Cancer occurrence in the elderly: agreement between three major data sources.
Ann Epidemiol
; 9(1): 60-7, 1999 Jan.
Article
em En
| MEDLINE
| ID: mdl-9915610
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.
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Base de dados:
MEDLINE
Assunto principal:
Métodos Epidemiológicos
/
Neoplasias
Idioma:
En
Ano de publicação:
1999
Tipo de documento:
Article