Identification of cancer patients using claims data from health insurance systems: A real-world comparative study
查看参考文献34篇
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文摘
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Objective: To evaluate the accuracy of identifying cancer patients by use of medical claims data in a health insurance system in China, and provide the basis for establishing the claims-based cancer surveillance system in China. Methods: We chose Hua County, Henan Province as the study site, and randomly selected 300 and 1,200 qualified inpatient electronic medical records (EMRs) as well as the New Rural Cooperative Medical Scheme (NCMS) claims records for cancer patients in Hua County People’s Hospital (HCPH) and Anyang Cancer Hospital (ACH) in 2017. Diagnostic information for NCMS claims was evaluated on an individual level, and sensitivity and positive predictive value (PPV) were calculated taking the EMRs as the gold standard. Results: The sensitivity of NCMS was 95.2% (93.8%–96.3%) and 92.0% (88.3%–94.8%) in ACH and HCPH, respectively. The PPV of the NCMS was 97.8% (96.7%–98.5%) in ACH and 89.0% (84.9%–92.3%) in HCPH. Overall, the weighted and combined sensitivity and PPV of NCMS in Hua County was 93.1% and 92.1%, respectively. Significantly higher sensitivity and PPV in identifying patients with common cancers than noncommon cancers were detected in HCPH and ACH separately (P<0.01). Conclusions: Identification of cancer patients by use of the NCMS is accurate on individual level, and it is therefore feasible to conduct claims-based cancer surveillance in areas not covered by cancer registries in China. |
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来源
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Chinese Journal of Cancer Research
,2019,31(4):699-706 【核心库】
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DOI
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10.21147/j.issn.1000-9604.2019.04.13
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关键词
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NCMS
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claims data
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cancer surveillance
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sensitivity
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positive predictive value
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地址
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1.
Laboratory of Genetics, Peking University Cancer Hospital & Institute, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Beijing, 100142
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Anyang Cancer Hospital, Anyang, 455000
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Hua County People’s Hospital, Anyang, 456400
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语种
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英文 |
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文献类型
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研究性论文 |
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ISSN
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1000-9604 |
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学科
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社会科学总论;预防医学、卫生学 |
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基金
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国家自然科学基金
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the National Key R&D Program of China
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the Digestive Medical Coordinated Development Center of Beijing Hospitals Authority
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the Science Foundation of Peking University Cancer Hospital
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the Open Project funded by the Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education/Beijing
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文献收藏号
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CSCD:6562418
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