CTR Data Quality Assurance & Cancer Program Standards 3

Question 1

Which of the following best describes the purpose of a 'casefinding audit' in a hospital cancer registry?

Accepted Answer

To confirm all reportable cancer cases are being identified and entered

Answer

A casefinding audit verifies that the registry's case identification process captures all reportable malignancies seen at the facility.

Question 2

When auditing the 'diagnostic confirmation' data field, which code is assigned to a case confirmed by cytology only, without histologic tissue?

Accepted Answer

Code 4

Answer

NAACCR/SEER code 4 is used when diagnostic confirmation is by cytology only, without a histologic (biopsy) confirmation.

Question 3

A program receives its NCDB benchmark report showing that its lymph node examination rate for colon cancer is significantly below the national rate. The BEST next step is to:

Accepted Answer

Present findings to the Cancer Committee and initiate a clinical study

Answer

Benchmark discrepancies should be presented to the Cancer Committee, which may initiate a clinical study to investigate and improve clinical practice.

Question 4

Which NAACCR data item captures the extent of disease at the time of initial diagnosis and is required for central registry submissions?

Accepted Answer

Summary Stage

Answer

NAACCR Summary Stage (derived from SEER Summary Staging) is a required data item for central registry submissions representing extent of disease at diagnosis.

Question 5

The 'Class of Case' field in a cancer registry distinguishes between:

Accepted Answer

Analytic and non-analytic cases

Answer

Class of Case separates analytic cases (diagnosed and/or treated at the facility) from non-analytic cases (treated elsewhere, diagnosis only confirmed here).

(CTR) Certified Tumor Registrar Practice Test

(CTR) Certified Tumor Registrar Practice Test

CTR Data Quality Assurance & Cancer Program Standards 3