north east bowel screening cancer study doctorate of medicine, university of durham
TRANSCRIPT
North East Bowel Screening Cancer Study
Doctorate of Medicine, University of Durham
• Large scale epidemiological study of all colorectal cancers– In population eligible for screening as part of
the National Bowel Cancer Screening Programme
– Within the Northern Region
• Approximately 1500 patients included– Aged 60-69 at time of diagnosis– Between April 2007- April 2010
• Combination of data from: – NORCCAG Database– Regional Bowel Cancer Screening Database
Cases of Colorectal
Cancer
Screen Detected Cancer
Interval CancerNon-Uptake
Cancer
Non-Uptake of FOBt
Non-Uptake of Colonoscopy after Positive
FOBt
Cancer after Negative FOBt
Cancer after Negative
Colonoscopy
Cancer before Planned
Surveillance Colonoscopy
• Comparing the three patient groups described above, are there any differences in the epidemiology of the patients? Examples of data analysed will be:– Socioeconomic group and level of deprivation– Co-morbidities
• What is the rate of interval cancer within the screening programme?– What type of interval cancer?
– What are the reasons behind it?
– How many positive FOB windows to these patients have – should we be performing more colonoscopies on those with weakly positive tests?
– What groups of patients have an interval cancer?
• Details of the cancers within each patient group– Are there any differences between the stages of
cancers found in each group?– Is there a shift towards earlier cancers within
the screen detected group and is there any difference in the interval group?
Errors & Missing Data Review
Michael Gill
NORCCAG Research Fellow
• Sample of data from NBOCAP extract– Analysed for
• Missing data
• Data accuracy
• Database analysed by NORCCAG research fellows
• Error and missing data queries created using Microsoft Access
• Results summarised using SPSS
ASA Grade
Stomas
• Of 1409 stomas recorded - total of 271 (19.2%) errors in recording of type of stoma– Includes those errors in the palliative procedure
category
Urgency of Procedure
Surgical Access
Grade of Operating Surgeon
Tumour Location vs. Operation
• Of 5449 recorded procedures – Total of 271 (5.0%) errors– Including those errors within palliative
procedures
Conclusion
• Significant errors seen throughout the database– Some human error– Some inbuilt errors within NBOCAP
• NORCCAG is able to identify these errors and missing data with ease, in order to aid correction
Any Questions?