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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Validar la capacidad del Conjunto M&#237;nimo B&#225;sico de Datos &#40;CMBD&#41; para detectar casos incidentes de c&#225;ncer de colon y recto utilizando como est&#225;ndar de referencia el Registro de C&#225;ncer de Murcia &#40;RCM&#41; y medir la concordancia entre el CMBD y el registro de c&#225;ncer en tumores colorrectales&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio de validaci&#243;n transversal del CMBD del Hospital Virgen de la Arrixaca de Murcia&#46; La poblaci&#243;n de estudio son los casos incidentes de colon-recto del a&#241;o 2000 del RCM y los casos del CMBD en el citado hospital para el mismo a&#241;o con alg&#250;n c&#243;digo diagn&#243;stico CIE-9 entre 153&#46;0 y 154&#46;1 eliminando reingresos&#46; Durante el proceso se van a realizar 2 an&#225;lisis&#58; s&#243;lo con el diagn&#243;stico principal y con todos los diagn&#243;sticos&#46; Se calcula la sensibilidad&#44; la especificidad&#44; el valor predictivo positivo &#40;VPP&#41; y negativo &#40;VPN&#41; y la concordancia con sus intervalos de confianza &#40;IC&#41; del 95&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Con s&#243;lo el primer diagn&#243;stico&#44; el CMBD detecta el 80&#37; de los casos incidentes de c&#225;ncer colorrectal con un VPP del 75&#37;&#59; considerando todos los diagn&#243;sticos&#44; detecta el 85&#37; con un VPP del 64&#37;&#46; La concordancia en la codificaci&#243;n es elevada tanto con 3 d&#237;gitos &#40;&#237;ndice kappa del 88&#37; &#91;IC del 95&#37;&#44; 0&#44;79-0&#44;97&#93; en primer diagn&#243;stico&#44; y del 89&#37; &#91;IC del 95&#37;&#44; 0&#44;80-0&#44;97&#93; en todos los diagn&#243;sticos&#41; como de 4 d&#237;gitos &#40;&#237;ndice kappa del 77&#37; &#91;IC del 95&#37;&#44; 0&#44;68-0&#44;85&#93; en el primer diagn&#243;stico&#44; y del 78&#37; &#91;IC del 95&#37;&#44; 0&#44;70-0&#44;86&#93; en todos diagn&#243;sticos&#41; en ambos an&#225;lisis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El CMBD es una buena fuente para detectar casos incidentes de c&#225;ncer al presentar una elevada sensibilidad&#46; La alta concordancia encontrada en las localizaciones tumorales de colon-recto contribuye a consolidar el CMBDcomo fuente de datos para los registros de c&#225;ncer&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To validate the ability of a hospital administration data set &#40;minimum data set &#91;MDS&#93;&#41; to detect incident cases of colorectal cancer using the Murcia Cancer Registry &#40;MCR&#41; as the gold standard and to measure agreement between the MDS and registration of colorectal cancer&#46;</p> <span class="elsevierStyleSectionTitle">Material and method</span><p class="elsevierStyleSimplePara elsevierViewall">A cross sectional validation study of the MDS of the main hospital in the region of Murcia &#40;Spain&#41; was conducted&#46; The study population consisted of incident cases of colorectal cancer in 2000 obtained from the MCR and cases in the MDS of the above-mentioned hospital for the same year with an ICD-9 diagnostic code between 153&#46;0 and 154&#46;1&#44; eliminating readmissions&#46; During the process&#44; two analyses were performed&#58; one analysis with the principal diagnosis only and another with all the diagnostic codes&#46; Sensitivity&#44; specificity&#44; positive predictive value &#40;PPV&#41;&#44; negative predictive value &#40;NPV&#41; and agreement was calculated with their 95&#37; confidence intervals &#40;CI&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">With the first diagnosis only&#44; the MDS detected 80&#37; of the incident cases of colorectal cancer with a PPV of 75&#37;&#46; With all the diagnoses&#44; the MDS detected 85&#37; of the cases with a PPV of 64&#37;&#46; The agreement in codification was high at three digits &#40;kappa 88&#37; &#91;95&#37; CI&#44; 0&#46;79-0&#46;97&#93; first diagnosis&#44; 89&#37; &#91;95&#37; CI&#44; 0&#46;80-0&#46;97&#93; all diagnoses&#41; as well as at four digits &#40;kappa 77&#37; &#91;IC&#44; 0&#46;68-0&#46;85&#93; first diagnosis&#44; 78&#37; &#91;95&#37; CI&#44; 0&#46;70-0&#46;86&#93; all diagnoses&#41; in both analyses&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Because of its high sensitivity&#44; the MDS is a good source for detecting incident cases of cancer&#46; The high agreement found in the site of colorectal cancer helps to consolidate the MDS as a data source for cancer registration&#46;</p>"
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                      "titulo" => "An approach to identifying incident breast cancer cases using Medicare Claims data"
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Originales
Validación de los códigos diagnósticos de cáncer de colon y recto del Conjunto Mínimo Básico de Datos
Validation of colorectal cancer diagnostic codes in a hospital administration data set
Mirari Márquez Cid
Autor para correspondencia
mirari.marquez@carm.es

Correspondencia: Dra. Mirari Márquez Cid. Consejería de Sanidad. Servicio de Epidemiología. Ronda de Levante, 11. Planta Baja. Despacho 12. 30008 Murcia. España.
, Isabel Valera Niñirola, María Dolores Chirlaque López, Jacinta Tortosa Martínez, Encarnación Párraga Sánchez, Carmen Navarro Sánchez
Servicio de Epidemiología, Consejería de Sanidad de la Región de Murcia, Murcia, España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Validar la capacidad del Conjunto M&#237;nimo B&#225;sico de Datos &#40;CMBD&#41; para detectar casos incidentes de c&#225;ncer de colon y recto utilizando como est&#225;ndar de referencia el Registro de C&#225;ncer de Murcia &#40;RCM&#41; y medir la concordancia entre el CMBD y el registro de c&#225;ncer en tumores colorrectales&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio de validaci&#243;n transversal del CMBD del Hospital Virgen de la Arrixaca de Murcia&#46; La poblaci&#243;n de estudio son los casos incidentes de colon-recto del a&#241;o 2000 del RCM y los casos del CMBD en el citado hospital para el mismo a&#241;o con alg&#250;n c&#243;digo diagn&#243;stico CIE-9 entre 153&#46;0 y 154&#46;1 eliminando reingresos&#46; Durante el proceso se van a realizar 2 an&#225;lisis&#58; s&#243;lo con el diagn&#243;stico principal y con todos los diagn&#243;sticos&#46; Se calcula la sensibilidad&#44; la especificidad&#44; el valor predictivo positivo &#40;VPP&#41; y negativo &#40;VPN&#41; y la concordancia con sus intervalos de confianza &#40;IC&#41; del 95&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Con s&#243;lo el primer diagn&#243;stico&#44; el CMBD detecta el 80&#37; de los casos incidentes de c&#225;ncer colorrectal con un VPP del 75&#37;&#59; considerando todos los diagn&#243;sticos&#44; detecta el 85&#37; con un VPP del 64&#37;&#46; La concordancia en la codificaci&#243;n es elevada tanto con 3 d&#237;gitos &#40;&#237;ndice kappa del 88&#37; &#91;IC del 95&#37;&#44; 0&#44;79-0&#44;97&#93; en primer diagn&#243;stico&#44; y del 89&#37; &#91;IC del 95&#37;&#44; 0&#44;80-0&#44;97&#93; en todos los diagn&#243;sticos&#41; como de 4 d&#237;gitos &#40;&#237;ndice kappa del 77&#37; &#91;IC del 95&#37;&#44; 0&#44;68-0&#44;85&#93; en el primer diagn&#243;stico&#44; y del 78&#37; &#91;IC del 95&#37;&#44; 0&#44;70-0&#44;86&#93; en todos diagn&#243;sticos&#41; en ambos an&#225;lisis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El CMBD es una buena fuente para detectar casos incidentes de c&#225;ncer al presentar una elevada sensibilidad&#46; La alta concordancia encontrada en las localizaciones tumorales de colon-recto contribuye a consolidar el CMBDcomo fuente de datos para los registros de c&#225;ncer&#46;</p>"
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ISSN: 02139111
Idioma original: Español
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