and after cancer diagnosis.
CIPHR illustrates the utility of establishing and maintaining a statewide, comprehensive cancer population health database. This resource serves to characterize the cancer center catchment area and aids in tracking cancer outcomes and trends in care delivery as well as identifying disparities that require intervention and policy focus.
北卡罗来纳大学教堂山分校莱因伯格综合癌症中心开发了一种新的数据资源，即癌症信息和人口健康资源（CIPHR），用于进行集水区评估和癌症人口健康研究，该资源将北卡罗来纳中央癌症登记处（NCCCR）与医疗保险、医疗补助和在北卡罗来纳州运营的私人计划的医疗和药房索赔数据相链接。本研究的目的是描述 CIPHR 数据，并提供这些数据中可用的潜在队列示例。
我们展示了 NCCCR 和索赔数据中包含的基础人群，并在链接这些数据并应用常见的保险登记标准时演示了估计的样本量。
CIPHR 中提供了 2003 年至 2020 年的数据，包括来自 NCCCR 的 947977 例癌症病例和 2160 万参加公共和私人医疗保险（癌症和非癌症病例）的患者。当仅限于首次或唯一癌症（n=672377）时，86%的患者可以与 2003 年至 2020 年期间至少 1 个月的保险登记相链接（n=582638），其中 62%的个体在癌症诊断当月链接到登记。在所有登记的癌症病例中，47%（n=317898）在癌症诊断前后至少有 12 个月的连续保险登记。
CIPHR 说明了建立和维护全州范围的综合癌症人口健康数据库的效用。该资源用于描述癌症中心的集水区，并有助于跟踪癌症结果和护理提供趋势，以及确定需要干预和政策关注的差异。
