Evidence map›Paper›PMID 28894396›Full record

ArticlePragmatic and observational research2017

A validation of clinical data captured from a novel Cancer Care Quality Program directly integrated with administrative claims data.

David M Kern, John J Barron, Bingcao Wu, Alex Ganetsky, Vincent J Willey, Ralph A Quimbo, Michael J Fisch, Joseph Singer, Ann Nguyen, Ronac Mamtani

Open access · diamondAbstract read
In one paragraph

Article in Pragmatic and observational research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

David M KernHealth Economics and Outcomes Research, HealthCore, Inc, Wilmington, DE.
John J BarronHealth Economics and Outcomes Research, HealthCore, Inc, Wilmington, DE.
Bingcao WuHealth Economics and Outcomes Research, HealthCore, Inc, Wilmington, DE.
Alex GanetskyDepartment of Pharmacy, Hospital of the University of Pennsylvania, Philadelphia, PA.
Vincent J WilleyHealth Economics and Outcomes Research, HealthCore, Inc, Wilmington, DE.
Ralph A QuimboHealth Economics and Outcomes Research, HealthCore, Inc, Wilmington, DE.
Michael J FischMedical Oncology, AIM Specialty Health, Chicago, IL.
Joseph SingerHealth Economics and Outcomes Research, HealthCore, Inc, Wilmington, DE.
Ann NguyenOncology Solutions, Anthem, Inc, Indianapolis, IN.
Ronac MamtaniDivision of Hematology/Oncology, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Health Economics and Outcomes Research (United Kingdom) · GBAnthem (United States) · USHospital of the University of Pennsylvania · USRosalind Franklin University of Medicine and Science · USUniversity of Pennsylvania · US

Funding

Insulin resistance in the development and progression of invasive bladder cancerK23CA187185 · NCI · UNIVERSITY OF PENNSYLVANIA · PI MAMTANI, RONAC · 2015 to 2019
$872k
NCI NIH HHS K23 CA187185
6 · The paper itself

Abstract

backgroundData from a Cancer Care Quality Program are directly integrated with administrative claims data to provide a level of clinical detail not available in claims-based studies, and referred to as the HealthCore Integrated Research Environment (HIRE)-Oncology data. This study evaluated the validity of the HIRE-Oncology data compared with medical records of breast, lung, and colorectal cancer patients.

methodsData elements included cancer type, stage, histology (lung only), and biomarkers. A sample of 300 breast, 200 lung, and 200 colorectal cancer patients within the HIRE-Oncology data were identified for medical record review. Statistical measures of validity (agreement, positive predictive value [PPV], negative predictive value [NPV], sensitivity, specificity) were used to compare clinical information between data sources, with medical record data considered the gold standard.

resultsAll 300 breast cancer records reviewed were confirmed breast cancer, while 197 lung and 197 colorectal records were confirmed (PPV =0.99 for each). The agreement of disease stage was 85% for breast, 90% for lung, and 94% for colorectal cancer. The agreement of lung cancer histology (small cell vs non-small cell) was 97%. Agreement of progesterone receptor, estrogen receptor, and human epidermal growth factor receptor 2 status biomarkers in breast cancer was 92%, 97%, and 92%, respectively; epidermal growth factor receptor and anaplastic lymphoma kinase agreement in lung was 97% and 92%, respectively; and agreement of KRAS status in colorectal cancer was 95%. Measures of PPV, NPV, sensitivity, and specificity showed similarly strong evidence of validity.

conclusionGood agreement between the HIRE-Oncology data and medical records supports the validity of these data for research.

Indexed as

administrative claimsbreast cancercolorectal cancerlung canceroncologyvalidation

Identifiers

PMID28894396
PMCPMC5584892
OpenAlexW2747277320

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.