POPLINE Document Number: 315156
Author(s):
Brito C
Portela MC
de Vasconcellos MT
Source citation:
Cadernos de Saude Publica, 2005 Nov-Dec;21(6):1829-1835.
Abstract:
This study investigates the concordance of clinical and demographic data under the Unified National Health System (SUS) in Brazil, comparing authorizations for high-complexity oncological procedures in breast cancer with a random sample of 310 corresponding medical records in Rio de Janeiro State, Brazil. Concordance was verified using kappa (K), prevalence-adjusted bias-adjusted kappa (PABAK), weighted-kappa (KW), intraclass correlation (ICC), and relative frequency statistics. 95% confidence intervals were estimated, and Landis and Koch criteria were applied for concordance interpretation. Assuming PABAK as the most appropriate statistic for the variables analyzed, we observed a moderate concordance for cancer staging, PABAK = 0.63 (95% CI: 0.56-0.70), and for morphological diagnosis, PABAK = 0.84 (95% CI: 0.72-0.96). For date of birth and date of diagnosis, ICCs were 0.96 (95% CI: 0.95-0.96) and 0.92 (95% CI: 0.90-0.94), respectively. Concordance regarding municipality of residence was 52.9%. The study indicates that, except for municipality of residence, the data concordance comparing authorizations for procedures and patient medical records in Rio de Janeiro allows its application to epidemiological and health services research, as well as for health planning purposes. (author's)
Keywords:
BrazilIndex page
Research Report
Retrospective Studies
Women
Breast Cancer
Treatment
Health Services Administration
Planning
South America, Eastern
South America
Latin America
Americas
Developing Countries
Studies
Research Methodology
Demographic Factors
Population
Cancer
Neoplasms
Diseases
Medical Procedures
Medicine
Health Services
Delivery of Health Care
Health
Management
Organization and Administration