• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9411-9416
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• 2014

Background: Cancer registration data is used to understand the nation's cancer burden, and to provide significant baseline data for cancer control efforts, as well as, research on cancer incidence, mortality, survival, and prevalence. A system that approves, assesses, and manages the qualification of specialists, responsible for performing cancer registration, has not been developed in Korea. This study presents ways to implement a certification system designed for the qualification of tumor registrars in Korea. Materials and Methods: Requirements for implementing a certified tumor registrar qualification system were determined by reviewing the system for establishing qualifications in Korea and the American qualification system via the National Cancer Registrars Association (NCRA). Moreover, a survey was conducted on Korean medical records administrators, who had taken the U.S. Certified Tumor Registrar (CTR) examination, in order to review their opinions regarding these requirements. Results: This study verified the feasibility of a qualification examination based on the opinions of CTR specialists by determining the following: items, and the associated ratings, of the qualifications necessary to register individuals as certified tumor registrars in a private qualification system; status of human resources required for the examination or training processes; plans regarding the organization needed for management, and operation of qualifications, examination standards, subject areas, examination methods, examination qualifications, or education and training programs. Conclusions: The implementation of a certified tumor registrar qualification system will lead to enhanced job competency for specialists and a qualitative improvement of cancer registration data. It will also reliably foster human resources that will lay the groundwork needed to establish scientific and reasonable national cancer management policies.

• Asian Pacific Journal of Cancer Prevention
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• 제13권8호
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• pp.4209-4214
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• 2012

The current situation of cancer registration in China was systematically reviewed. So far, cancer registration in China has been making a great progress in the following aspects: the number of cancer registries and covered population have increased dramatically; a registration network has been established and completed gradually; regulations and rules improved remarkably; more attention is being paid by every level of government; a lot of registration software has been created and financial support ensured. However, we are still facing some problems and challenges, such as no stable groups of registrars, shortage of training opportunities, poor data quality, insufficient utilization and lack of multidisciplinary mechanisms, so that the cancer registration system still needs to be enhanced and improved. Along with the development of economy, science and information technology, methods and patterns of cancer registration is changing. It is to be expected that cancer registration will be automatic, nationwide and integrated with community healthcare in the near future.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9529-9534
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• 2014

Background: Cancer staging enables planning for the best treatments, evaluation of prognosis, and predictions for survival. The Collaborative Stage (CS) system makes it possible to significantly reduce the proportion of patients labeled at an "unknown" stage as well as discrepancies among different staging systems. This study aims to analyze the factors that influence the accuracy and validity of CS data. Materials and Methods: Data were randomly selected (233 cases) from stomach cancer cases enrolled for CS survey at the Korea Central Cancer Registry. Two questionnaires were used to assess CS values for each case and to review the cancer registration environment for each hospital. Data were analyzed in terms of the relationships between the time spent for acquisition and registration of CS information, environments relating to cancer registration in the hospitals, and document sources of CS information for each item. Results: The time for extracting and registering data was found to be shorter when the hospitals had prior experience gained from participating in a CS pilot study and when they were equipped with full-time cancer registrars. Evaluation of the CS information according to medical record sources found that the percentage of items missing for Site Specific Factor (SSF) was 30% higher than for other CS variables. Errors in CS coding were found in variables such as "CS Extension," "CS Lymph Nodes," "CS Metastasis at Diagnosis," and "SSF25 Involvement of Cardia and Distance from Esophagogastric Junction (EGJ)." Conclusions: To build CS system data that are reliable for cancer registration and clinical research, the following components are required: 1) training programs for medical records administrators; 2) supporting materials to promote active participation; and 3) format development to improve registration validity.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1709-1710
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• 2012

Cancer is a major public health problem in Indonesia, becoming the 7th largest cause of death based on a national survey in 2007, accounting for 5.7 of all mortality. A cancer registry was started in 1970, but it was partial and was stopped mainly because no government body was responsible. Realizing the above situation, the Indonesian government established the Sub Directorate of Cancer Control within the Ministry of Health, with responsibility for developing a national cancer control program, including a cancer registry. A sustainable cancer registry was then started in 2007 within Jakarta Province, first hospital-based but then expanded to be population-based. Steps of cancer registration in Jakarta are data collection, data verification, data validation, data management and analysis, and data publication. Data collection is conducted by health facilities (hospitals, laboratories, primary health centers) at the district/municipal level, with reports to the provincial level. Data are collected passively by holding meetings every three months in the district/municipality. Verification of data is the responsibility of the medical doctor or pathologist in each data source. Data validation is conducted by a team in the cancer registry, consisting of district/municipal/province health officers, pathologists, and registrars. Data management and analyses are conducted by a cancer registry team at the provincial level, assisted by the national team. We use software named Indonesian Cancer Registry System (SRIKANDI) which is adopted from CanReg4 IARC. Data from the population-based cancer registry in Jakarta Province showed the leading cancers among females in 2005-2007 to be breast cancer, cervical cancer, ovarian cancer, colorectal cancer and among males are bronchus and lung cancer, colorectal cancer, liver cancer, pharyngeal cancer, and prostate cancer. The leading childhood cancers are leukaemia and retinoblastoma.

• 한국건설관리학회논문집
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• 제6권2호
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• pp.120-128
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• 2005

설계 및 엔지니어링 용역사업 분야에 도입되어 운영되고 있는 품질경영시스템은 설계 및 엔지니어링 용역사업의 국제화와 선진화된 조직경영활동의 실현을 통한 해당분야 사업활동의 역량을 강화하기 위함이다. 그러나 기업 경영자들의 품질경영시스템에 대한 올바른 이해와 인식의 부족으로 품질경영체제의 안정적인 운영과 정착에 많은 문제점이 발생되고 있다. 따라서 본 연구에서는 이러한 설계 및 엔지니어링용역사업 분야의 품질경영체제의 도입과 운영과정에서 지적되고 있는 부적합의 유형을 분석하였다. 특히 1997년부터 2003년 말까지 연속하여 인증기관에 의해 심사가 이루어진 설계 및 엔지니어링용역 사업 분야의 15개의 각 개별 기업에서 발행된 총 646건의 지적보고서를 대상으로 부적합의 유형을 조사한 결과, 품질경영 시스템 규격모델의 요건상 제품실현부문 중 $\ulcorner$설계 및 개발$\lrcorner$부문과 $\ulcorner$생산 및 서비스제공$\lrcorner$부문, 그리고 품질경영시스템부문 중 $\ulcorner$일반요구사항$\lrcorner$부문 등 세 분야에서 가장 많은 지적사항이 발생되었다. 그 다음으로는 측정, 분석 및 개선관리부문 중 $\ulcorner$모니터 콩 및 측정$\lrcorner$부문과 제품실현부문 중 $\ulcorner$구매관리$\lrcorner$부문의 순으로 나타났다. 이와 같은 현상은 설계 및 엔지니어링용역 업무가 품질경영시스템 규격모델에 해당되는 요건상의 주요 활동이 되는 업무의 특성에 기인하며, $\ulcorner$일반요구사항$\lrcorner$과 $\ulcorner$모니터 링 및 측정$\lrcorner$부문의 지적사항도 중요한 경영관리요소가 되므로, 품질경영체제의 정착과 활성화를 위해서는 설계 및 엔지니어링 용역분야의 주요업무활동 중 이 러한 지적사항에 대하여 보다 세부적 인 업무프로세스의 제문제점들이 개선되어야 한다.

• Journal of Preventive Medicine and Public Health
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• 제41권2호
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• pp.92-99
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• 2008

Objectives : Effective cancer prevention and control measures can only be done when dependable data on the cancer incidence is available. The Seoul Cancer Registry (SCR) was founded to provide valid, comparable and representative cancer incidence data for Koreans. We aimed to compare the cancer incidence in the first (1993-1997) and second term (1998-2002) of the SCR, and we analyzed the annual incidence trend during that 10 years. Methods : The SCR detects potential cancer cases through the Korean Central Cancer Registry (KCCR) data, the health insurance claims, the individual hospital's discharge records and the death certificates. About 87% of the SCR data is registered through the KCCR. The rest of the data is registered by SCR registrars who visit about $70{\sim}80$ mid-sized hospitals in Seoul to review and abstract the medical records of the potential cancer patients. Results: The total number of new cancer cases was higher in $1998{\sim}2002$ than in $1993{\sim}1997$ by 20.6% for men and 18.4% for women, respectively. The age-standardized rate (ASR) of total cancer per 100,000 increased 1% (from 295.4 to 298.3) for men and 5.1% (from 181.5 to 190.7) for women, between the two periods. The commonest cancer sites during 1998-2002 for men were stomach, liver, bronchus/lung, colorectum, bladder and prostate, and the commonest cancer sites for women were breast, stomach, colorectum, cervix uteri, thyroid and bronchus/lung. Compared with the ASRs in 1993, the ASRs in 2002 increased for colorectum (58.4% for men, 27.1% for women), prostate (81.5%), breast (58.3% for women), thyroid (141% for women), and bronchus/lung (15.4% for women). The ASRs for stomach (-18.7% for men, -20.7% for women) and uterine cervix cancer (-39.7%) had decreased. Conclusions : The cancer incidence is increasing in Seoul, Korea, especially for the colorectum and prostate for men, and for the breast, colorectum, bronchus/lung and thyroid for women.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3123-3129
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• 2016

Background: Cancer is the fourth leading cause of death in Sabah Malaysia with a reported age-standardized incidence rate was 104.9 per 100,000 in 2007. The incidence rate depends on non-mandatory notification in the registry. Under-reporting will provide the false picture of cancer control program effectiveness. The present study was to evaluate the performance of the cancer registry system in terms of representativeness, data quality, simplicity, acceptability and timeliness and provision of recommendations for improvement. Materials and Methods: The evaluation was conducted among key informants in the National Cancer Registry (NCR) and reporting facilities from Feb-May 2012 and was based on US CDC guidelines. Representativeness was assessed by matching cancer case in the Health Information System (HIS) and state pathology records with those in NCR. Data quality was measured through case finding and re-abstracting of medical records by independent auditors. The re-abstracting portion comprised 15 data items. Self-administered questionnaires were used to assess simplicity and acceptability. Timeliness was measured from date of diagnosis to date of notification received and data dissemination. Results: Of 4613 cancer cases reported in HIS, 83.3% were matched with cancer registry. In the state pathology centre, 99.8% was notified to registry. Duplication of notification was 3%. Data completeness calculated for 104 samples was 63.4%. Registrars perceived simplicity in coding diagnosis as moderate. Notification process was moderately acceptable. Median duration of interval 1 was 5.7 months. Conclusions: The performances of registry's attributes are fairly positive in terms of simplicity, case reporting sensitivity, and predictive value positive. It is moderately acceptable, data completeness and inflexible. The usefulness of registry is the area of concern to achieve registry objectives. Timeliness of reporting is within international standard, whereas timeliness to data dissemination was longer up to 4 years. Integration between existing HIS and national registration department will improve data quality.

• 기록학연구
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• 제46호
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• pp.325-363
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• 2015

본 연구의 목적은 2016년 원문정보공개를 앞둔 정부산하공공기관들이 기록관리에 기반하여 체계적인 원문정보공개를 실천할 수 있도록 하는데 있다. 정부산하공공기관들은 기록관리에 대한 인식은 물론 체계가 갖추어진 사례가 드물어 원문정보공개를 대비하는데 어려움을 겪고 있다. 앞서 원문정보공개를 시행하였던 행정자치부와 서울시의 사례를 살펴보고 시사점을 도출하였으며, 원문정보공개에 대응하기 위해 기록관리 체계를 구축하고 있는 정부산하공공기관의 사례 또한 살펴보았다. 정부산하공공기관은 새로이 기록관리와 원문정보공개에 대한 체계를 갖추는 시작 단계이므로 이들 기관의 특성에 부합하는 원문정보공개 대응 전략이 필요하다. 이에 기관별 업무특성이 반영된 자체개발 기록관리시스템을 구축하여 기록관과 기록관리시스템에 기반한 원문정보공개가 이루어질 수 있도록 시스템 간 연계도를 구상하였으며, 원문정보공개 대응을 위해 반드시 포함되어야 하는 기능요건들을 제시하였다.