Complete Cancer Registry Exam
Guide: CRM P&P, Operations, and
Cancer Management Questions and
Answers.
CoC - Correct Answer: Correct Answer: ✅✅established in 1922; the first US
organization to establish standards to ensure quality, multidisciplinary, and
comprehensive cancer care delivery in healthcare settings; publishes "Patient
Care Evaluation Studies"; a branch off the ACoS; it represents hospital cancer
registries
ACAD - Correct Answer: Correct Answer: ✅✅the facility provides
postgraduate medical education in at least 4 program areas; accessions more
than 500 newly diagnosed cancer cases each year; required to participate in
cancer-related clinical research either by enrolling patients in cancer-related
clinical trials or by referring patients for enrollment at another facility or
through a physician's office
VACP - Correct Answer: Correct Answer: ✅✅provides care to military
veterans and offers the full range of diagnostic and treatment services either
on-site or by referral, preferably to CoC-accredited cancer programs
CCCP - Correct Answer: Correct Answer: ✅✅accessions 500 or more newly
diagnosed cancer cases each year; provides a full range of diagnostic and
treatment services either on-site or by referral; participation in cancer-
related clinical research is required
CCP - Correct Answer: Correct Answer: ✅✅accessions more than 100 but
fewer than 500 newly diagnosed cancer cases each year and provides a full
,range of diagnostic and treatment services, but referral for a portion of
diagnosis or treatment may occur
HACP - Correct Answer: Correct Answer: ✅✅the facility accessions 100 or
fewer newly diagnosed cancer cases each year and has a limited range of
diagnostic and treatment services available on-site
PCP - Correct Answer: Correct Answer: ✅✅the facility only provides care to
children, or the pediatric oncology program is a component within a larger
CoC-accredited facility; offers the full range of diagnostic and treatment
services either on-site or through referral; required to participate in cancer-
related clinical research focused on pediatric patients
FCCP - Correct Answer: Correct Answer: ✅✅a nonhospital-based program
and offers at least 1 cancer-related treatment modality; full range of
diagnostic and treatment services is available by referral; no minimum
caseload requirement
reference date - Correct Answer: Correct Answer: ✅✅provides the start
date of data collection; is always January 1 of any given year
reportable list - Correct Answer: Correct Answer: ✅✅specifies which
neoplasms will be included in the registry database
ACS - Correct Answer: Correct Answer: ✅✅published the first code manual
used in cancer registries, "Cancer Facts and Figures"
ICD-O - Correct Answer: Correct Answer: ✅✅coding manual for oncology;
published by WHO
,USCS - Correct Answer: Correct Answer: ✅✅contains cancer statistics from
NPCR and SEER
newly diagnosed
first course of treatment
analytic: non-analytic
method used to denote the diagnostic confirmation - Correct Answer:
Correct Answer: ✅✅A decision on the timing of the cancer diagnoses must
also be considered. All central cancer registries require that newly diagnosed
cancer cases be reported. This means the patient has just received their
initial diagnosis and their first course of treatment plan for treating the
cancer. In addition, most require all cancer cases with active disease (no
matter how long ago they were diagnosed), which would include patients
undergoing a recurrence or progression of their disease. The term that
denotes "newly diagnosed" is analytic, and the term for those who were
"previously diagnosed or treated elsewhere" is non- analytic. The CoC
requires that only analytic cases be abstracted and reported because the
focus is on the care delivered at the time of initial diagnosis and treatment.
However, most central cancer registries require that both analytic and non-
analytic cases be abstracted and reported. Remember that the central
registry is trying to identify all cases of cancer within a defined population.
While the role of facility is important, for case ascertainment purposes there
is less focus on why the patient was seen at the reporting facility and more
on ensuring that all patients with a diagnosis of cancer are included.
Requiring non-analytic cases allows an opportunity for cases that may have
been missed by the facility that initially diagnosed the patient to be
identified.
The terms analytic and non-analytic are used primarily by hospital registries
and will be discussed in detail in the next course. However, they are also
pertinent in the central registry for determining what cases are required to
be reported and for deciding what type of statistical analysis may be done on
patients in each category. For instance, a central registry would not include
non-analytic cases in a quality of care study because the no
, death clearance
follow back
DCO death certificate only (<3% goal)
path data computerized - Correct Answer: Correct Answer: ✅✅Death
clearance is both a data quality and a casefinding process. The CCR will
obtain an electronic file of death records from vital records and link (or
match) it with the registry database. The previously registered cancer cases
are checked with the information on the death certificates to record cause of
death and to verify place of birth and other patient identification. If the case
has not been previously registered, steps are taken to gather complete
information for inclusion into the central cancer registry. These steps are
known as "follow back." Follow back is conducted with the last known health
provider or health facility where the patient expired. A health provider is
sent a letter that asks for more information on the patient's cancer. If the
patient died in a health facility, a letter is sent to the facility asking that this
patient's health information be abstracted and sent to the central cancer
registry. Of course, there is always the possibility that the case was not
"missed" by the facility but was not reported because after review, it was
determined that it was not a reportable case. An example would be a patient
who was diagnosed or treated before the central cancer registry's reference
or start date. If all attempts to gather more complete data fail, the case is
retained in the central registry as a death-certificate-only case (DCO).
Registries strive to have less than 3% of their caseload as DCO cases. It is not
beneficial to users of the data if the cases are not being identified until after
the patient has died—often when details about the initial diagnosis and
treatment are difficult to obtain. It is optimal to be identifying patients at the
time they are being diagnosed and treated so that the information about the
diagnosis and treatment are more accessible and reliable.
Reporting patholog
record linkage - Correct Answer: Correct Answer: ✅✅linking all patients
from a certain small area with the same type of cancer
Guide: CRM P&P, Operations, and
Cancer Management Questions and
Answers.
CoC - Correct Answer: Correct Answer: ✅✅established in 1922; the first US
organization to establish standards to ensure quality, multidisciplinary, and
comprehensive cancer care delivery in healthcare settings; publishes "Patient
Care Evaluation Studies"; a branch off the ACoS; it represents hospital cancer
registries
ACAD - Correct Answer: Correct Answer: ✅✅the facility provides
postgraduate medical education in at least 4 program areas; accessions more
than 500 newly diagnosed cancer cases each year; required to participate in
cancer-related clinical research either by enrolling patients in cancer-related
clinical trials or by referring patients for enrollment at another facility or
through a physician's office
VACP - Correct Answer: Correct Answer: ✅✅provides care to military
veterans and offers the full range of diagnostic and treatment services either
on-site or by referral, preferably to CoC-accredited cancer programs
CCCP - Correct Answer: Correct Answer: ✅✅accessions 500 or more newly
diagnosed cancer cases each year; provides a full range of diagnostic and
treatment services either on-site or by referral; participation in cancer-
related clinical research is required
CCP - Correct Answer: Correct Answer: ✅✅accessions more than 100 but
fewer than 500 newly diagnosed cancer cases each year and provides a full
,range of diagnostic and treatment services, but referral for a portion of
diagnosis or treatment may occur
HACP - Correct Answer: Correct Answer: ✅✅the facility accessions 100 or
fewer newly diagnosed cancer cases each year and has a limited range of
diagnostic and treatment services available on-site
PCP - Correct Answer: Correct Answer: ✅✅the facility only provides care to
children, or the pediatric oncology program is a component within a larger
CoC-accredited facility; offers the full range of diagnostic and treatment
services either on-site or through referral; required to participate in cancer-
related clinical research focused on pediatric patients
FCCP - Correct Answer: Correct Answer: ✅✅a nonhospital-based program
and offers at least 1 cancer-related treatment modality; full range of
diagnostic and treatment services is available by referral; no minimum
caseload requirement
reference date - Correct Answer: Correct Answer: ✅✅provides the start
date of data collection; is always January 1 of any given year
reportable list - Correct Answer: Correct Answer: ✅✅specifies which
neoplasms will be included in the registry database
ACS - Correct Answer: Correct Answer: ✅✅published the first code manual
used in cancer registries, "Cancer Facts and Figures"
ICD-O - Correct Answer: Correct Answer: ✅✅coding manual for oncology;
published by WHO
,USCS - Correct Answer: Correct Answer: ✅✅contains cancer statistics from
NPCR and SEER
newly diagnosed
first course of treatment
analytic: non-analytic
method used to denote the diagnostic confirmation - Correct Answer:
Correct Answer: ✅✅A decision on the timing of the cancer diagnoses must
also be considered. All central cancer registries require that newly diagnosed
cancer cases be reported. This means the patient has just received their
initial diagnosis and their first course of treatment plan for treating the
cancer. In addition, most require all cancer cases with active disease (no
matter how long ago they were diagnosed), which would include patients
undergoing a recurrence or progression of their disease. The term that
denotes "newly diagnosed" is analytic, and the term for those who were
"previously diagnosed or treated elsewhere" is non- analytic. The CoC
requires that only analytic cases be abstracted and reported because the
focus is on the care delivered at the time of initial diagnosis and treatment.
However, most central cancer registries require that both analytic and non-
analytic cases be abstracted and reported. Remember that the central
registry is trying to identify all cases of cancer within a defined population.
While the role of facility is important, for case ascertainment purposes there
is less focus on why the patient was seen at the reporting facility and more
on ensuring that all patients with a diagnosis of cancer are included.
Requiring non-analytic cases allows an opportunity for cases that may have
been missed by the facility that initially diagnosed the patient to be
identified.
The terms analytic and non-analytic are used primarily by hospital registries
and will be discussed in detail in the next course. However, they are also
pertinent in the central registry for determining what cases are required to
be reported and for deciding what type of statistical analysis may be done on
patients in each category. For instance, a central registry would not include
non-analytic cases in a quality of care study because the no
, death clearance
follow back
DCO death certificate only (<3% goal)
path data computerized - Correct Answer: Correct Answer: ✅✅Death
clearance is both a data quality and a casefinding process. The CCR will
obtain an electronic file of death records from vital records and link (or
match) it with the registry database. The previously registered cancer cases
are checked with the information on the death certificates to record cause of
death and to verify place of birth and other patient identification. If the case
has not been previously registered, steps are taken to gather complete
information for inclusion into the central cancer registry. These steps are
known as "follow back." Follow back is conducted with the last known health
provider or health facility where the patient expired. A health provider is
sent a letter that asks for more information on the patient's cancer. If the
patient died in a health facility, a letter is sent to the facility asking that this
patient's health information be abstracted and sent to the central cancer
registry. Of course, there is always the possibility that the case was not
"missed" by the facility but was not reported because after review, it was
determined that it was not a reportable case. An example would be a patient
who was diagnosed or treated before the central cancer registry's reference
or start date. If all attempts to gather more complete data fail, the case is
retained in the central registry as a death-certificate-only case (DCO).
Registries strive to have less than 3% of their caseload as DCO cases. It is not
beneficial to users of the data if the cases are not being identified until after
the patient has died—often when details about the initial diagnosis and
treatment are difficult to obtain. It is optimal to be identifying patients at the
time they are being diagnosed and treated so that the information about the
diagnosis and treatment are more accessible and reliable.
Reporting patholog
record linkage - Correct Answer: Correct Answer: ✅✅linking all patients
from a certain small area with the same type of cancer
