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26 - Data for cancer outcomes research: identifying and strengthening the empirical base

Published online by Cambridge University Press:  18 December 2009

By
Carolyn C. Gotay Ph.D.  and
Joseph Lipscomb Ph.D.
Edited by
Joseph Lipscomb ,
Carolyn C. Gotay  and
Claire Snyder
Carolyn C. Gotay Ph.D.
Affiliation:
Professor Cancer Research Center of Hawai'i, Honolulu, HI
Joseph Lipscomb Ph.D.
Affiliation:
Professor of Public Health National Cancer Institute, Bethesda, MD
Joseph Lipscomb
Affiliation:
National Cancer Institute, Bethesda, Maryland
Carolyn C. Gotay
Affiliation:
Cancer Research Center, Hawaii
Claire Snyder
Affiliation:
National Cancer Institute, Bethesda, Maryland
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Summary

Introduction

It is clear from earlier chapters that data for measuring, interpreting, explaining, and predicting cancer outcomes are currently available from a variety of sources. Cancer registries, medical records, administrative claims data, and patient and provider surveys yield, individually or in concert, information about a range of outcomes that matter to decision makers. These outcomes include not only survival, disease-free survival, tumor progression, and a host of other biomedical endpoints, but important patient-reported outcomes that are the focus of this book — health-related quality of life (HRQOL), patient perceptions of and satisfaction with care, and the economic burden of cancer and its treatment. Moreover, these same data sources also yield, with varying degrees of completeness, information on a variety of factors associated with variations in cancer outcomes. These include socioeconomic and other demographic descriptors, comorbidities and other clinical determinants, and provider and health system variables.

At the moment, no single database or system provides sufficiently comprehensive information on the full range of variables required for cancer outcomes research. Rather, what we have is a substantial number of public agencies and private organizations doing an increasingly good job at collecting important pieces, components, and parts of the data required for the cancer outcomes research agenda of today and tomorrow.

In the immediate future and beyond, new prevention, diagnostic, treatment, and palliative modalities will continue to emerge. Public and private payment systems will continue to evolve, as pressures for both cost containment and quality assurance grow.

Type
Chapter
Information
Outcomes Assessment in Cancer
Measures, Methods and Applications
 , pp. 522 - 549
Publisher: Cambridge University Press
Print publication year: 2004

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