National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013

Measures

Cervical cancer diagnosed at advanced stage per 100,000 women age 20 and over
Women ages 21-65 who received a Pap smear in the last 3 years
 

Measure Title

Cervical cancer diagnosed at advanced stage per 100,000 women age 20 and over

Measure Source

National Cancer Institute (NCI), Surveillance, Epidemiology, and End Results (SEER) Program.

Table Description

Geographic Representation

National, States

Years Available

State: 2001-2010

National: 2000, 2003, 2005, 2008, 2010

Population Subgroups

Activity limitation, age, education, health insurance, income, race/ ethnicity, geographic location (residence)

Data Sources

National & State

Centers for Disease Control and Prevention (CDC), National Cancer Institute (NCI), National Program of Cancer Registries (NPCR), United States Cancer Statistics

Denominator

Number of women age 20 and over

Numerator

Subset of denominator with a new invasive cervical cancer diagnosed in the survey years

Comments

Invasive cervical cancer is defined as cancer that has spread from the surface of the cervix to tissue deeper in the cervix or to other parts of the body. Estimates include all invasive tumors.

National estimates are age adjusted to the 2000 U.S. standard population (19 age groups—Census P25-1130). State estimates are age adjusted to the 2000 U.S. standard million population by 5-year age groups.

Historically, cancer stage has been collected using three different staging systems having three different purposes, datasets, and rules. The American Joint Committee on Cancer (AJCC), in collaboration with North American standard setters, has developed a unified dataset that combines and standardizes the information needed to assign stage in the AJCC (Tumor, Node, Metastasis, [TNM]), SEER (Extent of Disease, [EOD]), and Summary Stage (SS) 1977 and 2000 systems, and to derive the TNM stage group, EOD, and SS applicable to each cancer site beginning with cancers diagnosed in 2004.

The 2005 data were adjusted for areas affected by Hurricanes Katrina and Rita. Hurricanes Katrina and Rita had a huge impact on the populations within the Gulf Coast region for the second half of 2005. Katrina also significantly affected the Louisiana Cancer Registry’s ability to report data for that time period. In an effort to provide the most accurate and complete data and statistics possible, the SEER Program has made several changes for the releases of data and statistics through 2005.

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Measure Title

Women ages 21-65 who received a Pap smear in the last 3 years

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, States

Years Available

State: 2000-2010

National: 2000, 2005, 2008, 2010

Population Subgroups

Activity limitation, age, education, health insurance, income, race/ ethnicity, geographic location (residence)

Data Sources

National

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Health Interview Survey (NHIS)

State

CDC, Behavioral Risk Factor Surveillance System (BRFSS)

Denominator

U.S. female civilian noninstitutionalized population ages 21-65

Numerator

Subset of denominator women who have not had a hysterectomy and who report receiving a Pap smear within the last 3 years

Comments

This measure is referred to as measure C-15 in Healthy People 2020 documentation Estimates are age adjusted to the 2000 U.S. standard population using three age groups: 21-34, 35-44, and 45-65.

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