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题目:: Comparison of cancer diagnoses between the US solid organ transplant registry and linked central cancer registries.
作者:: Yanik(Elizabeth L),Nogueira(Leticia M),Koch(Lori),Copeland(Glenn),Lynch(Charles F),Pawlish(Karen S),Finch(Jack L),Kahn(Amy R),Hernandez(Brenda Y),Segev(Dorry L),Pfeiffer(Ruth M),Snyder(Jon J),Kasiske(Bertram L),Engels(Eric A)
状态:: 发布时间2016-04-10 , 更新时间 2016-12-03
期刊:: Am J Transplant
摘要:: US transplant centers are required to report cancers in transplant recipients to the transplant network. The accuracy and completeness of these data, collected in the Scientific Registry of Transplant Recipients (SRTR), are unknown. We compared diagnoses in the SRTR and 15 linked cancer registries, for colorectal, liver, lung, breast, prostate, and kidney cancers, melanoma, and non-Hodgkin lymphoma (NHL). Among 187,384 transplants, 9323 cancers were documented in the SRTR or cancer registries. Only 36.8% of cancers were in both, with 47.5% and 15.7% of cases additionally documented solely in cancer registries or the SRTR, respectively. Agreement between the SRTR and cancer registries varied (kappa: 0.28 for liver cancer, 0.52-0.66 for lung, prostate, kidney, colorectum and breast cancers). Upon evaluation, some NHLs documented only in cancer registries were identified in the SRTR as another type of post-transplant lymphoproliferative disorder. Some SRTR-only cases were explained by miscoding (colorectal cancer instead of anal cancer, metastases as lung or liver cancers) or missed matches with cancer registries, partly due to out-migration from their catchment areas. Estimated sensitivity for identifying cancer was 52.5% for the SRTR and 84.3% for cancer registries. In conclusion, SRTR cancer data are substantially incomplete, limiting their usefulness for surveillance and research. This article is protected by copyright. All rights reserved.
语言:: eng
DOI:

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