Completeness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm

Grippa, Wesley Rocha; Pessanha, Raphael Manhães; Dell’Antonio, Larissa Soares; Dell’Antonio, Cristiano Soares da Silva; Salaroli, Luciane Bresciani; Lopes-Júnior, Luís Carlos

doi:10.1590/0034-7167-2023-0467

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Revista Brasileira de Enfermagem

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Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 77 (3) • 2024 • https://doi.org/10.1590/0034-7167-2023-0467 copy

Completeness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm

Completitud de variables en Registros Hospitalarios de Cáncer para neoplasia maligna de próstata

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to analyze the completeness of variables from Hospital-Based Cancer Registries of cases of prostate neoplasm in the Oncology Care Network of a Brazilian state between 2000 and 2020.

Methods:

an ecological time series study, based on secondary data on prostate cancer Hospital-Based Cancer Registries prostate. Data incompleteness was classified as excellent (<5%), good (between 5%-10%), fair (10%-20%), poor (20%-50%) and very poor (>50%), according to the percentage of lack of information.

Results:

there were 13,519 cases of prostate cancer in the Hospital-Based Cancer Registries analyzed. The variables “family history of cancer” (p<0.001), “alcoholism” (p<0.001), “smoking” (p<0.001), “TNM staging” (p<0.001) had a decreasing trend, while “clinical start of treatment” (p<0.001), “origin” (p=0.008) and “occupation” (p<0.001) indicated an increasing trend.

Conclusions:

most Hospital-Based Cancer Registries variables showed excellent completeness, but important variables had high percentages of incompleteness, such as TNM and clinical staging, in addition to alcoholism and smoking.

Descriptors:
Hospital Records; Medical Oncology; Epidemiology; Prostatic Neoplasms; Public Health Surveillance

Variable	2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020
Sex
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Age
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.26	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Place of birth
Incompleteness (%)	14.29	0.00	2.36	6.22	9.23	3.67	3.62	1.01	0.69	3.65	3.88	4.73	5.16	4.76	6.54	3.24	5.08	7.85	12.45	8.79	16.88
Score	3	1	1	2	2	1	1	1	1	1	1	1	2	1	2	1	2	2	3	2	3
Race/skin color
Incompleteness (%)	1.59	2.38	0.47	0.00	0.38	10.73	31.67	23.78	9.17	7.81	5.00	12.05	11.29	14.50	6.92	4.32	2.01	1.57	2.57	3.46	3.43
Score	1	1	1	1	1	3	4	4	2	2	2	3	3	3	2	1	1	1	1	1	1
Education
Incompleteness (%)	3.17	2.38	2.83	2.22	3.08	29.66	30.77	29.68	32.87	45.02	49.12	26.54	23.55	26.91	26.07	25.09	19.79	12.13	18.87	7.41	12.16
Score	1	1	1	1	1	4	4	4	4	4	4	4	4	4	4	4	3	3	3	2	3
Occupation
Incompleteness (%)	0.00	1.19	2.83	3.11	3.85	15.25	15.61	15.68	13.15	7.48	16.12	6.31	14.52	16.24	16.78	18.88	12.52	10.13	22.13	15.71	16.60
Score	1	1	1	1	1	3	3	3	3	2	3	2	3	3	3	3	3	3	4	3	3
Origin
Incompleteness (%)	0.00	0.00	0.00	0.44	0.00	0.00	0.00	0.00	0.00	0.00	0.38	0.00	0.22	0.35	0.57	2.34	1.66	0.86	1.38	0.20	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Marital status
Incompleteness (%)	0.00	2.38	0.00	0.89	0.00	7.63	3.85	4.05	5.88	6.98	6.12	9.47	11.08	11.48	3.03	3.60	1.31	3.42	1.88	2.08	2.29
Score	1	1	1	1	1	2	1	1	2	2	2	2	3	3	1	1	1	1	1	1	1
Alcoholism
Incompleteness (%)	100.00	90.48	96.70	95.11	93.85	82.49	71.95	73.69	71.45	70.10	16.25	9.61	10.32	14.73	27.49	47.84	50.61	41.51	29.55	35.47	33.48
Score	5	5	5	5	5	5	5	5	5	5	3	2	3	3	4	4	5	4	4	4	4
Smoking
Incompleteness (%)	98.41	88.10	94.34	94.22	86.15	73.73	61.76	64.42	61.07	58.14	15.62	7.89	10.00	14.27	25.50	45.05	45.97	32.24	22.53	28.16	24.32
Score	5	5	5	5	5	5	5	5	5	5	3	2	3	3	4	4	4	4	4	4	4

Variable	2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020
Type of case
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Date of first consultation
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Date of diagnosis
Incompleteness (%)	0.00	0.60	0.00	0.00	0.00	0.00	2.49	3.71	2.25	1.99	1.38	2.44	2.04	0.35	0.66	0.09	0.53	0.00	4.15	2.08	0.86
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Previous diagnosis and treatment
Incompleteness (%)	4.76	0.00	0.00	0.00	0.00	0.00	7.92	5.23	0.35	1.00	2.12	1.00	1.18	0.81	0.38	0.27	0.61	1.00	3.66	1.09	0.14
Score	1	1	1	1	1	1	2	2	1	1	1	1	1	1	1	1	1	1	1	1	1
Date of start of treatment
Incompleteness (%)	3.17	0.00	0.47	0.44	0.00	0.00	0.45	0.00	0.00	7.64	14.12	12.20	13.66	4.41	1.99	2.97	3.42	3.42	8.10	2.77	1.00
Score	1	1	1	1	1	1	1	1	1	2	3	3	3	1	1	1	1	1	2	1	1
Screening date
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2.75	0.00	5.48	3.36	2.27	2.34	1.14	2.28	1.88	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	2	2	1	1	1	1	1	1	1
Most important basis for tumor diagnosis
Incompleteness (%)	1.59	0.00	0.00	0.44	0.77	0.00	3.85	4.05	2.42	2.33	0.75	1.87	0.86	0.93	1.04	0.27	0.88	1.14	4.15	1.78	0.14
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Primary tumor location
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Detailed primary tumor location
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Primary tumor histological type
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
TNM staging
Incompleteness (%)	95.24	97.26	94.34	88.89	84.62	90.96	50.90	84.65	76.64	81.06	79.25	77.19	79.25	67.17	61.04	56.47	64.10	72.04	70.16	58.89	65.52
Score	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5
Clinical tumor staging by group (TNM)
Incompleteness (%)	79.37	85.12	89.62	80.44	74.62	82.77	31.45	67.12	62.80	69.60	60.88	53.08	61.08	51.39	45.69	39.48	37.13	42.94	50.10	40.71	47.50
Score	5	5	5	5	5	5	4	5	5	5	5	5	5	5	4	4	4	4	5	4	4
Other staging
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.17	0.00	0.00	0.00	0.11	0.00	0.00	0.09	0.09	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Pathological TNM staging
Incompleteness (%)	19.05	21.43	25.47	21.33	30.00	33.05	18.55	16.69	21.97	39.53	26.75	38.59	36.34	31.32	29.10	33.54	34.41	16.41	36.36	15.42	14.88
Score	3	4	4	4	4	4	3	3	4	4	4	4	4	4	4	4	4	3	4	3	3
Main reason for not carrying out antineoplastic treatment in hospital
Incompleteness (%)	3.17	4.17	2.83	0.44	1.92	6.50	71.95	7.25	62.28	65.45	71.38	3.01	4.09	6.38	12.51	9.44	11.30	9.56	15.42	4.05	3.72
Score	1	1	1	1	1	2	5	2	5	5	5	1	1	2	3	2	3	2	3	1	1
First treatment received in hospital
Incompleteness (%)	1.59	0.00	0.47	0.44	0.00	0.56	0.00	0.00	0.00	0.33	0.50	0.29	0.32	0.46	0.09	2.97	0.26	0.29	6.03	0.30	1.29
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	2	1	1
Disease status at the end of first treatment in hospital
Incompleteness (%)	76.19	85.71	86.79	76.89	74.62	59.89	57.47	59.36	63.32	80.90	36.75	23.82	33.66	19.37	31.00	27.88	17.08	26.68	36.26	26.98	35.19
Score	5	5	5	5	5	5	5	5	5	5	4	4	4	3	4	4	3	4	4	4	4
Date of death
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.23	0.17	0.52	0.00	0.12	0.00	0.22	0.23	0.09	0.00	0.00	0.00	0.10	0.20	0.72
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Family history of cancer
Incompleteness (%)	100.00	97.02	99.53	96.44	97.69	87.85	83.48	85.50	73.70	71.43	79.88	69.58	74.84	64.50	74.60	72.75	77.58	73.04	71.84	68.38	58.23
Score	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5	5
Source of referral
Incompleteness (%)	30.16	37.50	24.06	13.33	11.92	13.28	26.24	18.55	21.63	17.77	21.88	13.77	19.03	14.62	16.02	7.82	12.08	17.69	8.89	8.50	7.15
Score	4	4	4	3	3	3	4	3	4	3	4	3	3	3	3	2	3	3	2	2	2
Primary tumor laterality
Incompleteness (%)	0.00	0.00	0.00	0.00	0.38	0.00	0.45	6.07	12.11	4.65	6.38	10.62	9.46	11.02	12.61	8.99	6.57	2.57	10.08	1.38	4.29
Score	1	1	1	1	1	1	1	2	3	1	2	3	2	3	3	2	2	2	3	3	2
Occurrence of more than one primary tumor
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2.75	0.00	5.48	3.36	2.27	2.25	1.05	2.28	1.88	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	2	1	1	1	1	1	1	1	1
First care clinic
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2.75	0.14	5.48	3.48	2.46	2.79	1.05	2.28	1.88	0.20	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	2	1	1	1	1	1	1	1	1
Clinic at the start of treatment
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.32	0.46	0.19	0.36	0.35	0.43	5.93	0.20	0.86
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	2	1	1
Examinations relevant to tumor therapy diagnosis and planning
Incompleteness (%)	0.00	0.60	0.00	0.00	4.23	1.13	19.00	18.04	24.39	25.42	12.50	6.17	8.06	5.10	9.76	10.70	4.12	3.85	9.49	7.91	10.59
Score	1	1	1	1	1	1	3	3	4	4	3	2	2	2	2	3	1	1	2	2	3
Brazilian National Registry of Health Establishments
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Hospital Unit Federative Unit
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
Hospital Unit municipality
Incompleteness (%)	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Score	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1

Variable	S	p value^* * For significance, p value < 0.05.	Trend
Age	12	0,364	Not significant
Place of birth	80	0,017	Increase
Race/skin color	-2	0,976	Not significant
Education	0	1,000	Not significant
First care clinic	73	0,018	Increase
Clinic at the start of treatment	118	< 0,001	Increase
Family history of cancer	-148	< 0,001	Decrease
Alcoholism	-122	< 0,001	Decrease
Smoking	-128	< 0,001	Decrease
Origin	81	0,008	Increase
Source of referral	-106	0,002	Decrease
Examinations relevant to tumor therapy diagnosis and planning	47	0,164	Not significant
Marital status	29	0,397	Not significant
Previous diagnosis and treatment	27	0,428	Not significant
Most important basis for tumor diagnosis	29	0,397	Not significant
Primary tumor laterality	88	0,008	Increase
Occurrence of more than one primary tumor	54	0,065	Not significant
TNM staging	-133	< 0,001	Decrease
Clinical tumor staging by group (TNM)	-134	< 0,001	Decrease
Other staging	17	0,477	Not significant
Pathological TNM staging	14	0,695	Not significant
Main reason for not carrying out antineoplastic treatment in hospital	38	0,264	Not significant
First treatment received in hospital	33	0,330	Not significant
Disease status at the end of first treatment in hospital	-126	< 0,001	Decrease
Occupation	122	< 0,001	Increase
Date of diagnosis	37	0,271	Not significant
Screening date	54	0,065	Not significant
Date of start of treatment	53	0,113	Not significant
Date of death	52	0,095	Not significant

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[1] Corresponding author: Luís Carlos Lopes-Júnior, E-mail: lopesjr.lc@gmail.com