CRM Follow-up, Data Quality, and Utilization - FINAL

Which of the following are we likely to experience in the management of computerized cancer registries due to the availability of electronic health information? A need for better data entry skills A transition to staff with a strong clerical background A decrease in the number of required data items A need for staff with strong technical and analytic skills

A need for staff with strong technical and analytic skills

The X-axis on a graph is known as the: Scale Legend Abscissa Ordinate

Abscissa

Which of the following statements is not true about the cancer registry follow-up process? Eligible patients are followed for the remainder of their lifetime Follow-up can serve as a way to ensure patients are receiving continued medical surveillance Follow-up allows researchers to evaluate the standards for quality care provided to patients Accurate survival and outcome data can be produced even if current follow-up information cannot be obtained

Accurate survival and outcome data can be produced even if current follow-up information cannot be obtained

An example of a confidential data item in a report using cancer registry data is: Size of tumor Address at diagnosis Age at diagnosis Primary site

Address at diagnosis

One of the primary reasons for collecting cancer data is to assess: How cancer patients are using the facility's services How the facility is doing in the management of their cancer patients Areas in need of improvement All of the above

All of the above

The Kaplan-Meier method of calculating survival __________. A - Requires that patients were diagnosed at least early enough to have lived the interval under study B - Calculates survival each time a person dies C - Uses an estimation of contribution of person-years at risk Both B and C

B - Calculates survival each time a person dies

The difference between mortality and morbidity rates is: A - Mortality describes the illness rate, while morbidity describes the death rate B - Morbidity measures the risk of getting cancer, while mortality measures the risk of dying from cancer C - Incidence rates are calculated with mortality, while prevalence rates are calculated with morbidity Both A and C

B - Morbidity measures the risk of getting cancer, while mortality measures the risk of dying from cancer

What activity makes cancer registries unique from other disease registries? Reporting all patients seen at the facility with that disease Following patient for the remainder of their lifetime Performing quality assurance on the data Reporting data to external sources or data bases

Following patient for the remainder of their lifetime

EDITS can check for all of the following types of errors, except: Laterality field was left blank A male with cervix cancer Date of surgery is after the date of death Histology should be adenocarcinoma, nos (8140/3) instead of Sebaceous adenocarcinoma (8410/3)

Histology should be adenocarcinoma, nos (8140/3) instead of Sebaceous adenocarcinoma (8410/3)

An Edit that checks to make sure there is not a conflict in the sequence numbers for a patient with more than one primary cancer would be a:

Inter-record edit

The main reason for conducting lifetime follow-up is: Measure the effectiveness of treatment Determine which patients should be included in calculating survival Remind the patient of the services available at the facility Meet the requirements of the Commission on Cancer

Measure the effectiveness of treatment

Which of the following types of cases are required to be followed for compliance with CoC cancer program standards? Non-analytic cases Cases reportable by agreement Patients whose age exceeds 100 years and who are without contact for more than 12 months. Residents of foreign countries None of these are required to be followed

None of these are required to be followed

Of the following choices, which would be the preferred method for displaying the total proportion of cases for males and the total proportion of cases for females for the current year? Ogive Frequency Polygon Line Graph Pie Chart

Pie Chart

In the cancer registry database, all of the following information is needed to define the data field and allow for consistent data entry, except for the: Name of the data field Length of the data field Position in the record layout Type of characters (numbers, letters, etc.) that are allowed

Position in the record layout

The component of a database that allows data to be viewed or selected for reports is called: Query language Database forms Output report Boolean operator

Query language

Patients required to be followed by the Commission on Cancer must be followed: Until the patient is disease free For the first three years, then removed from follow-up if current information can no longer be obtained Until current follow-up information can no longer be obtained For the lifetime of the patient

Until current follow-up information can no longer be obtained

After abstracting a case, the cancer registrar looks over the abstract to ensure that there are no blanks in the required data fields. This is an example of which type of quality control method:

Visual editing

When the survival percentage is expressed in terms of a 5-year survival rate (for example, a 5-year survival rate of 95%) this percent indicates the percent of patients: Who are alive five years after diagnosis Who died in the specified 5-year period Diagnosed during the specified 5-year period

Who are alive five years after diagnosis

Quality control in the cancer registry applies to: Completeness of case ascertainment Abstracting and coding accuracy Timeliness of abstracting All of the above

all of the above

This pertains to the Final Exam Case Study. What should be recorded in the data item, Type of First Recurrence? 00 55 70 99

00 Patient became disease-free after treatment and has not had a recurrence; leukemia in remission.

When graphing a survival curve, the curve will always start at ________ at the beginning of the study. 0% 100% the 1-year survival % the number of patients in the study

100%

Cases are lost-to-follow up if no contact has been made within ________ months of the date of last contact?

15

For the following data set, what is the mean? Data: 5 3 54 93 84 23 19 23

38

For the following data set, what is the median? Data: 57 55 85 24 33 49 94 2 8 51 71 30 91 6 47 50 65 43 41 7

48

The Optimal Resources for Cancer Care: 2020 Standards require that a ________ follow-up rate be maintained for all eligible analytic patients diagnosed within the last five years, or since the registry's reference date, whichever is shorter.

90%

A quality control plan defines all of the following criteria at the beginning of the study, except for: The data items to be reviewed Corrective action for areas that fall below the specified benchmark The number of cases to be reviewed Individual responsible for conducting the quality review

??

You are reading an article on breast cancer. The article tells us that the mean tumor size is 5cm with a standard deviation of 2.12. What does this standard deviation tell us? The observations will tend to fall within plus or minus 2.12 of the mean. The smallest tumor size was 2.88cm and the largest tumor size was 7.12cm. The expected error rate for the data was approximately 2%. The probability that this occurred by chance is approximately 2%.

A standard deviation of 2.12cm in this context means that, on average, most breast tumors in the study will fall within a range of 2.12cm above or below the mean tumor size of 5cm, indicating that a large portion of the tumors will be between approximately 2.88cm and 7.12cm in size.

True or False? Measures of central tendency describe the typical values in which data tend to cluster.

This statement is True. Measures of central tendency, like mean, median, and mode, are designed to identify the "typical" value around which most data points in a set tend to cluster.

Standard 6.1 of the CoC's Optimal Resources for Cancer Care:2020 Standards, specifies that which of the following positions is responsible for monitoring quality measures of the cancer registry?

Cancer Registry Quality Coordinator

Which of the following types of cases would not usually be included in a survival report of your hospital's cancer experience? Cases first diagnosed at your hospital Cases diagnosed elsewhere but all or part of the first course of therapy given at your hospital Cases diagnosed and all of the first course of therapy given prior to admission to your hospital Cases receiving supportive treatment as part of the first course of therapy at your hospital

Cases diagnosed and all of the first course of therapy given prior to admission to your hospital

The minimal quality benchmarks that must be achieved in cancer programs approved by the Commission on Cancer are established by the:

Commission on Cancer

In addition to patient outcomes, a major focus of data analysis for administrative planning is:

Referral patterns

The type of survival rate that is calculated by indirectly adjusting the survival rate for other causes of death to remove the effect of normal mortality is called the __________. Observed survival rate Adjusted survival rate Relative survival rate Expected survival rate

Relative survival rate

With normal distribution, which statement is true? The mean will be less than the mode The mode will be greater than the median The mean will be greater than the median The mean, median, and mode will be the same

The mean, median, and mode will be the same A normal distribution is symmetrical, meaning the center point (where the distribution peaks) represents all three measures - the mean, median, and mode - making them equal.

Which one of the following sources of cancer statistics is the least likely to provide information on incidence rates? NCDB NAACCR NPCR SEER

The source least likely to provide information on incidence rates is the NCDB (National Cancer Data Base) because it primarily focuses on patient outcomes and treatment data rather than population-based cancer incidence.

What term applies to a collection of related records in a database? Field Layout Clipboard File

file

The method used to monitor a person's health after treatment is: Follow-up Surveys Outcomes Surveillance

follow up

Which of the following measures of central tendency are least affected by extreme values? Median Mean Range None of the above

median

Another word for a computer set up for a single user is a: Workstation Network Server Microcomputer

microcomputer

The statement that cancer will afflict one-out-of-three people sometime during their lifetime is what type of an expression? Proportion Incidence Interval Ratio

proportion

In terms of a database system, a _________ consists of related data fields that are grouped together. File Record Data element Table

record

True or False? Descriptive Statistics uses numerical summaries to describe an observed frequency distribution, which is the central tendency and variability of data.

true

True or False? The two types of quantitative data are Interval and Ratio.

true