Cancer Registration and Cancer Registration and Statistics in Korea - - PowerPoint PPT Presentation
Cancer Registration and Cancer Registration and Statistics in Korea Statistics in Korea Sohee Park Division of Cancer Registration and Surveillance National Cancer Center, Korea APAN Healthcare2 Session August 11, 2010 Contents Cancer
Sohee Park
Division of Cancer Registration and Surveillance National Cancer Center, Korea
APAN Healthcare2 Session August 11, 2010
Cancer Registration System in Korea
Korea Central Cancer Registry
Contents
Regional Cancer Registries
Cancer Statistics in Korea
Korea ranks high in cancer burden
Global (2008)
Population: 6,750 M
Korea (2007)
Population: 49 M (0.73% of world) Incidence: 12.7 million Mortality: 7.6 million
Source: GLOBOCAN 2008, IARC, 2010 Korea Central Cancer Registry, 2010 (ICDO2) Cause of Death, NSO, 2010 (ICD10)
Incidence: 161,920 Mortality: 67,561
CVA Heart Dis. Liver Dis. DM
(%) 12.3% 27.6% Year of death
Cancer is the leading burden of disease
600 800 1,000 1,200 1,400 1,600 1,800
YLL YLD
$%
History of The Korea Central Cancer Registry
& # '()%* +(,-.%// /-%% %0/% (12/1%0/%%
%% '+- .%)%%, ' 3- +45%1% % %.%/6, /%%*%%)%%
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hospitalbased since 1980 headquarter :
populationbased 11 Regional Cancer Registries
Regional Cancer Registries Hospital Cancer Registries Hospital Cancer Registries
headquarter : NCC coverage: 90% of all cancers
Registries Busan Daegu / Gwangju Incheon / Daejeon Ulsan / Jeju Chungbuk, etc
Academic Societies: breast, uterine, cervix etc.
(
Data collection Data management Quality assurance Data dissemination Develop manual / training
Cancer Billing Claims NHIC NSO Death data
Data process and
KCCR
Passive Active
Cancer Registration System in Korea
Cancer statistics
Regional
Data collection for the region DB construction Collaboration with KCCR DB management Regional cancer Incidence Regional Cancer Registry
MR review from small hospital
dissemination
Chart reviewing
Regional
Busan, Daegu, Daejeon, B.. Others
Passive Active Active
Personal : Name, PIN (sex, age), Address, Occupation Case information: Diagnosis date, Primary site, Morphology, Behavior, Method of diagnosis, Treatment method
Information in Cancer Registry Data
Treatment method Outcome: Death date, Cause of death Others: Summary Staging (SEER), TNM stage (optional)
730101 1 1111 1 1 Birth place Random no.
Korean Personal Identification Number Magic !!
Register order YYMMDD SEX
Med Ins DB (ID: 2212011 **** 10)
Korean Personal Identification Number Korean Personal Identification Number
Korea Central Cancer Registry DB (ID: 2212011 **** 10) Death Certificate DB (ID: 2212011****10)
Unique PIN Cancer Death Certificate DB Medical Insurance DB Cohort DB
Korean Personal Identification Number
Unique PIN Registry DW Certificate DB
Incidence, Mortality, Prevalence, Survival
9%/
Korea Central Cancer Registry Korea Central Cancer Registry Korea Central Cancer Registry Korea Central Cancer Registry : :
(% (% %%% %%% +0%*: +0%*:, Academic Societies (Relevant cancer registration) ; ;08 08 + +%/% //: :, Collection & feedback of Cancer Mortality DB Collection & feedback of Cancer registration DB Collection of resident registration address DB
Participating Participating Hospitals Hospitals
Registration Of Cancer patient Registration Of Cancer patient Cancer registration DB per hospital Cancer registration DB per hospital Billing claims
Data quality & feedback Cancer registration data Cancer incidence survey & result
Generate list of potential cancer Incidence cases (using medical billing claims data and death Result report
Regional Cancer Registry Regional Cancer Registry Regional Cancer Registry Regional Cancer Registry : :
0%%*<=> 0%%*<=> +0)1=8.%% +0)1=8.%%
%%/, ;080%%*.%/1%%%/%* ;<&%<&%
* NHIC * NHIC
8%/%)%=2%% 8%/%)%=2%% /= /=Catastrophic Diseases DB Catastrophic Diseases DB
Non Non-
Participating Hospitals Hospitals
Cooperation Of cancer incidence Survey Cooperation Of cancer incidence Survey Cancer patients DB in hospital Cancer patients DB in hospital
Billing claims
% Relevant cancer incidence DB
Medical Record Review Medical Record Review Send Review Results
National and Regional Cancer Statistics certificate data) Result DB Result report
Standardization: Software, Manual Check for Multiple Primary 19882001 Training Courses for Cancer Registrar
Quality Control of Cancer Registry Data
Constant check with Death data National Statistic Office
Breast Cancer: Korean Society of Breast Cancer Cervix Cancer (Ovary, Edometrium, etc):
Gynecolgic Oncologic Committee/Korean Society for OB & GY
Liver Caner: Liver Cancer Study Group
Collaboration with sitespecific cancer registry data
Liver Caner: Liver Cancer Study Group Brain Tumor: KS for Neurosurgeon Head and Neck Cancer, Oral Cancer Colon Cancer, Stomach Cancer, etc
Cancer Incidence in Korea (19992002)
Quality Indices of
Cancer Incidence Data in Korea (19992002)
"#$% &'
National Cancer Incidence, 2006~2007
Trend of Cancer Incidence by Sex, Year
Cumulative Risk of Cancer in Korea, 2007
Relative Frequency of Cancer Sites in Korea, 2007
Relative Frequency of Cancer Sites in Korea, 2007
Agespecific incidence rates by sex, 2007
Agespecific incidence rates by cancer sites, Male, 2007
Agespecific incidence rates by cancer sites, Female, 2007
International Comparison of Breast Cancer Incidence International Comparison of Breast Cancer Incidence
:*
Agespecific rates of breast cancer: Female
8?% 7 #*) 7 #*)
Trend of agestandardized cancer incidence rates
Trend of Major Cancers in Korea, Male
Trend of Major Cancers in Korea, Female
Korea (2007) Korea (2008)2) Japan (2008)2) China (2008)2)
Male Female
International Comparison of Agestandardized Rates 1) by Sex: All Cancers
1) Incidence rate of all types of cancer except for other skin (C44) to compare globally 2) Data source : GLOBOCAN 2008, IARC, 2010 (단위: 명/10만명) Thailand (2008)2) France (2008)2) England (2008)2) USA (2008)2)
Male Female
Trend of FiveYear Relative Survival by Sex : All Cancers
International Comparison of FiveYear Relative survival
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50 100 150 200 250
5 10 15 20 25 30 35 40
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@1
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