EXAM 1-CR

Question 1

TNM (AJCC)

Answer 1

Tumor-Nodes-Metasisis
American Joint Committee on Cancer

This method of staging cancer includes information on the size and location of the tumor, involvement of lymph nodes and presence or absence of metastasis

Question 2

ISCR

Answer 2

The Illinois central registry

A central registry which operates under the Illinois Department of Public Health

Question 3

NCDB

Answer 3

National Cancer Data Base

This national database is used to evaluate cancer trends and in analytic research.

Question 4

ICD-03

Answer 4

This is the coding classification for cancer sites & morphologies

Question 5

CTR

Answer 5

Certified Tumor Registrar

This certification enables employers to determine if a candidate is appropriate for a job in the cancer registry

Question 6

NCRA

Answer 6

National Cancer Registrars Association

CTR certification and continuing education hours are provided through this organization

Question 7

NAACCR

Answer 7

North American Association of Central Cancer Registries

This group was established to meet the needs of central (state) cancer registries in the U.S. and Canada

Question 8

CAP

Answer 8

College of American Pathologists

We develop cancer protocols & checklists used on pathology reports

Question 9

ACoS

Answer 9

American College of Surgeons
Facilities seeking accreditation as an Approved Cancer Program must adhere to the standards as defined by our Commission on Cancer

Question 10

WHO

Answer 10

The World Health Organization

This organization is considered the authority for health within the United Nations

Question 11

Number 1 Leading cause of death

Answer 11

Heart disease

Question 12

Topography

Answer 12

Site codes

Question 13

First population based registry

Answer 13

1930 Connecticut Cancer Registry

Question 14

1913 Cancer Campaign

Answer 14

AcOs- American College of Surgeons

Question 15

Cancer Registry Amendment Act

Answer 15

1992 congress passed public law 102-515

Question 16

HIPAA

Answer 16

Heath Insurance Portability And Accountability Act.
• Enacted by congress in 1996 has various components.
• Privacy & security protection of personal patient info important in cancer registries
• Registries legally& routinely collect, evaluate, interpret, disclose patient health information.

Question 17

CDC

Answer 17

Centers for Disease Control & Prevention

Question 18

Headquarters

Answer 18

ACoS-Chicago
AHIMA-Chicago
CAP- Northfield
NCRA-Alexandria, Virginia

Question 19

CTR Eligibility Route

Answer 19

Via route A- Path A1
• Education min (any associate degree or equivalent- 60 college level credits)
• Completion of an NCRA-Accredited Formal Education DEGREE program
• 160 –hour practicum in a CTR-staffed cancer registry

Via Route – Path A2:
• Education min (any associate degree or equivalent- 60 college level credits)
• Completion of an NCRA-Accredited Formal Education CERTIFCATE program
• 160 –hour practicum in a CTR-staffed cancer registry

Via Route B-
• Education min (any associate degree or equivalent- 60 college level credits)
• Coursework of 2 semesters of Human Anatomy& physiology or equivalent
• 1950 hours (equivalent to one year full-time) experience in the cancer registry

Question 20

ACS Estimates – The American Cancer Society

Answer 20

• Estimates over 1,735,350 new cases in 2018
• Estimates over 609, cancer deaths in 2018
• Estimated 15.5 million survivors were alive in 2016, this number will increase to 19 million by 2024.

Question 21

Cancer Registry Data Sets

Answer 21

•Data set used to collect- patient demographics, social history, type of cancer, extent of disease at diagnosis, types& results of diagnostic testing, types of tx received and outcomes including lifetime followup.

Question 22

Cancer Registry Functions

Answer 22

• casefinding- capture all patients diagnosed and/or treated at your facility
• Abstracting- obtain all data about patients’ diagnosis and tx, code & enter in database.
• Follow up- monitor patients annually throughout their lifetime

Question 23

Cancer Registry Settings

Answer 23

• Settings include hospitals, diagnostic and treatment facilities, research centers, and laboratories.

Question 24

Cancer Registry Staffing

Answer 24

• Not CoC approved hospitals- cancer registrar or other HIM staff member
• CoC approved hospital- abstracting performed/reviewed by CTR
• Diagnostic/tx centers- existing staff (nurses) or outsource to CTR
• Research centers/labs-existing staff or outsource to CTR

Question 25

A computerized registry WILL NOT

Answer 25

Save time in the abstracting process Prevent the need to track down doctors Make tracking hard-to-follow patients any easier Allow a hospital to replace a registrar with an untrained data entry clerk Reduce a registrar’s work load or stress level

Question 26

A computerized registry WILL

Answer 26

Offer opportunities for more efficient case finding Digitize & store the abstracted data Automate data editing Facilitate follow up record keeping Provide lists and reports Facilitate the cancer registry’s real mission: using collected patient data to monitor patient care and outcomes