Cancer PathCHART Tool

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Questions and Answers

What distinguishes the Cancer PathCHART initiative from previous standard-setting efforts in cancer surveillance?

  • It replaces the need for expert pathologists in the review process, using automated algorithms instead.
  • It is the first database to consolidate tumor site, histology, and behavior coding standards from various standard setters. (correct)
  • It focuses exclusively on improving the speed of cancer data collection, rather than data quality.
  • It relies solely on clinical oncologists for defining tumor site and histology combinations.

How does the Cancer PathCHART initiative ensure the quality and validity of tumor site and histology combinations?

  • Through an in-depth review process involving expert pathologists and tumor registrars. (correct)
  • By using a streamlined process that avoids extensive reviews to expedite updates.
  • By prioritizing the inclusion of all possible combinations, regardless of biological plausibility, to ensure comprehensive data capture.
  • By excluding international organizations from the review process to maintain regional consistency.

In what specific scenario should the Solid Tumor Rules take precedence over the CPC*Search Tool?

  • When determining the biological validity of a site/histology combination.
  • When the CPC*Search Tool provides conflicting information compared to local registry guidelines.
  • When needing to identify synonyms for the NOS term. (correct)
  • When the CPC*Search Tool indicates that a site/histology combination is highly unlikely.

How does the Cancer PathCHART initiative address the issue of histologies that are valid for specific sites within a site group but not for all sites in the group, as described in the WHO Classification of Tumors books?

<p>By denoting the valid C-code in bold next to the histology in applicable tables within the Solid Tumor Rules. (B)</p> Signup and view all the answers

What is the primary role of the CPC*Search Tool, according to the provided information?

<p>To determine if a site/histology combination is biologically valid unlikely, or impossible.. (B)</p> Signup and view all the answers

Flashcards

Cancer PathCHART

A collaboration to improve cancer surveillance data quality by updating standards for tumor site, histology, and behavior code combinations.

CPC*Search Tool

A webtool on the Cancer PathCHART website for searching tumor topography, histology, and behavior codes and terms.

Purpose of CPC*Search Tool

The CPC*Search Tool is an additional resource to determine if a site/histology combination is biologically valid, unlikely, or impossible. It does not replace the Solid Tumor Rules when determining histology coding.

Site-Specific Histologies

Some histologies are valid for specific sites and not for all sites within a site group. The valid C-code will be denoted in bold next to the histology or histologies in applicable tables, including combination/mixed histology code tables.

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NOS Terminology

The Solid Tumor histology tables include synonyms for the NOS term while the CPC*Search Tool is limited to the WHO preferred term

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Study Notes

  • Cancer PathCHART is a collaboration among North American and global registrar, registry, pathology, and clinical organizations.
  • The main goal is to improve cancer surveillance data quality by updating standards for tumor site, histology, and behavior code combinations and associated terminology.
  • The initiative reviews histology and behavior codes (and associated terminology) by tumor site, includes expert pathologists and tumor registrars.
  • The Cancer PathCHART database serves as the single source of truth standards for tumor site, histology, and behavior coding across all standard setters.
  • A webtool is available on the Cancer PathCHART website that allows searches for tumor topography, histology, and behavior codes and terms.
  • The search tool indicates if the tumor topography and histology combination are biologically valid, unlikely, or impossible

Cancer PathCHART Search Tool

  • The CPC*Search Tool does not replace the Solid Tumor Rules when determining histology coding.
  • The search tool is an additional resource primarily to determine if a site/histology combination is biologically valid, unlikely, or impossible.
  • Many histology tables in the Solid Tumor Rules include more than one site or site group and are based on current WHO Classification of Tumors books.
  • The CancerPathCHART review determined that some histologies are valid for specific sites and not for all sites within a site group.
  • The valid C-code will be denoted in bold next to the histology or histologies in applicable tables, including combination/mixed histology code tables.
  • Coding these histologies to a site other than the one(s) noted in the tables has been determined to be biologically impossible and will not pass edits.
  • The Solid Tumor histology tables include synonyms for the NOS term, while the CPC*Search Tool is limited to the WHO preferred term

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