Schouten L J, Jager J J, van den Brandt P A
Department of Cancer Registration and Epidemiology, Comprehensive Cancer Centre Limburg (IKL), Maastricht, The Netherlands.
Br J Cancer. 1993 Nov;68(5):974-7. doi: 10.1038/bjc.1993.464.
The quality of cancer registry data is of great importance to the usefulness of a cancer registry. To investigate the quality of its data the IKL cancer registry (Integraal Kankercentrum Limburg) performed a study with the aim of comparing data supplied by clinicians with data collected by registration personnel. Twenty clinicians reabstracted the information of a random sample of about ten of their patients, who were diagnosed with cancer in 1989 or 1990. After coding, the information was compared with the contents of the cancer registry records. For comparison of agreement the information of 190 cases was available. The relative frequency of major disagreements was 0% for date of birth, 0% for gender, 5% for date of incidence, 6% for primary site, 2% for laterality, 2% for histologic type and 2% for behaviour code. In general, the disagreements could be attributed to the handling of different coding rules (incidence date), or to a lower level of precision by the clinician in comparison to registration personnel (primary site, laterality). This study has shown that registration personnel are able to collect data with a high degree of accuracy.
癌症登记数据的质量对于癌症登记处的实用性至关重要。为了调查其数据质量,IKL癌症登记处(林堡综合癌症中心)开展了一项研究,旨在比较临床医生提供的数据与登记人员收集的数据。20名临床医生重新提取了他们约10名患者的信息,这些患者在1989年或1990年被诊断为癌症。编码后,将这些信息与癌症登记记录的内容进行比较。为了比较一致性,有190例病例的信息可供使用。出生日期的主要不一致相对频率为0%,性别为0%,发病日期为5%,原发部位为6%,左右侧为2%,组织学类型为2%,行为代码为2%。一般来说,不一致可归因于不同编码规则的处理(发病日期),或者与登记人员相比临床医生的精确程度较低(原发部位、左右侧)。这项研究表明登记人员能够高度准确地收集数据。