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The accuracy and completeness for receipt of colorectal cancer care using Veterans Health Administration administrative data.

dc.contributor.author Barnd, J
dc.contributor.author Fisher, DA
dc.contributor.author Haggstrom, DA
dc.contributor.author Jackson, GL
dc.contributor.author Provenzale, Dawn T
dc.contributor.author Sherer, EA
dc.coverage.spatial England
dc.date.accessioned 2016-03-23T18:55:44Z
dc.date.issued 2016-02-11
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/26869265
dc.identifier 10.1186/s12913-016-1294-9
dc.identifier.uri http://hdl.handle.net/10161/11721
dc.description.abstract BACKGROUND: The National Comprehensive Cancer Network and the American Society of Clinical Oncology have established guidelines for the treatment and surveillance of colorectal cancer (CRC), respectively. Considering these guidelines, an accurate and efficient method is needed to measure receipt of care. METHODS: The accuracy and completeness of Veterans Health Administration (VA) administrative data were assessed by comparing them with data manually abstracted during the Colorectal Cancer Care Collaborative (C4) quality improvement initiative for 618 patients with stage I-III CRC. RESULTS: The VA administrative data contained gender, marital, and birth information for all patients but race information was missing for 62.1% of patients. The percent agreement for demographic variables ranged from 98.1-100%. The kappa statistic for receipt of treatments ranged from 0.21 to 0.60 and there was a 96.9% agreement for the date of surgical resection. The percentage of post-diagnosis surveillance events in C4 also in VA administrative data were 76.0% for colonoscopy, 84.6% for physician visit, and 26.3% for carcinoembryonic antigen (CEA) test. CONCLUSIONS: VA administrative data are accurate and complete for non-race demographic variables, receipt of CRC treatment, colonoscopy, and physician visits; but alternative data sources may be necessary to capture patient race and receipt of CEA tests.
dc.language eng
dc.relation.ispartof BMC Health Serv Res
dc.relation.isversionof 10.1186/s12913-016-1294-9
dc.subject Adult
dc.subject Aged
dc.subject Aged, 80 and over
dc.subject Colonoscopy
dc.subject Colorectal Neoplasms
dc.subject Databases, Factual
dc.subject Female
dc.subject Humans
dc.subject Knowledge Management
dc.subject Male
dc.subject Middle Aged
dc.subject Quality Improvement
dc.subject Retrospective Studies
dc.subject United States
dc.subject United States Department of Veterans Affairs
dc.title The accuracy and completeness for receipt of colorectal cancer care using Veterans Health Administration administrative data.
dc.type Journal article
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/26869265
pubs.begin-page 50
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group Duke Cancer Institute
pubs.organisational-group Duke Clinical Research Institute
pubs.organisational-group Institutes and Centers
pubs.organisational-group Medicine
pubs.organisational-group Medicine, Gastroenterology
pubs.organisational-group School of Medicine
pubs.publication-status Published online
pubs.volume 16
dc.identifier.eissn 1472-6963


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