{"id":3051,"date":"2019-01-30T00:00:00","date_gmt":"2019-01-30T00:00:00","guid":{"rendered":"https:\/\/www.registrotumoriveneto.it\/2019\/01\/30\/veneto-tumour-registry-implementing-nap-coding-in-cancer-registration\/"},"modified":"2019-01-30T00:00:00","modified_gmt":"2019-01-30T00:00:00","slug":"veneto-tumour-registry-implementing-nap-coding-in-cancer-registration","status":"publish","type":"post","link":"https:\/\/www.registrotumoriveneto.it\/en\/italiano\/pubblicazioni\/convegni\/comunicazioni-orali\/2019-comunicazioni-orali\/veneto-tumour-registry-implementing-nap-coding-in-cancer-registration\/","title":{"rendered":"Veneto tumour Registry: implementing NAP-coding in cancer registration"},"content":{"rendered":"<p><em>Guzzinati S, Zorzi M, Baracco M, Baracco S, Bovo E, Busato C, Carpin E, Chinellato E, Dal Cin A, Fiore AR, Greco A, Martin G, Memo L, Monetti D, Rizzato S, Rosano A, Stocco C, Zamberlan S, Rugge M<\/em><\/p>\n<p><em>8th Triennial Congress of Pathological Anatomy Siapec-iap 2019<\/em><\/p>\n<p><em>Turin, 16-18 October\u00a0 2019<\/em><\/p>\n<p><!--more--><\/p>\n<p>\u00a0<\/p>\n<p><strong>Abstract<\/strong><\/p>\n<p><span style=\"font-size: 12.16px;\">Objectives<\/span><\/p>\n<p><span style=\"font-size: 12.16px;\">Critical assessment of the current experience of the Veneto cancer Registry (RTV) on the regional dataflow of neoplastic pathology records (ANAPAT), based on the NAP-coding.<\/span><\/p>\n<p><span style=\"font-size: 12.16px;\"> <br \/>Materials and methods<\/span><\/p>\n<p><span style=\"font-size: 12.16px;\">In the Veneto Public Heath Care System, cancer registration is regulated by a regional law (3\/2013), which formally establishes an \u201cinformation debt\u201d of all the regional (both private, and public) healthcare institutions involved in the histological cancer assessment (i.e.: network of the Regional Pathology Departments [NRPD]). Cancer registration is basically settled on the collection of the pathology reports, as produced by the NRPD. The pathology reports are automatically transmitted (every six months) from the NRPD to a Regional Center of data collection (DWH). The collected data (always including Topography and Morphology) are coded according to NAP (Nomenclatore Anatomia Patologica), which has been implemented (year 2017) in all the Pathology Departments of the Regional Heath Care System. Each report includes 3 sections: i) demographics; ii) cancer biology\/profile (topography\/morphology); iii) textual health data. The NAP-coding includes about 25000 codes: 6185 topographic codes (based on the third SNOMED-edition; 3885 neoplastic morphologies (based on the 2005 edition of ICD-O-3, with multiple equivalent lexical variants); 490 procedure codes; 3171 qualifiers (including the TNM staging codes).<\/span><\/p>\n<p><span style=\"font-size: 12.16px;\"><br \/>Results<\/span><\/p>\n<p><span style=\"font-size: 12.16px;\">Twice a year, the pathology reports are (automatically) uploaded in a regional portal for management of health sources (DWH), where a pre-fixed series of logical-formal checks is automatically performed (e.g.: presence of the required variables, values\u2019 consistency, keys\u2019 integrity). The regional-DWH automatically produces checking-reports of any occurring error\/discrepancy; this first-level report is automatically delivered to the sending Health-care Institution. After data amendment, the \u201ccleansed-files\u201d are resubmitted to DWH. In a subsequent step, data are checked \/managed by the Regional Cancer Registry (RTV). A second-level-checking is performed by the RTV-staff, focusing on both qualitative (e.g.: distribution of exams by year, month and diagnostic type) and quantitative (e.g.: misalignments and\/or inconsistencies between Topography and Morphology; generic NAS codes; records without topographic code, records with non-tumour morphology [not M8-M9], etc). In a final step, any inconsistent record is returned to NRPD, for a critical conclusive reassessment and a conclusive download in the regional portal.<\/span><\/p>\n<p><span style=\"font-size: 12.16px;\"><br \/>Conclusions<\/span><\/p>\n<p><span style=\"font-size: 12.16px;\">In 2017, about 55% of the reports entered into the RTV having the data transcoded from NAP to ICDO-3 and ICD-9; the remaining cases mainly consist of non-malignant pathology (e.g.: lipomas, nevi or polyps). Currently, the lines of further development on the ANAPAT dataflow are: i) anonymization and archiving in the regional DWH; ii) developing more extensive interaction with other regional Institutions involved in the clinical organization, monitoring, and in the efficiency\/efficacy improvement of the Veneto Oncology network (calculation of indicators of diagnostic-therapeutic pathways); iii) implementation of the \u201ctext mining\u201d for clinical variables (cancer stage, molecular profiling).<br \/> <\/span><\/p>\n<p>\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Guzzinati S, Zorzi M, Baracco M, Baracco S, Bovo E, Busato C, Carpin E, Chinellato E, Dal Cin A, Fiore AR, Greco A, Martin G, Memo L, Monetti D, Rizzato S, Rosano A, Stocco C, Zamberlan S, Rugge M 8th Triennial Congress of Pathological Anatomy Siapec-iap 2019 Turin, 16-18 October\u00a0 2019<\/p>\n","protected":false},"author":18,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_helpful_status":1,"footnotes":""},"categories":[443,702,704,817,832],"tags":[],"class_list":["post-3051","post","type-post","status-publish","format-standard","hentry","category-2019-comunicazioni-orali","category-cancer-diagnosis","category-cancer-registries","category-pathology-records","category-public-health-system"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Registro Tumori Veneto &#8212; 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