Definition
Components
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Data Element ConceptCancer treatment—systemic therapy procedure date
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Object ClassCancer treatment
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PropertySystemic therapy procedure date
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Value DomainDate DDMMYYYY
Representation
This representation is based on the value domain for this data element, more information is available at " Date DDMMYYYY ".| Data Type | Date/Time |
|---|---|
| Format | DDMMYYYY |
| Maximum character length | 8 |
Comments
Guide for use:
The date is collected for all systemic therapy procedures administered to the patient during the initial treatment for cancer. The initial course of treatment includes all treatments administered to the patient from diagnosis and before disease recurrence or progression.
A systemic therapy procedure is a medical, surgical or radiation procedure that has an effect on the hormonal or immunologic balance of the patient, and refers to haematologic transplant and endocrine procedures. Haematologic transplants are bone marrow or stem cell transplants performed to protect patients from myelosuppression or bone marrow ablation associated with the administration of high-dose chemotherapy or radiotherapy.
Endocrine therapy is cancer therapy that achieves its antitumour effect through the use of radiation or surgical procedures that suppress the naturally occurring hormonal activity of the patient (when the cancer occurs at another site) and, therefore, alter or affect the long-term control of the cancer's growth.
Haematologic transplant or endocrine procedures may be provided to prolong a patient's life by controlling symptoms, to alleviate pain, or make the patient more comfortable.
The date of each treatment episode should be entered separately.
The date of cancer-directed surgery, radiotherapy and treatment with systemic agents are collected as separate items.Origin:
Commission on Cancer, American College of Surgeons
Comments:
Collecting the start and finish dates for treatment modalities will enable an estimate of treatment duration.
Note the distinction between the administration of systemic agents or drugs and systemic therapy procedures that affect the hormonal or immunologic balance of the patient.References
American College of Surgeons 2002. Facility Oncology Registry Data Standards (FORDS), 2009 revision. Commission on Cancer
American College of Surgeons 1998. Standards of the Commission on Cancer: Registry Operations and Data Standards (ROADS), Volume II. Commission on CancerThis content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.