Completeness and Consistency of Epidemiological Variables from Hospital-Based Cancer Registries in a Brazilian State
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Ethical Issues
2.3. Data Collection
2.4. Measures
2.5. Data Analysis
2.6. Statistical Analysis
3. Results
3.1. Frequency and Completeness of the Epidemiological Variables
3.2. Sociodemographic Variables from the Tumor Registration form of the Brazilian HCR Integrator
3.3. Clinical Variables from the Tumor Registration Form of the Brazilian HCR Integrator
3.4. Inconsistency of the Epidemiological Variables
4. Discussion
4.1. Sociodemographic Variables from the Tumor Registration Form of the Brazilian HCR Integrator
4.2. Clinical Variables from the Tumor Registration Form of the Brazilian HCR Integrator
4.3. Inconsistency of the Epidemiological Variables
4.4. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A. Tumor Registration Form of the Brazilian Hospital Cancer Registry Integrator. Brazil, 2022
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Year | Hospital/Licensed/(n) Cancer Cases | |||||||
---|---|---|---|---|---|---|---|---|
Hospital Santa Rita de Cássia (CACON) * | Hospital Universitário Cassiano Antônio de Moraes (UNACON) ** | Hospital Evangélico de Vila Velha (UNACON) | Hospital Santa Casa de Misericórdia de Vitória (UNACON) | Hospital Evangélico de Cachoeiro de Itapemirim (UNACON) | Hospital São José (UNACON) | Hospital Rio Doce (UNACON) | Hospital Infantil Nossa Senhora da Glória (UNACON) | |
2010 | 2934 | 933 | 310 | 196 | 884 | N/A | N/A | 99 |
2011 | 3195 | 922 | 333 | 882 | 829 | N/A | N/A | 108 |
2012 | 3412 | 1013 | 481 | 1078 | 925 | N/A | N/A | 109 |
2013 | 3299 | 1397 | 334 | 954 | 938 | N/A | N/A | 91 |
2014 | 3782 | 1011 | 334 | 1145 | 967 | 302 | 195 | 110 |
2015 | 3489 | 1518 | 337 | 1286 | 1132 | 214 | 429 | 107 |
2016 | 3956 | 1578 | 324 | 1351 | 1205 | 310 | 380 | 116 |
2017 | 3769 | 1155 | 409 | 1057 | 941 | 210 | 283 | 115 |
Total | 27,836 | 9587 | 2862 | 7949 | 7781 | 1036 | 1287 | 855 |
2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Variables | n (%)/Classification | n (%)/Classification | n (%)/Classification | n (%)/Classification | n (%)/Classification | n (%)/Classification | n (%)/Classification | n (%)/Classification | ||||||||
Sex | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E |
Age | 1 (0) | E | 52 (0.9) | E | 38 (0.5) | E | 17 (0.2) | E | 0 | E | 0 | E | 1 (0) | E | 0 | E |
Birthplace | 285 (5.3) | G | 599 (10.1) | R | 760 (10.8) | R | 702 (10) | R | 1000 (12.7) | R | 902 (10.6) | R | 961 (10.4) | R | 1048 (12.7) | R |
Race/Color | 434 (8.1) | G | 801 (13.5) | R | 1014 (14.4) | R | 1037 (14.8) | R | 642 (8.2) | G | 492 (5.8) | G | 389 (4.2) | E | 286 (3.5) | E |
Educational level | 2872 (53.5) | VP | 2261 (38.1) | P | 2950 (42) | P | 2826 (40.3) | P | 2870 (36.6) | P | 2932 (34.4) | P | 3043 (33) | P | 2646 (32) | P |
Occupation | 770 (14.3) | R | 554 (9.3) | G | 1294 (18.4) | R | 1397 (19.9) | R | 1736 (22.1) | P | 1996 (23.4) | P | 1715 (18.6) | R | 2387 (28.8) | P |
Provenance | 11 (0.2) | E | 52 (0.9) | E | 55 (0.8) | E | 30 (0.4) | E | 24 (0.3) | E | 53 (0.6) | E | 81 (0.9) | E | 29 (0.4) | E |
Marital status | 703 (13.3) | R | 671 (11.3) | R | 1118 (15.9) | R | 1106 (15.8) | R | 674 (8.6) | G | 779 (9.2) | G | 677 (7.3) | G | 591 (7.1) | G |
Alcoholism | 1111 (20.7) | P | 837 (14.1) | R | 1786 (25.4) | P | 2036 (29) | P | 2714 (34.6) | P | 4266 (50.1) | VP | 4404 (47.8) | P | 3072 (37.1) | G |
Smoking | 1077 (20) | P | 759 (12.8) | R | 1690 (24.1) | P | 1948 (27.8) | P | 2525 (32.2) | P | 3935 (46.2) | P | 3959 (42.9) | P | 2660 (32.1) | G |
Cost of diagnosis | 416 (7.7) | G | 36 (0.6) | E | 495 (7.1) | G | 344 (4.9) | E | 374 (4.8) | E | 421 (4.9) | E | 373 (4) | E | 437 (5.3) | G |
Treatment cost | 324 (6) | G | 5 (0.1) | E | 550 (7.8) | G | 498 (7.1) | G | 633 (8.1) | G | 654 (7.7) | G | 561 (6.1) | G | 486 (5.9) | G |
2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Variables | n (%)/Classification | n (%)/Classification | n (%)/Classification | n (%)/Classification | n (%)/Classification | n (%)/Classification | n (%)/Classification | n (%)/Classification | ||||||||
First consultation date | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E |
Date of first diagnosis of the tumor | 146 (2.7) | E | 107 (1.8) | E | 121 (1.7) | E | 9 (0.3) | E | 31 (0.4) | E | 163 (1.9) | E | 188 (2) | E | 26 (0.3) | E |
Previous diagnosis and treatment | 149 (2.8) | E | 41 (0.7) | E | 105 (1.5) | E | 32 (0.5) | E | 40 (0.5) | E | 151 (1.8) | E | 133 (1.4) | E | 37 (0.4) | E |
Most important basis for diagnosis | 90 (1.7) | E | 76 (1.3) | E | 98 (1.4) | E | 71 (1) | E | 77 (1) | E | 64 (0.8) | E | 176 (1.9) | E | 146 (1.8) | E |
Tumor location first | 219 (4.1) | E | 217 (3.7) | E | 170 (2.4) | E | 142 (2) | E | 179 (2.3) | E | 204 (2.4) | E | 188 (2) | E | 166 (2) | E |
Histological type of tumor first | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E | 0 | E |
TNM | 3822 (71.1) | VP | 4258 (71.7) | VP | 5243 (74.7) | VP | 5139 (73.3) | VP | 4878 (62.2) | VP | 5536 (65) | VP | 5952 (64.6) | VP | 5332 (64.4) | VP |
Clinical staging of the tumor | 2313 (43.1) | P | 2622 (44.2) | P | 3763 (53.6) | VP | 3751 (53.5) | VP | 3487 (44.4) | P | 3859 (45.3) | P | 3767 (40.9) | P | 3462 (41.8) | P |
First Date specific treatment for the tumor | 674 (12.5) | R | 220 (3.7) | E | 377 (5.4) | G | 390 (5.6) | G | 219 (2.8) | E | 154 (1.8) | E | 225 (2.4) | E | 167 (2) | E |
Reason for not performing treatment | 4052 (75.4) | VP | 254 (4.3) | E | 343 (4.9) | E | 412 (5.9) | G | 805 (10.3) | R | 434 (5.1) | G | 548 (5.9) | G | 552 (6.7) | G |
First treatment received | 151 (2.8) | E | 16 (0.3) | E | 126 (1.8) | E | 178 (2.5) | E | 126 (1.6) | E | 127 (1.5) | E | 42 (0.5) | E | 25 (0.3) | E |
Disease status at the end of the first treatment | 2169 (40.4) | P | 2062 (34.7) | P | 2291 (32.6) | P | 1721 (24.5) | P | 2301 (29.3) | P | 2009 (23.6) | P | 1747 (18.9) | R | 1347 (16.3) | R |
Patient’s death date | 42 (0.8) | E | 19 (0.3) | E | 16 (0.2) | E | 17 (0.2) | E | 16 (0.2) | E | 13 (0.2) | E | 12 (0.1) | E | 15 (0.2) | E |
Death from cancer | 1254 (23.3) | P | 114 (1.9) | E | 29 (0.4) | E | 36 (0.5) | E | 62 (0.8) | E | 84 (1) | E | 81 (0.9) | E | 130 (1.6) | E |
Family history of cancer | 3640 (67.8) | VP | 3881 (65.4) | VP | 4879 (69.5) | VP | 4466 (63.7) | VP | 5213 (66.4) | VP | 5980 (70.3) | VP | 6398 (69.4) | VP | 5170 (62.5) | VP |
Forwarding origin | 1190 (22.2) | P | 630 (10.6) | R | 1152 (16.4) | R | 961 (13.7) | R | 1349 (17.2) | R | 1162 (13.7) | R | 1234 (13.4) | R | 1157 (14) | R |
Probable location of tumor first | 66 (1.2) | E | 51 (0.9) | E | 47 (0.7) | E | 28 (0.4) | E | 46 (0.6) | E | 56 (0.7) | E | 72 (0.8) | E | 75 (0.9) | E |
Tumor laterality | 809 (15.1) | R | 641 (10.8) | R | 907 (12.9) | R | 616 (8.8) | G | 926 (11.8) | R | 743 (8.7) | G | 705 (7.6) | G | 675 (8.2) | G |
Occurrence of more than one tumor | 311 (5.8) | G | 0 | E | 481 (6.9) | G | 334 (4.8) | E | 335 (4.3) | E | 383 (4.5) | E | 325 (3.5) | E | 414 (5) | G |
Variables | Incompleteness (%) | Inconsistency (%) |
---|---|---|
Sex | 0.00 | 0.00 |
Age | 1.60 | 0.00 |
Birthplace | 10.57 | 0.00 |
Race/Color | 8.60 | 0.00 |
Educational level | 37.89 | 0.00 |
Occupation | 20.00 | 0.00 |
Provenance | 0.56 | 0.00 |
Marital status | 10.67 | 4.49 |
Alcoholism | 34.16 | 4.49 |
Smoking | 31.34 | 4.49 |
Cost of diagnosis | 5.52 | 0.00 |
Treatment cost | 6.26 | 0.00 |
First consultation date | 0.00 | 0.00 |
Date of first diagnosis of the tumor | 13.36 | 0.00 |
Previous diagnosis and treatment | 1.16 | 0.00 |
Most important basis for diagnosis | 1.34 | 0.00 |
Tumor location first | 2.50 | 0.00 |
Histological type of tumor first | 0.00 | 0.00 |
TNM | 67.84 | 0.00 |
Clinical staging of the tumor | 45.65 | 0.00 |
First Date specific treatment for the tumor | 4.09 | 0.00 |
Reason for not performing treatment | 12.50 | 0.00 |
First treatment received | 1.33 | 0.00 |
Disease status at the end of the first treatment | 26.43 | 0.00 |
Patient’s death date | 0.25 | 0.00 |
Death from cancer | 3.02 | 0.00 |
Family history of cancer | 66.94 | 4.49 |
Forwarding origin | 14.92 | 0.00 |
Probable location of tumor first | 0.74 | 0.00 |
Tumor laterality | 10.17 | 9.17 |
Occurrence of more than one tumor | 4.36 | 0.00 |
Topography Encoded as a Paired Organ | n | n * | (%) |
---|---|---|---|
Bladder (C 67) | 896 | 233 | 27 |
Colon (C 18) | 1659 | 457 | 27 |
Esophagus (C 15) | 1598 | 439 | 28 |
Gallbladder (C 23) | 170 | 56 | 33 |
Hypopharynx (C 13) | 193 | 62 | 33 |
Lip (C 00) | 151 | 54 | 36 |
Liver (C 22) | 320 | 92 | 29 |
Lower gingiva (C 03) | 57 | 17 | 20 |
Pancreas (C 25) | 456 | 134 | 29 |
Piriform sinus (C 12) | 81 | 22 | 27 |
Placenta (C 58) | 21 | 6 | 29 |
Prostate (C 61) | 6565 | 1819 | 28 |
Rectum (C 20) | 1092 | 300 | 28 |
Small bowel (C 17) | 122 | 29 | 23 |
Stomach (C 16 | 1865 | 505 | 28 |
Thymus (C 37) | 24 | 7 | 29 |
Trachea (C 33) | 3 | 1 | 33 |
Uterus (C 55) | 116 | 35 | 30 |
Vagina (C 52) | 58 | 9 | 15 |
Topography Coded As A Single Organ | n | n * | (%) |
Adrenal gland (C 74) | 49 | 29 | 59 |
Amygdala (C 09) | 169 | 105 | 62 |
Breast (C 50) | 6671 | 613 | 9 |
Eye (C 69) | 122 | 90 | 74 |
Kidney (C 64) | 560 | 68 | 12 |
Ovary (C 56) | 554 | 67 | 12 |
Parotid gland (C 07) | 83 | 46 | 55 |
Testicle (C 62) | 185 | 124 | 67 |
Ureter (C 66) | 10 | 9 | 90 |
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Lopes-Júnior, L.C.; Dell’Antonio, L.S.; Pessanha, R.M.; Dell’Antonio, C.S.; da Silva, M.I.; de Souza, T.M.; Grassi, J. Completeness and Consistency of Epidemiological Variables from Hospital-Based Cancer Registries in a Brazilian State. Int. J. Environ. Res. Public Health 2022, 19, 12003. https://doi.org/10.3390/ijerph191912003
Lopes-Júnior LC, Dell’Antonio LS, Pessanha RM, Dell’Antonio CS, da Silva MI, de Souza TM, Grassi J. Completeness and Consistency of Epidemiological Variables from Hospital-Based Cancer Registries in a Brazilian State. International Journal of Environmental Research and Public Health. 2022; 19(19):12003. https://doi.org/10.3390/ijerph191912003
Chicago/Turabian StyleLopes-Júnior, Luís Carlos, Larissa Soares Dell’Antonio, Raphael Manhaes Pessanha, Cristiano Soares Dell’Antonio, Michelaine Isabel da Silva, Thayna Mamedi de Souza, and Jonathan Grassi. 2022. "Completeness and Consistency of Epidemiological Variables from Hospital-Based Cancer Registries in a Brazilian State" International Journal of Environmental Research and Public Health 19, no. 19: 12003. https://doi.org/10.3390/ijerph191912003
APA StyleLopes-Júnior, L. C., Dell’Antonio, L. S., Pessanha, R. M., Dell’Antonio, C. S., da Silva, M. I., de Souza, T. M., & Grassi, J. (2022). Completeness and Consistency of Epidemiological Variables from Hospital-Based Cancer Registries in a Brazilian State. International Journal of Environmental Research and Public Health, 19(19), 12003. https://doi.org/10.3390/ijerph191912003