A method for estimating regional cancer incidence using incidence data from cancer registries, cancer mortality data, and medical-administrative databases.

Objectives: In France, cancer registries cover only 20% of the population. To estimate regional cancer incidence (I), various indicators can be used: mortality (M), the Medical Information Systems Program (PMSI), and long-term conditions (ALD). The objective of this study was to evaluate the validity of these correlates and to rank them in order to provide regional incidence estimates for the 2008–2010 period. Method: The estimation principle is identical for all three methods and consists of applying the M/I ratio of the registry area (or ALD/I or PMSI/I, respectively) to regional mortality data (or ALD or PMSI, respectively). Due to the departmental coverage of registries in France, these methods can only be evaluated—and thus validated—at this administrative level in departments covered by a registry. A decision tree was used to classify each method by cancer type and then rank them. Eligible sites (where at least one method was deemed valid) were identified. However, ranges of estimates were provided for ineligible sites. Results: Among men, 8 out of 19 sites were eligible, including 6 based on ALD and 2 on PMSI. Among women, 9 out of 21 sites were eligible, including 3 based on ALD, 5 on PMSI, and 1 on mortality. Conclusion: This study presents the first structured effort to evaluate different approaches to estimating regional incidence. It confirms the value of medical-administrative databases for this issue. (R.A.)

Author(s): Colonna M, Mitton N, Remontet L, Belot A, Bossard N, Grosclaude P, Uhry Z

Publishing year: 2013

Pages: 566-74

Weekly Epidemiological Bulletin, 2013, n° 43-44-45, p. 566-74

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