Literature DB >> 32412070

Assessment of Oncology Practice Billing Claims for Supplementing Chemotherapy: A Pilot Study in the Georgia SEER Cancer Registry.

Nadia Howlader1, Kevin C Ward2, Joan L Warren3, Dave S Campbell4, Linda Coyle4, Angela B Mariotto1.   

Abstract

BACKGROUND: Chemotherapy information in the population-based cancer registries is underascertained and lacks detail. We conducted a pilot study in the Georgia SEER Cancer Registry (GCR) to investigate the feasibility of supplementing chemotherapy information using billing claims from six private oncology practices (OP).
METHODS: To assess cancer patients' representativeness from OP, we compared individuals with invasive first primary cancers diagnosed during 2013-2015 in the GCR (cohort 1) with those who had at least one OP claim in the 12 months after diagnosis (cohort 2). To assess completeness of OP claims to capture chemotherapy (yes or no), we further restricted cohort 2 to patients ages 65 years and older enrolled in fee-for-service Medicare Part A and B from the diagnosis date through 12 months follow-up or to the date of death. With Medicare data serving as the gold standard, sensitivity, specificity, and kappa statistics for the receipt of chemotherapy per OP claims were calculated by demographic and clinical characteristics.
RESULTS: Cancer patients seeking care in the OP included in our analysis were not representative of the underlying patient population in the GCR. The practices underrepresented minorities and uninsured while overrepresenting females, persons with high socioeconomic status, patients residing outside the metropolitan Atlanta area, and persons with advance staged disease. The ability of practice claims to identify chemotherapy receipt was moderate (76.1% sensitivity) but varied by demographic and clinical characteristics (76.1-83.0%).
CONCLUSIONS: Given the limited ability of OP claims to identify chemotherapy receipt, we suggest analyzing these data for hypothesis generation, but inference should be limited to this patient cohort. Published by Oxford University Press 2020. This work is written by US Government employees and is in the public domain in the US.

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Year:  2020        PMID: 32412070      PMCID: PMC7225663          DOI: 10.1093/jncimonographs/lgaa006

Source DB:  PubMed          Journal:  J Natl Cancer Inst Monogr        ISSN: 1052-6773


  13 in total

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2.  Medicare reimbursement changes and the practice of oncology: understanding of the past is a key to the future.

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3.  Disparities despite coverage: gaps in colorectal cancer screening among Medicare beneficiaries.

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4.  Underascertainment of radiotherapy receipt in Surveillance, Epidemiology, and End Results registry data.

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Journal:  Cancer       Date:  2011-06-29       Impact factor: 6.860

5.  Identifying specific chemotherapeutic agents in Medicare data: a validation study.

Authors:  Jennifer L Lund; Til Stürmer; Linda C Harlan; Hanna K Sanoff; Robert S Sandler; Maurice Alan Brookhart; Joan L Warren
Journal:  Med Care       Date:  2013-05       Impact factor: 2.983

6.  The role of health insurance coverage in reducing racial/ethnic disparities in health care.

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7.  Race, healthcare access and physician trust among prostate cancer patients.

Authors:  Young Kyung Do; William R Carpenter; Pamela Spain; Jack A Clark; Robert J Hamilton; Joseph A Galanko; Anne Jackman; James A Talcott; Paul A Godley
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8.  Measuring clinically significant chemotherapy-related toxicities using Medicare claims from Cancer and Leukemia Group B (CALGB) trial participants.

Authors:  Elizabeth B Lamont; James E Herndon; Jane C Weeks; I Craig Henderson; Rogerio Lilenbaum; Richard L Schilsky; Nicholas A Christakis
Journal:  Med Care       Date:  2008-03       Impact factor: 2.983

9.  Assessing the generalizability of randomized trial results to target populations.

Authors:  Elizabeth A Stuart; Catherine P Bradshaw; Philip J Leaf
Journal:  Prev Sci       Date:  2015-04

10.  Patterns and predictors of breast cancer chemotherapy use in Kaiser Permanente Northern California, 2004-2007.

Authors:  Allison W Kurian; Daphne Y Lichtensztajn; Theresa H M Keegan; Rita W Leung; Sarah J Shema; Dawn L Hershman; Lawrence H Kushi; Laurel A Habel; Tatjana Kolevska; Bette J Caan; Scarlett L Gomez
Journal:  Breast Cancer Res Treat       Date:  2012-11-09       Impact factor: 4.624

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  1 in total

1.  Estimating Chemotherapy Use Among Patients With a Prior Primary Cancer Diagnosis Using SEER-Medicare Data.

Authors:  Clara J K Lam; Lindsey Enewold; Timothy S McNeel; Dolly P White; Joan L Warren; Angela B Mariotto
Journal:  J Natl Cancer Inst Monogr       Date:  2020-05-01
  1 in total

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