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Comparison of Seer Treatment Data With Medicare Claims

Bibliographic Data

ID9103965
AuthorsAnne-Michelle Noone (National Cancer Institute), Anne‐Michelle Noone (0000-0001-6997-4004, National Cancer Institute, corresponding author), Jennifer L Lund (0000-0002-1108-0689, University of North Carolina at Chapel Hill), Ângela Mariotto (National Cancer Institute), Angela B Mariotto (0000-0003-2423-1834, National Cancer Institute, corresponding author), Kathleen Cronin (National Cancer Institute), Kathleen A Cronin (0000-0002-7282-9323, National Cancer Institute, corresponding author), Timothy S Mcneel (0000-0002-7141-5647, Information Management Services), Timothy McNeel (Information Management Services Inc., Calverton, MD), Dennis Deapen (0000-0002-0037-0277, University of Southern California), Joan L Warren (0000-0002-6467-6769, National Cancer Institute)
Year2016
Volume54
Issue9
Pagese55-e64
Publication date2016-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000073
PMID24638121
OpenAlexW2044619726
LanguageEN
Citations received10
References cited21

BACKGROUND: The population-based Surveillance, Epidemiology, and End Results (SEER) registries collect information on first-course treatment, including surgery, chemotherapy, radiation therapy, and hormone therapy. However, the SEER program does not release data on chemotherapy or hormone therapy due to uncertainties regarding data completeness. Activities are ongoing to investigate the opportunity to supplement SEER treatment data with other data sources. METHODS: Using the linked SEER-Medicare data, we examined the validity of the SEER data to identify receipt of chemotherapy and radiation therapy among those aged 65 and older diagnosed from 2000 to 2006 with bladder, female breast, colorectal, lung, ovarian, pancreas, or prostate cancer and hormone therapy among men diagnosed with prostate cancer at age 65 or older. Treatment collected by SEER was compared with treatment as determined by Medicare claims, using Medicare claims as the gold standard. The κ, sensitivity, specificity, positive predictive values, and negative predictive values were calculated for the receipt of each treatment modality. RESULTS: The overall sensitivity of SEER data to identify chemotherapy, radiation, and hormone therapy receipt was moderate (68%, 80%, and 69%, respectively) and varied by cancer site, stage, and patient characteristics. The overall positive predictive value was high (>85%) for all treatment types and cancer sites except chemotherapy for prostate cancer. CONCLUSIONS: SEER data should not generally be used for comparisons of treated and untreated individuals or to estimate the proportion of treated individuals in the population. Augmenting SEER data with other data sources will provide the most accurate treatment information

Breast cancer · Cancer · Cancer registry · Chemotherapy · Gynecology · Hormone therapy · Population · Prostate cancer · Radiation therapy · Surveillance, Epidemiology, and End Results · Epidemiology · Frailty in Older Adults · Global Cancer Incidence and Screening · Health Systems, Economic Evaluations, Quality of Life · Internal Medicine · Medicine · Oncology

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Unique citing works10
Citations per year2
Citation span2021 - 2025 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 9
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