Cancer occurrence in the elderly: agreement between three major data sources.

Abstract:

PURPOSE:To explore agreement on cancer occurrence and site among Medicare Part A, Massachusetts Cancer Registry, and death certificates. METHODS:We linked these data sources with the cohort of the population-based East Boston Senior Health Project, a component of the National Institute on Aging's Established Populations for Epidemiologic Studies of the Elderly. The cohort consists of 905 subjects dying between January 1986 and December 1990. RESULTS:We detected the following agreements on cancer occurrence: hospitalization data and death certificates (kappa = 0.70), hospitalization and cancer registry data (kappa = 0.59), and cancer registry and death certificate data (kappa = 0.50). Measures of agreement changed little when the analyses were stratified by age, sex, calendar year and place of death, autopsy performance, cigarette smoking or alcohol consumption. Site-specific agreements were higher for colorectal and respiratory tract cancer compared to breast and prostate across all three comparisons. CONCLUSIONS:The results should assist epidemiologists to better understand the strengths and limitations of these data sources.

journal_name

Ann Epidemiol

journal_title

Annals of epidemiology

authors

Stang A,Glynn RJ,Gann PH,Taylor JO,Hennekens CH

doi

10.1016/s1047-2797(98)00031-3

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

60-7

issue

1

eissn

1047-2797

issn

1873-2585

pii

S1047279798000313

journal_volume

9

pub_type

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