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August 1, 2002Medical Care

Use of SEER-Medicare Data for Measuring Cancer Surgery

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Population

149,970 incident cases of breast, colorectal, endometrial, lung, pancreatic, and prostate cancer diagnosed…

Comparison

Medicare's inpatient, physician, and hospital… vs SEER files

Design

Other

Key result

Agreement between Medicare claims and SEER data for identifying major cancer-directed surgical procedures was high (kappa 0.70-0.90).

Authors

GCGregory S. CooperBVBeth A VirnigCKCarrie N. Klabunde

Discussion

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Overview

Merging these datasets enhances the reliable identification of oncologic surgeries; extends methodological confidence for using linked.

Study Design

Type

Observational (n=149,970)

Structured PICO

P
Population
149,970 incident cases of breast, colorectal, endometrial, lung, pancreatic, and prostate cancer diagnosed between 1991 and 1993.
E
Exposure
Medicare's inpatient, physician, and hospital outpatient claims
C
Comparator
SEER files
O
Outcome
Agreement between SEER and Medicare files for measuring cancer-related surgery

Main Result

Effect estimate: kappa 0.70-0.90

SEER and Medicare data show good agreement for major surgical procedures, and combining both sources enhances the identification of cancer-directed surgeries.

Limitations

  • Because the analysis was performed with linked data, the accuracy of surgical claims in Medicare data alone cannot be assessed.

Cite This Study

Cooper et al. (2002) conducted an observational in Breast, colorectal, endometrial, lung, pancreatic, and prostate cancer (n=149,970). Medicare claims data (inpatient, physician, and outpatient) vs. SEER files was evaluated on Agreement between SEER and Medicare files for measuring cancer-related surgery (kappa 0.70-0.90). Agreement between Medicare claims and SEER data for identifying major cancer-directed surgical procedures was high (kappa 0.70-0.90).

synapsesocial.com/papers/6a5cc681baa8fa97d3c4eaa0https://doi.org/10.1097/00005650-200208001-00006
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