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Two studies examining four cancer sites: breast, prostate

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Two studies examining four cancer sites: breast, prostate, colon and ovarian. ... Breast, Colon and Prostate Cancer Data Quality & Patterns of Care Study ... – PowerPoint PPT presentation

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Title: Two studies examining four cancer sites: breast, prostate


1
Cancer TrackingThe State of the NationJames
S. Marks, M.D., M.P.H.DirectorChronic Disease
Prevention and Health Promotion
2
  • If the United States is to reduce the human and
    financial costs of chronic diseases with
    effective public health prevention efforts, the
    first step is to establish a tracking capacity
    for chronic diseases and environmental
    exposures.

Source Transition Report to the New
Administration Strengthening our Public Health
Defense Against Environmental Threats. January
2001, The PEW ENVIROMENTAL HEALTH COMMISSION
3
  • The PEW Environmental Health Commission at John
    Hopkins School of Public Health called on
    Congress and the White House to protect Americans
    from chronic diseases- the No. 1 cause of death
    in the U.S.- by tracking where and when these
    health problems occur and possible links to
    environmental factors.

Source Protect Public From Chronic Disease, PEW
Commission Urges Disease, Environmental Exposures
Must Be Tracked to Save Lives, January 2001, The
PEW ENVIROMENTAL HEALTH COMMISSION
4
  • Why cancer tracking is critical.
  • Why strong cancer registries are needed in every
    state.
  • The present and future of cancer registries.

5
Why Cancer tracking is critical.
6
State Cancer Registries
  • PURPOSE
  • Is progress occurring?
  • Are specific populations at higher risk?
  • Are cancer prevention and control efforts having
    the expected effect?
  • Where and how would resources be best used?
  • Evaluate clusters, quality of care and new
    interventions.

7
Why strong cancer registries are needed in every
state.
8
CDCs National Program of Cancer Registries
  • Providing national leadership by helping states
    and territories
  • Fund all 45 states not wholly funded by SEER
  • Recommend standards for data completeness,
    timeliness, and quality
  • Modernize and computerize reporting and
    data-processing
  • Develop laws and regulations that promote quality
    registries

9
NAACCR-Certified State Cancer Registries
1997
1998
2000
2002
North American Association of Central Cancer
Registries Certification of data from cancers
diagnosed 1995, 1996, 1998, 2000
10
Female Breast Cancer Cases Diagnosed at Early
StageMichigan, 19851987
Percentageof Cases
lt 39.1
39.148.1
48.255.9
56 over
11
Female Breast Cancer Cases Diagnosed at Early
StageMichigan, 19951997
Percentageof Cases
lt 39.1
39.148.1
48.255.9
56 over
12
KENTUCKY Uninsured cancer patients have lower
three-year survival rates for colorectal, breast
, prostate and lung cancer compared with insured
patientsThe Archives of Internal Medicine,
October 12, 2003
13
Patterns of Care Study
  • Two studies examining four cancer sites  breast,
    prostate, colon and ovarian. 
  • Compares quality of treatment data reported to
    NPCR registries with data from medical records
  • Population-based samples estimate proportion of
    patients who receive recommended standard of care

14
Breast, Colon and Prostate Cancer Data Quality
Patterns of Care Study
  • Eight registries involved
  • New York
  • Rhode Island
  • South Carolina
  • District of Columbia
  • Illinois
  • Louisiana
  • Colorado
  • California

15
Ovarian Cancer Treatment Patterns and Outcomes
Study
  • Three registries involved
  • Maryland
  • New York
  • California

16
(No Transcript)
17
What is the Present and Future of Cancer
Registries
  • Trust for Americas Health- Improving Cancer
    Tracking Today Saves Lives Tomorrow Do States
    Make the Grade? is an interim report in
    establishing systems and great growth in the
    quality of data.
  • The future is to use cancer registries for issues
    of cancer prevention, detection and care.
  • To serve as a model, as implied in the first
    Trust For Americas Health report, Americas
    Environmental Health Gap Why the Country Needs a
    Nationwide Health Tracking Network for the
    tracking of critical chronic disease health
    problems of our time.

18
The Cancer Weapon America Needs Most
  • Although not as glamorous, cancer tabulation
    can be more important in the fight against cancer
    than performing an intricate operation or an
    elegant experiment. A network of cancer
    registries can be our most potent new weapon
    against the disease.
  • Source Healey JH. The cancer weapon America
    needs most. Readers Digest June
    1992140(842)6972.

19
The Cancer Weapon America Needs Most
  • People do not naturally rally round a cause
    like cancer record-keeping because no one can
    point to victims who will suffer without it.
    Rather, it is our larger understanding of cancer
    that suffers. And thus, we are all victims.
  • Source Healey JH. The cancer weapon America
    needs most. Readers Digest June
    1992140(842)6972.
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