| Title | Estimating cancer incidence based on claims data from medical insurance systems in two areas lacking cancer registries in China |
| Authors | Tian, Hongrui Yang, Wei Hu, Yanjun Liu, Zhen Chen, Lei Lei, Liang Zhang, Fan Cai, Fen Xu, Huawen Liu, Mengfei Guo, Chuanhai Chen, Yun Xiao, Ping Chen, Junhui Ji, Ping Fang, Zhengyu Liu, Fangfang Liu, Ying Pan, Yaqi dos-Santos-Silva, Isabel He, Zhonghu Ke, Yang |
| Affiliation | Peking Univ Canc Hosp & Inst, Key Lab Carcinogenesis & Translat Res, Lab Genet, Minist Educ Beijing, Beijing, Peoples R China Shantou Univ, Canc Hosp, Med Coll, Shantou, Guangdong, Peoples R China Healthcare Secur Adm Hua Cty, Hua Cty, Henan, Peoples R China Peking Univ, Shenzhen Hosp, Shenzhen, Guangdong, Peoples R China London Sch Hyg & Trop Med, Dept Noncommunicable Dis Epidemiol, London, England |
| Keywords | ESOPHAGEAL CANCER TRENDS |
| Issue Date | Mar-2020 |
| Publisher | ECLINICALMEDICINE |
| Abstract | Background: We aimed to establish a Medical-Insurance-System-based Cancer Surveillance System (MIS-CASS) in China and evaluate the completeness and timeliness of this system through reporting cancer incidence rates using claims data in two regions in northern and southern China. Methods: We extracted claims data from medical insurance systems in Hua County of Henan Province, and Shantou City in Guangdong Province in China from Jan 1, 2012 to Jun 30, 2019. These two regions have been considered to be high risk regions for oesophageal cancer. We developed a rigorous procedure to establish the MIS-CASS, which includes data extraction, cleaning, processing, case ascertainment, privacy protection, etc. Text-based diagnosis in conjunction with ICD-10 codes were used to determine cancer diagnosis. Findings: In 2018, the overall age-standardised (Segi population) incidence rates (ASR World) of cancer in Hua County and Shantou City were 167.39/100,000 and 159.78/100,000 respectively. In both of these areas, lung cancer and breast cancer were the most common cancers in males and females respectively. Hua County is a high-risk region for oesophageal cancer (ASR World: 25.95/100,000), whereas Shantou City is not a high-risk region for oesophageal cancer (ASR World: 11.43/100,000). However, Nanao island had the highest incidence of oesophageal cancer among all districts and counties in Shantou (ASR World: 36.39/100,000). The age-standardised male-to-female ratio for oesophageal cancer was lower in Hua County than in Shantou (1.69 vs. 4.02). A six-month lag time was needed to report these cancer incidences for the MIS-CASS. Interpretation: MIS-CASS efficiently reflects cancer burden in real-time, and has the potential to provide insight for improvement of cancer surveillance in China. (C) 2020 Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license. (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
| URI | http://hdl.handle.net/20.500.11897/622474 |
| DOI | 10.1016/j.eclinm.2020.100312 |
| Indexed | SCI(E) |
| Appears in Collections: | 北京肿瘤医院 深圳医院 |
