Validation of Cancer Diagnosis Based on the National Health Insurance Service Database versus the National Cancer Registry Database in Korea

Yang, Min Soo; Park, Minae; Back, Joung Hwan; Lee, Gyeong Hyeon; Shin, Ji Hye; Kim, Kyuwoong; Seo, Hwa Jeong; Kim, Young Ae

doi:10.4143/crt.2021.044

Cited by 67 publications

(45 citation statements)

References 16 publications

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“…NHIS routinely audits the claims, and the data are considered reliable and have used in numerous peer-reviewed publications 34 , 36 . According to a recent study, definitions of cancer diagnosis in our study is an accurate and valid method to identify cancer incidence using health insurance claim data 37 . Definitions showed over 90% sensitivity in identifying patients with central cancer registration.…”

Section: Methodsmentioning

confidence: 99%

Temporal patterns of chronic disease incidence after breast cancer: a nationwide population-based cohort study

Kang

Hong

et al. 2022

Sci Rep

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We conducted a retrospective cohort study to evaluate the temporal pattern of incidence of chronic conditions after developing breast cancer using a population-based national registry. We selected 84,969 women with newly diagnosed breast cancer between 2002 and 2016 and a 1:10 sample of age-matched non-breast cancer controls (N = 1,057,674). The main study exposure was incident breast cancer, considered as a time-varying exposure. The outcomes were incident cases of leukemia, endometrial cancer, myeloma, cardiomyopathy, osteoporosis, end stage renal disease (ESRD), pulmonary fibrosis, hypothyroidism, type 2 diabetes, hypertension and hyperlipidemia. The development of breast cancer was associated with a significantly increased risk of all outcomes analyzed except for ESRD and hypertension. The fully-adjusted risks of leukemia (HR 3.09; 95% CI 2.11–4.51), cardiomyopathy (HR 2.65; 95% CI 1.90–3.68), endometrial cancer (HR 3.53; 95% CI 2.76–4.53), hypothyroidism (HR 1.29; 95% CI 1.19–1.40), pulmonary fibrosis (HR 1.84; 95% CI 1.12–3.02), and hyperlipidemia (HR 1.24; 95% CI 1.20–1.28) remained significantly elevated after more than 5 years since diagnosis. Optimal care for breast cancer survivors requires close collaboration between oncologists and allied health care professionals to identify and manage the long-term morbidity and mortality associated with these chronic conditions.

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Section: Methodsmentioning

confidence: 99%

Temporal patterns of chronic disease incidence after breast cancer: a nationwide population-based cohort study

Kang

Hong

et al. 2022

Sci Rep

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“…The KCCR database is one of the most reliable sources of population based cancer registry database in Korea. It currently covers over 90% of new nationwide cancer cases [ 8 ]. Patients registered as C22 (LC) according to the International Classification of Diseases, tenth revision (ICD-10) from 1999 to 2019 were included in this study [ 9 ].…”

Section: Methodsmentioning

confidence: 99%

Incidence, mortality, and survival of liver cancer using Korea central cancer registry database: 1999-2019

Hong

Kang

Kim

et al. 2022

Ann Hepatobiliary Pancreat Surg

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Invited ArticleBackgrounds/Aims: Historically, incidence and survival analysis and annual traits for primary liver cancer (LC) has not been investigated in a population-based study in Korea. The purpose of the current study is to determine incidence, survival rate of patients with primary LC in Korea. Methods: We conducted a retrospective cohort study using Korea Central Cancer Registry based on the Korea National Cancer Incidence Database. Statistical analysis including crude rate and age-standadized rate (ASR) of incidence and mortality was performed for LC patients registered with C22 code in International Classification of Diseases, tenth revision from 1999 to 2019. Subgroup analysis was performed for hepatocellular carcinoma (HCC, C22.0) and intrahepatic cholangiocarcinoma (IHCC, C22.1). Results:The crude incidence rate of HCC (21.0 to 22.8 per 100,000) and IHCC (2.3 to 5.6 per 100,000) increased in the observed period from 1999 to 2019. The ASR decreased in HCC (20.7 to 11.9 per 100,000) but remained unchanged in IHCC (2.4 to 2.7 per 100,000). The proportion of HCC patients diagnosed in early stages (localized or regional Surveillance, Epidemiology, and End Results or SEER stage) increased significantly over time. As expected, 5-yeat survival rate of HCC was greatly improved, reaching 42.4% in the period between 2013 and 2019. This trait was more prominent in localized SEER stage. On the other hand, the proportion of IHCC patients diagnosed in localized stage remained unchanged (22.9% between 2013 and 2019), although ASR and 5-year survival rate showed minor improvements. Conclusions: A great improvement in survival rate was observed in patients with newly diagnosed HCCs. It was estimated to be due to an increase in early detection rate. On the contrary, detection rate of an early IHCC was stagnant with a minor improvement in prognosis.

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“…The catastrophic illness code is associated with a waiver of co-payment for diagnostic procedures and treatments for cancer in Korea. The accuracy of the ICD-10 code for CRC with a catastrophic illness code compared to the Korean Cancer Registry was up to 92.3% [ 12 ].…”

Section: Methodsmentioning

confidence: 99%

Association between A Family History of Colorectal Cancer and the Risk of Colorectal Cancer: A Nationwide Population-Based Study

Jung

Song

Tran

et al. 2022

JPM

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Large-scale Asian studies on this topic are lacking. We evaluated the CRC risk associated with family history in the Korean population. We analyzed the data of participants aged ≥40 years who underwent national cancer screening between 2013 and 2014. During a mean follow-up of 4.7 ± 0.8 years, 0.43% of the 292,467 participants with family history and 0.28% of the 1,169,868 participants without family history developed CRC. Participants with a family history in any FDR, parents only, and siblings only had a higher risk of CRC than those without family history; adjusted hazard ratios (HRs) were 1.53, 1.46, and 1.61, respectively. Participants with a family history comprising both parents and siblings had an even higher risk of CRC than those without a family history (HR, 2.34). The HRs for CRC in the 40–49, 50–59, 60–69, 70–79, and ≥80 age groups with family history were 1.72, 1.74, 1.50, 1.30, and 0.78, respectively (p < 0.001). A family history of CRC in any FDR and both parents and siblings was associated with an approximately 1.5- and 2.3-fold increased risk of CRC. The effect of family history was relatively greater in the younger than the older age group.

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Validation of Cancer Diagnosis Based on the National Health Insurance Service Database versus the National Cancer Registry Database in Korea

Cited by 67 publications

References 16 publications

Temporal patterns of chronic disease incidence after breast cancer: a nationwide population-based cohort study

Temporal patterns of chronic disease incidence after breast cancer: a nationwide population-based cohort study

Incidence, mortality, and survival of liver cancer using Korea central cancer registry database: 1999-2019

Association between A Family History of Colorectal Cancer and the Risk of Colorectal Cancer: A Nationwide Population-Based Study

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