We were unable to distinguish between patients with a solitary lesion with vascular invasion and multifocal tumors (all < 5 cm) in our analysis because the NCDB groups these together under T2 disease. %PDF-1.7 The NCDB, a joint program of the Commission on Cancer (CoC) of the American College of Surgeons and the American Cancer Society, is a registry containing data from more than 1,500 hospitals with CoC-accredited programs in the United States and includes approximately 70% of all newly diagnosed cases of cancer in the United States, consisting of more than 29 million unique cancer cases.14,15 According to the agreements executed with each accredited facility, data from the US Department of Veterans Affairs, Department of Defense, Puerto Rican facilities, and certain other programs are removed from research files. Treatment with SBRT requires complex treatment planning, quality assurance, and delivery procedures, which may lead to higher cost to the health care systems.27 Few studies have examined the cost-effectiveness of using SBRT to manage HCC.28,29 One such study showed that SBRT for initial treatment of localized inoperable HCC was not cost-effective compared with RFA.29. As of 2016, the NCDB has amassed more than 34 million records of patients with cancer (nearly 4 times the size of the Surveillance, Epidemiology, and End Results [SEER] database), making the NCDB the largest clinical cancer registry in the world. We attempted to address this by conducting a sensitivity analysis to assess the potential effect of underlying advanced fibrosis/cirrhosis. Clinicopathological and treatment-related data extracted included tumor histology (fibrolamellar or not), pT stage (), pN stage, tumor size, single or multiple tumors, vascular invasion, surgical margin status, type of cancer-directed surgical treatment applied, and the administration of … We found that the benefit of RFA was consistent across all subgroups examined. The Ntwrk-PUF is available for plan year 2014, plan year 2015, plan year 2016, and plan year 2017. cancer.gov. The median follow-up for the entire cohort was 25.3 months (interquartile range, 14.1 to 41 months). For the final model of OS, IPTW Kaplan-Meier estimators were calculated across all patients and compared between treatment groups via the log-rank test. Methods … The primary objective of this study was to compare overall survival (OS) of nonsurgically managed patients with clinical stage I or II HCC treated with RFA with OS of those treated with SBRT. 1. Inverse probability–weighted analysis yielded similar results. In addition, the information about Child-Turcotte-Pugh score or hepatitis status was not available in this dataset. The National Cancer Database (NCDB) is a valuable resource for studying national cancer treatment patterns. 16. Reviewers Baseline patient characteristics are listed in Table 1. Advertisers, Journal of Clinical Oncology Propensity Modeling of Receipt of SBRT. This benefit was consistent after IPTW analysis was performed (Appendix Table A3). The application period for the next version of the PUF, which will contain data for cases diagnosed in 2004-2015, will open late Summer 2017. Overview of the Rate PUF The Centers for Medicare & Medicaid Services (CMS) Center for Consumer Information and Insurance Oversight (CCIIO) is releasing the State-Based Marketplace (SBM) PUF in order to improve the transparency and increase access to the SBM data. This data dictionary describes the variables contained in the BeneCS-PUF file for each SBM. Cancer.Net, ASCO.org Table 1. A retrospective cohort analysis of HCC (primary site code C22.0) and ICC (primary site code C22.1) in the National Cancer Data Base (NCDB) was performed. A federal government website managed by the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244 Variable Attributes Variable Name: IssuerID Variable Definition: Can be merged with PUF_ICDDIAGNOSIS PUF_ ICDPROCEDURE 2017 ICD-10-CM procedure codes PUF_ ICDPROCEDURE_LOOKUP 2017 ICD-10-CM procedure code descriptions, etc. Not available in this dataset 4 demonstrates propensity-matched HRs of RFA over SBRT was result! Stage for a high percentage of cases if they received any form of (! Conflict of interest policy, please refer to www.asco.org/rwc or ascopubs.org/jco/site/ifc groups the! Phrases / doi / ISBN / authors / keywords / etc difference with was. 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