HOSMERIT
CANCER REGISTRY MANAGEMENT PREP FOR ODS
EXAM 2024 WITH SOLUTIONS
What organizations have been instrumental in developing data standards? - Answer✔✔ACoS
CoC- American College of Surgeons Commission on Cancer
CDC NPCR- National Program Cancer Registries
NCI SEER- National Cancer Institute , Surveillance, Epidemiology, and End Results Program
NAACCR- North American Association of Central Cancer registries
Which organization has contributed to standards of central registries? - Answer✔✔NCL SEER
and CDC NPCR
Who promotes and develops uniform data standards for cancer registration? -
Answer✔✔NAACCR
Misclassification Bias - Answer✔✔A type of bias that occurs when an individual is classified
into the wrong category incorrectly
Example- Study on lung cancer, and putting subjects into smoker or nonsmoker, and one is put in
the wrong group
1. According to the Cancer Registry Quality Control standard, the Cancer Registry Quality
Coordinator must reporting ______ - Answer✔✔The results, recommendations, and outcomes of
recommendations to the cancer committee at least annually.
,Selection Bias - Answer✔✔When some subjects in the population are not as likely to be selected
in the sample
Confounding Bias - Answer✔✔When a factor associated with both the exposure and the
outcome interferes with measuring true association
Example- Looking at lung cancer, does drinking coffee give an increased risk of lung cancer?
But it turns out coffee drinkers are smoker
ACoS 3 accreditation programs and total number of their cancer program departments -
Answer✔✔Commission on Cancer
National Accreditation Program for Breast Cancer
National Accreditation Program for Rectal Cancer
There are 4 additional programs making total number 7
NCDB
AJCC
CRP- Cancer Research Program
CSSP- Cancer Surgery Standards Program
Patient was treated with Mohs surgery. Primary site is most likely - Answer✔✔Skin
one individual may serve in ___________________________ and represent an required
physician or non-physician specialty - Answer✔✔in a MAX of 2 coordinator roles
For Example: the appointed medical oncologist can serve as the Clinical Research Coordinator
and Survivorship Program Coordinator.
Alternates for the Cancer Committee Members must be appointed at the - Answer✔✔1st
meeting of the calendar year at least once during the accrediadation cycle
,The site of origin of a leiomyosarcoma is most likely the - Answer✔✔myometrium
Survival Rates are now calculated using the - Answer✔✔Kaplan-Meier Method
Adjusted each time a patient expires
quality assurance (QA) - Answer✔✔measures compliance against certain necessary standards,
typically focusing on individuals,
quality improvement (QI) - Answer✔✔refers to a continuous improvement method focused on
processes and systems.
If P category is in situ for AJCC, then nodal P can be classified - Answer✔✔as 0 even thought
nodes are not pathological tested. The p nodal category will be written as cN0.
Peyer patches are often located in which organ - Answer✔✔small intestine
The categories of cancer data represented in a table should be - Answer✔✔mutually exclusive
two key measures used in descriptive epidemiology - Answer✔✔Prevalence and incidence rate
CLass of Case 20-22 - Answer✔✔are referred FROM another facility with diagnosis elsewhere
with all or part of first course of treatment at your facility
Class of Case 22 - Answer✔✔Initial diagnosis elsewhere AND all first course treatment or a
decision not to treat was done at the reporting facility.
Class of Case 21 - Answer✔✔Initial diagnosis elsewhere AND part of first course treatment was
done at the reporting facility; part of first course treatment was done elsewhere
, Each ACoS Accredited program follows the same general accreditation process including -
Answer✔✔- establishing a multidisciplinary leadership team
- compliance with respective standards
- on-site visits every 3 years
How many days in advance should the PRQ be reviewed and completed? - Answer✔✔at least 30
calendar days before confirmed on site visit
NCDB- National Cancer Database - Answer✔✔- jointly sponsored by ACoS and American
Cancer Society
- oncology database sourced from CoC hospital registries
- represents more than 72% of newly diagnosed cancer cases nationwide
American Joint Committee on Cancer (AJCC) - Answer✔✔guided the development,
implementation, and the use of the TNM cancer staging and prognosis system
Who developed and published the Operative Standards for Cancer Surgery Manuals? -
Answer✔✔Cancer Research Program (CRP)- since 2011
2 manuals have been published
covering 9 cancer sites
Cancer Surgery Standards Program - CSSP - Answer✔✔mission is to define and implement
cancer surgery standards so institutions and surgeons can easily adopt and integrate them daily
CANCER REGISTRY MANAGEMENT PREP FOR ODS
EXAM 2024 WITH SOLUTIONS
What organizations have been instrumental in developing data standards? - Answer✔✔ACoS
CoC- American College of Surgeons Commission on Cancer
CDC NPCR- National Program Cancer Registries
NCI SEER- National Cancer Institute , Surveillance, Epidemiology, and End Results Program
NAACCR- North American Association of Central Cancer registries
Which organization has contributed to standards of central registries? - Answer✔✔NCL SEER
and CDC NPCR
Who promotes and develops uniform data standards for cancer registration? -
Answer✔✔NAACCR
Misclassification Bias - Answer✔✔A type of bias that occurs when an individual is classified
into the wrong category incorrectly
Example- Study on lung cancer, and putting subjects into smoker or nonsmoker, and one is put in
the wrong group
1. According to the Cancer Registry Quality Control standard, the Cancer Registry Quality
Coordinator must reporting ______ - Answer✔✔The results, recommendations, and outcomes of
recommendations to the cancer committee at least annually.
,Selection Bias - Answer✔✔When some subjects in the population are not as likely to be selected
in the sample
Confounding Bias - Answer✔✔When a factor associated with both the exposure and the
outcome interferes with measuring true association
Example- Looking at lung cancer, does drinking coffee give an increased risk of lung cancer?
But it turns out coffee drinkers are smoker
ACoS 3 accreditation programs and total number of their cancer program departments -
Answer✔✔Commission on Cancer
National Accreditation Program for Breast Cancer
National Accreditation Program for Rectal Cancer
There are 4 additional programs making total number 7
NCDB
AJCC
CRP- Cancer Research Program
CSSP- Cancer Surgery Standards Program
Patient was treated with Mohs surgery. Primary site is most likely - Answer✔✔Skin
one individual may serve in ___________________________ and represent an required
physician or non-physician specialty - Answer✔✔in a MAX of 2 coordinator roles
For Example: the appointed medical oncologist can serve as the Clinical Research Coordinator
and Survivorship Program Coordinator.
Alternates for the Cancer Committee Members must be appointed at the - Answer✔✔1st
meeting of the calendar year at least once during the accrediadation cycle
,The site of origin of a leiomyosarcoma is most likely the - Answer✔✔myometrium
Survival Rates are now calculated using the - Answer✔✔Kaplan-Meier Method
Adjusted each time a patient expires
quality assurance (QA) - Answer✔✔measures compliance against certain necessary standards,
typically focusing on individuals,
quality improvement (QI) - Answer✔✔refers to a continuous improvement method focused on
processes and systems.
If P category is in situ for AJCC, then nodal P can be classified - Answer✔✔as 0 even thought
nodes are not pathological tested. The p nodal category will be written as cN0.
Peyer patches are often located in which organ - Answer✔✔small intestine
The categories of cancer data represented in a table should be - Answer✔✔mutually exclusive
two key measures used in descriptive epidemiology - Answer✔✔Prevalence and incidence rate
CLass of Case 20-22 - Answer✔✔are referred FROM another facility with diagnosis elsewhere
with all or part of first course of treatment at your facility
Class of Case 22 - Answer✔✔Initial diagnosis elsewhere AND all first course treatment or a
decision not to treat was done at the reporting facility.
Class of Case 21 - Answer✔✔Initial diagnosis elsewhere AND part of first course treatment was
done at the reporting facility; part of first course treatment was done elsewhere
, Each ACoS Accredited program follows the same general accreditation process including -
Answer✔✔- establishing a multidisciplinary leadership team
- compliance with respective standards
- on-site visits every 3 years
How many days in advance should the PRQ be reviewed and completed? - Answer✔✔at least 30
calendar days before confirmed on site visit
NCDB- National Cancer Database - Answer✔✔- jointly sponsored by ACoS and American
Cancer Society
- oncology database sourced from CoC hospital registries
- represents more than 72% of newly diagnosed cancer cases nationwide
American Joint Committee on Cancer (AJCC) - Answer✔✔guided the development,
implementation, and the use of the TNM cancer staging and prognosis system
Who developed and published the Operative Standards for Cancer Surgery Manuals? -
Answer✔✔Cancer Research Program (CRP)- since 2011
2 manuals have been published
covering 9 cancer sites
Cancer Surgery Standards Program - CSSP - Answer✔✔mission is to define and implement
cancer surgery standards so institutions and surgeons can easily adopt and integrate them daily
