Welcome ACoS Brainstorming Webinar

Transcription

1 Welcome ACoS Brainstorming Webinar

2 Dr. Youjie Huang DOH CER PI Dr. Jill MacKinnon FCDS Project Director Dr. Monique Hernandez FCDS CER Project Manager Mike Thiry FCDS Manager for Data Acquisition Steve Peace, CTR FCDS Manager for Quality Control and Education 2

3 Enhancing Cancer Registry Data for Comparative Effectiveness Research Cancer Surveillance Branch Division so of Cancer Prevention e to and Control Centers for Disease Control and Prevention Funding Opportunity for the National Program of Cancer Registries 3

4 Activities will include additional data collection, training, methodological development, and expansion of electronic reporting with the goal of supporting Comparative Effectiveness Research and to develop sustainable methods to enhance cancer registry data for public health and research. 4

5 Department of Health application 1 of 10 States funded Innovative design Extensive utilization of electronic data streams 5

6 Cases Diagnosed in 2011 only Primary sites Breast, Colorectal and CML Regions Miami-Dade, Broward, Palm Beach, Orange and Hillsborough Counties Project Period: December 2010 September

7 Are colorectal cancer patients tested for KRAS and are the results used appropriately to determine treatment? What impact does KRAS testing have on 2-3 year survival among colorectal cancer patients? Are rectal cancer patients receiving radiotherapy and what is the timing of radiotherapy? Are disparities iti apparent in the appropriate neoadjuvant use of radiotherapy among these patients? Are chronic myeloid leukemia (CML) patients being tested for the BCR- ABL2 gene and receiving appropriate treatment according to those results? Are women with breast cancer being tested appropriately for HER2, progesterone receptor (PR2), and estrogen receptor (ER) status and treated appropriately? 7

8 Hospitals Physician i offices Pathology laboratories RT/AS facilities AHCA discharge summaries Vital Statistics National Death Index Census Medical claims Medicare Medicaid Active Data Collection Passive Data Collection 8

9 Table 1 - Required Data for All Cancers Diagnosed in 2011 Data Items All NPCR required standard data items as described in NAACCR Vol. 2 - for 2011 diagnoses, including complete treatment information and associated date fields All Collaborative Stage Version 2 (CSv2) data items necessary to calculate the American Joint Commission on Cancer TNM Stage, 6 th and 7 th Edition. AJCC TNM stage Regional or Statewide Statewide Statewide Data Source Data Reporters Data Reporters JAK2 for hematopoietic cancers Statewide Data Reporters Co-Morbid conditions Statewide FCDS Height Statewide* Data Reporters Weight Statewide* Data Reporters Smoking status Statewide* Data Reporters Vital status Statewide FCDS Date of Last Contact [NAACCR Item 1750], Vital Status [NAACCR Item 1760], Follow-Up Source Central [NAACCR Item 1791], Cause of Death [NAACCR Item 1910], ICD-revision number [NAACCR Item 1920] Census tract level SES and area health professional availability; area level health insurance Statewide FCDS Urban / Rural location Statewide FCDS MDE/NBCCEDP linkage variable Statewide FCDS *New FCDS 2011 required data item 9

10 Table 2 - Additional Required Data to Evaluate CER Questions Related to Breast Cancers, Colorectal Cancers, and Chronic Myeloid Leukemia Data Items Regional or Statewide Data Source Treatment regimes - specific chemotherapeutic agents; number of courses and dose administered; treatment dates; biological response modifiers; hormone therapy and drugs such as Tamoxifen used during first course of treatment; use of neoadjuvant therapy CER Counties CER Data Reporters Reason for Alteration/Interruption of Treatment- if planned dose is not received Prognostic biomarkers; biomarkers affecting treatment decisions; and staging related biomarkers - including the following; KRAS; HER2, ER and PR status; BCR-ABL2; micro-satellite instability; CER Counties Statewide Exception (CER Counties only): BCR- ABL2 Reason: no SSF exists CER Data Reporters CER Data Reporters Clinical stage (pre-adjuvant therapy) for CER Counties CER Data Reporters invasive breast; and rectum only 10

11 Planning since June 2010 Innovative ideas for data gathering Combination of electronic data streams hoping to minimize manual data collection Developed tools Florida alone All CER states collectively 11

12 Ultimate goal is to form a task force to help Ultimate goal is to form a task force to help advise us all along the way

13 As much or a little as desired More information about this after Steve fills you in on the data details Steve take it away 13

14 Monique Hernandez CER Project Manager (305)

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