Disproportional demographics and tumor characteristics of cancer cases treated in Commission on Cancer (CoC) versus non-CoC accredited hospitals in Georgia Public

Abstract

The National Cancer Data Base (NCBD) collects records of cancer cases solely from Commission on Cancer (CoC) accredited hospitals. A large proportion of cancer cases reported to the Georgia Cancer Registry (GCR) are from CoC hospitals, even though they only make up 25-30% of all facilities in Georgia. The authors examined whether cancer cases reported by CoC accredited facilities in Georgia are representative of all cancer patients in Georgia by using cross-sectional data from the GCR between 2008 and 2011. CoC and non-CoC accredited hospitals were compared with respect to demographics and tumor characteristics (e.g. age, insurance status, tumor staging, etc.). Further stratified analyses were conducted on selected characteristics that showed a large difference between CoC and non-CoC approved hospitals. The study cohort included 133,629 (84%) cancer cases that received treatment at any CoC accredited hospitals and 26,076 (16%) cases that received treatment only from non-CoC accredited hospitals. The authors observed that males were more likely to go to non-CoC accredited hospitals, while females more often received treatment at CoC accredited hospitals. A larger proportion of those living in metropolitan areas received care at CoC hospitals, compared to those living in micropolitan areas, small towns, or rural areas. Similarly, those with high SES tend to receive care at CoC accredited hospitals, while those in low SES are more likely to have received care from non-CoC accredited hospitals. Cancer cases reported by CoC approved hospitals in Georgia are more likely to be females, those living in or near an urban city, or those of high SES, compared to the cases reported by non-CoC hospitals. Studies that are conducted in Georgia using the NCBD should be aware of this limitation.

Table of Contents

INTRODUCTION. 1

METHODS. 3

Data Collection and Study Population. 3

Analytic Variables. 3

Statistical Analysis. 5

RESULTS. 8

DISCUSSION. 10

REFERENCES. 15

TABLES AND FIGURES. 17

APPENDIX. 23

About this Master's Thesis

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School	Rollins School of Public Health
Department	Epidemiology
Degree	MSPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health Health Sciences, Oncology Health Sciences, Epidemiology
Mot-clé	SEER Georgia NCBD Commission on Cancer CoC vs. non-CoC hospitals
Committee Chair / Thesis Advisor	Lash, Timothy L, Emory University
Committee Members	Ward, Kevin C., Emory University
Partnering Agencies	Emory University schools, faculty or affiliated programs

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