CDC & Florida DOH Attribution

Transcription

1 FCDS Annual Educational Conference Tampa, Florida July 19, 2018 Steven Peace, CTR 1 CDC & Florida DOH Attribution Funding for this conference was made possible (in part) by the Centers for Disease Control and Prevention. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the US Government. FCDS would also like to acknowledge the Florida Department of Health for its support of the Florida Cancer Data System, including the development, printing and distribution of materials for the 2018 FCDS Annual Conference and the FCDS Webcast Series under state contract CODJU. The findings and conclusions in this series are those of the author(s) and do not necessarily represent the official position of the Florida Department of Health. 2 1

2 Outline Introduction General Instructions Colon - Major Lung - Major Breast - Major Urinary System - Minor Brain/CNS Malignant - Minor Brain/CNS Non-Malignant Other Solid Tumor Modules Questions Solid Tumor MP/H Rules CHECK FOR UPDATES Text Only no flowchart or matrix Updates to 2007 Solid Tumor MP/H Rules Takes into account problems from 2007 MPH Rules Takes into account All of the WHO Classification, 4 th ed. Series Takes into account two revisions to the WHO 4 th ed. Series 2016 Revision to WHO Classification of Neoplasms of Brain and CNS Original 4 th edition Classification published in Revision to WHO Classification of Hematopoietic & Lymphoid Neoplasms Original 4 th edition Classification published in

3 2018 Solid Tumor MP/H Rules WHO Classification of Tumors New or Revised Since 2010 Digestive System (2010) Breast (2012) SoftTissue and Bone (2013) Female Reproductive Organs (2014) Lung, Pleura, Thymus & Heart (2015) Urinary System & Male Genital (2016) Central Nervous System (2016 revision) Hematopoietic & Lymphoid (2016 revision) Head & Neck (2017) Solid Tumor MP/H Rules Final Final Final Final 6 3

4 2018 Solid Tumor MP/H Rules Solid Tumor MP/H Rules 8 4

5 General Instructions TEXT ONLY RULES INCLUDE: General Instructions PLUS 10 Sets of Solid Tumor MP/H Rules Each Module includes Multiple Sections (Notes/Site/MP/Histology) Code subtypes/variants when definitively described (no modifiers) Do Not Use Ambiguous Terminology to Code Histology Ambiguous terminology is used to determine case reportability Ambiguous terminology is not to be used to determine histology Ambiguous terminology such as with features of, etc. are no longer used to determine a subtype OR to determine which histology should be coded. See the following histology rules for instructions on coding multiple histologies. Use the Histology (H) Rules to determine when to use or not use any ambiguous terminology when an ambiguous term is used to describe a histologic type sometimes you use the ambiguous term to code a subtype or variant or mixed histology -- and sometimes you do not. 9 General Instructions 10 5

6 General Instructions 11 General Instructions 12 6

7 2018 Solid Tumor MP/H Rules COLON - FINAL 13 Colon - Final 14 7

8 Colon - Final 15 Colon - Final 16 8

9 Colon - Final 17 Colon - Final 18 9

10 Colon - Final Solid Tumor MP/H Rules LUNG - FINAL 20 10

11 ICD-O-3 Updates - Lung Lung Thymus 21 Lung - Final Combination Histology or Subtype/Variant Table 2 or Table

12 Lung - Final 23 Lung - Final Biomarkers Path Clinical 24 12

13 Lung - Final 25 Lung - Final 26 13

14 2018 Solid Tumor MP/H Rules BREAST - FINAL 27 ICD-O-3 Updates - Breast 28 14

15 Breast - FINAL 29 Breast - FINAL 30 15

16 Breast - FINAL 31 Breast - Final 32 16

17 Breast - FINAL 33 Breast - FINAL 34 17

18 Breast - FINAL 35 Urinary System - DRAFT 36 18

19 Urinary System - DRAFT 37 Urinary System - DRAFT 38 19

20 Brain/CNS Malignant - DRAFT 39 Brain/CNS Malignant - DRAFT 40 20

21 Brain/CNS Malignant - DRAFT 41 Other Solid Tumor Modules Head & Neck 42 21

22 Other Solid Tumor Modules Head & Neck Additional Tables Identify Most Likely Histologic Entities Based on Anatomy Groupings Above 43 Other Solid Tumor Modules Head & Neck 44 22

23 Other Solid Tumor Modules Melanoma 45 Other Solid Tumor Modules Kidney 46 23

24 Other Solid Tumor Modules Other Sites 47 Other Solid Tumor Modules Other Sites 48 24

25 2018 Solid Tumors Database Genetics Data & Biomarkers Treatment(s) STDB is Still Under Construction Abstractor Notes Signs & Symptoms Diagnostic Exams Recurrence & Metastasis Epidemiology & Mortality 49 Questions 50 25