Journal Article
. 2014 Mar;54(9).
doi: 10.1097/MLR.0000000000000073.

Comparison of SEER Treatment Data With Medicare Claims

Anne-Michelle Noone 1 Jennifer L Lund  Angela Mariotto  Kathleen Cronin  Timothy McNeel  Dennis Deapen  Joan L Warren  
  • PMID: 24638121
  •     22 References
  •     135 citations


Background: The population-based Surveillance, Epidemiology, and End Results (SEER) registries collect information on first-course treatment, including surgery, chemotherapy, radiation therapy, and hormone therapy. However, the SEER program does not release data on chemotherapy or hormone therapy due to uncertainties regarding data completeness. Activities are ongoing to investigate the opportunity to supplement SEER treatment data with other data sources.

Methods: Using the linked SEER-Medicare data, we examined the validity of the SEER data to identify receipt of chemotherapy and radiation therapy among those aged 65 and older diagnosed from 2000 to 2006 with bladder, female breast, colorectal, lung, ovarian, pancreas, or prostate cancer and hormone therapy among men diagnosed with prostate cancer at age 65 or older. Treatment collected by SEER was compared with treatment as determined by Medicare claims, using Medicare claims as the gold standard. The κ, sensitivity, specificity, positive predictive values, and negative predictive values were calculated for the receipt of each treatment modality.

Results: The overall sensitivity of SEER data to identify chemotherapy, radiation, and hormone therapy receipt was moderate (68%, 80%, and 69%, respectively) and varied by cancer site, stage, and patient characteristics. The overall positive predictive value was high (>85%) for all treatment types and cancer sites except chemotherapy for prostate cancer.

Conclusions: SEER data should not generally be used for comparisons of treated and untreated individuals or to estimate the proportion of treated individuals in the population. Augmenting SEER data with other data sources will provide the most accurate treatment information.

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JAMA Ophthalmol, 2020 Jul 03; 138(8). PMID: 32614376    Free PMC article.
Overall survival, costs, and healthcare resource use by line of therapy in Medicare patients with newly diagnosed metastatic urothelial carcinoma.
Abdalla Aly, Courtney Johnson, +3 authors, Arif Hussain.
J Med Econ, 2019 Mar 07; 22(7). PMID: 30836812    Free PMC article.
The 21-Gene Recurrence Score Assay and Prediction of Chemotherapy Benefit: A Propensity Score-Matched Analysis of the SEER Database.
In Sil Choi, Jiwoong Jung, +5 authors, Ki-Tae Hwang.
Cancers (Basel), 2020 Jul 12; 12(7). PMID: 32650374    Free PMC article.
Using hospital medical record data to assess the accuracy of the SEER Los Angeles Cancer Surveillance Program for initial treatment of prostate cancer: a small pilot study.
Ryan D Kraus, Ann S Hamilton, Mari Carlos, Leslie K Ballas.
Cancer Causes Control, 2018 Jul 20; 29(9). PMID: 30022335    Free PMC article.
The Real-World Lifetime Economic Burden of Urothelial Carcinoma by Stage at Diagnosis.
Abdalla Aly, Courtney Johnson, +4 authors, Arif Hussain.
J Clin Pathw, 2020 Aug 25; 6(4). PMID: 32832698    Free PMC article.
Risk factors and prognostic predictors for Cervical Cancer patients with lung metastasis.
Xiaoyue Chen, Lan Chen, Haiyan Zhu, Jie Tao.
J Cancer, 2020 Sep 15; 11(20). PMID: 32922530    Free PMC article.
The Distribution and Outcomes of the 21-Gene Recurrence Score in T1-T2N0 Estrogen Receptor-Positive Breast Cancer With Different Histologic Subtypes.
Jun Wang, Zhen-Yu He, +3 authors, San-Gang Wu.
Front Genet, 2019 Jan 09; 9. PMID: 30619463    Free PMC article.
21-Gene Recurrence Score Assay and Outcomes of Adjuvant Radiotherapy in Elderly Women With Early-Stage Breast Cancer After Breast-Conserving Surgery.
San-Gang Wu, Wen-Wen Zhang, +4 authors, Zhen-Yu He.
Front Oncol, 2019 Feb 15; 9. PMID: 30761267    Free PMC article.
Opportunities for use of radiation therapy in penile cancer based on patterns of care in the United States from 2007 to 2013.
Xinglei Shen, William Parker, Leah Miller, Mindi TenNapel.
Ther Adv Urol, 2019 Feb 23; 11. PMID: 30792822    Free PMC article.
Impact of old age on resectable colorectal cancer outcomes.
Jianfei Fu, Hang Ruan, +6 authors, Jinlin Du.
PeerJ, 2019 Feb 23; 7. PMID: 30792941    Free PMC article.
Risk and clinicopathological features of osteosarcoma metastasis to the lung: A population-based study.
Xiaoyi Huang, Jian Zhao, +7 authors, Jianming Zheng.
J Bone Oncol, 2019 Mar 30; 16. PMID: 30923668    Free PMC article.
Survival Differences Between Males and Females Diagnosed With Childhood Cancer.
Lindsay A Williams, Logan G Spector.
JNCI Cancer Spectr, 2019 Jul 02; 3(2). PMID: 31259303    Free PMC article.
The prevalence, associated factors for bone metastases development and prognosis in newly diagnosed ovarian cancer: a large population based real-world study.
Chao Zhang, Xu Guo, +10 authors, Yulin Ma.
J Cancer, 2019 Jul 11; 10(14). PMID: 31289583    Free PMC article.
Conditional survival analysis of four treatment strategies for patients with stage I non-small cell lung cancer.
Yicheng Liang, Xiaoxi Fan, +2 authors, Chunlu Yang.
Oncol Lett, 2019 Aug 20; 18(2). PMID: 31423169    Free PMC article.
Real-World Impact of Survival by Period of Diagnosis in Epithelial Ovarian Cancer Between 1990 and 2014.
San-Gang Wu, Jun Wang, +3 authors, Juan Zhou.
Front Oncol, 2019 Aug 27; 9. PMID: 31448220    Free PMC article.
The Effect of Post-mastectomy Radiotherapy in Patients With Metaplastic Breast Cancer: An Analysis of SEER Database.
Jun Wang, Wen-Wen Zhang, +3 authors, San-Gang Wu.
Front Oncol, 2019 Sep 03; 9. PMID: 31475106    Free PMC article.
De-escalating chemotherapy for stage II colon cancer?
Jianfei Fu, Lunpo Wu, +5 authors, Jinlin Du.
Therap Adv Gastroenterol, 2019 Sep 07; 12. PMID: 31489031    Free PMC article.
Populational trends and outcomes of postoperative radiotherapy for high-risk early-stage cervical cancer with lymph node metastasis: concurrent chemo-radiotherapy versus radiotherapy alone.
Koji Matsuo, David J Nusbaum, +7 authors, Jason D Wright.
Am J Obstet Gynecol, 2019 Nov 05; 222(5). PMID: 31678092    Free PMC article.
Effectiveness of postoperative chemotherapy for stage IC mucinous ovarian cancer.
Koji Matsuo, Yongmei Huang, +5 authors, Jason D Wright.
Gynecol Oncol, 2019 Jul 08; 154(3). PMID: 31279493    Free PMC article.
The actual 5-year survivors of pancreatic ductal adenocarcinoma based on real-world data.
Axel Bengtsson, Roland Andersson, Daniel Ansari.
Sci Rep, 2020 Oct 04; 10(1). PMID: 33009477    Free PMC article.
Variation in Colorectal Cancer Screening Practices According to Cardiovascular Disease Status and Race/Ethnicity.
Maira A Castañeda-Avila, Kate L Lapane, +2 authors, Mara M Epstein.
J Racial Ethn Health Disparities, 2020 May 10; 8(1). PMID: 32383046    Free PMC article.
Intended Versus Inferred Treatment After 18F-Fluoride PET Performed for Evaluation of Osseous Metastatic Disease in the National Oncologic PET Registry.
Bruce E Hillner, Lucy Hanna, +5 authors, Barry A Siegel.
J Nucl Med, 2017 Dec 02; 59(3). PMID: 29191854    Free PMC article.
Survival analysis of patients with spinal chordomas.
Hui-Hui Sun, Xin Hong, +4 authors, Xiao-Tao Wu.
Neurosurg Rev, 2018 May 08; 42(2). PMID: 29732516
Outcome disparities in colorectal cancer: a SEER-based comparative analysis of racial subgroups.
Muneer J Al-Husseini, Anas M Saad, +5 authors, Talal Hilal.
Int J Colorectal Dis, 2018 Nov 18; 34(2). PMID: 30443675
Primary brain and other central nervous system tumors in Appalachia: regional differences in incidence, mortality, and survival.
Quinn T Ostrom, Haley Gittleman, Carol Kruchko, Jill S Barnholtz-Sloan.
J Neurooncol, 2018 Dec 14; 142(1). PMID: 30543034
The effect of marital status on glioma patient survival: analysis of 617 cases: A SEER-based study.
Shengrong Long, Mingdong Li, Shaowu Ou, Guangyu Li.
Medicine (Baltimore), 2018 Dec 30; 97(52). PMID: 30593203    Free PMC article.
Early-onset pancreatic cancer: a population-based study using the SEER registry.
Daniel Ansari, Carl Althini, Henrik Ohlsson, Roland Andersson.
Langenbecks Arch Surg, 2019 Aug 05; 404(5). PMID: 31377855    Free PMC article.
Characteristics and prognosis of embryonal rhabdomyosarcoma in children and adolescents: An analysis of 464 cases from the SEER database.
Xinyu Wang, Jun Feng, +3 authors, Guoshuang Feng.
Pediatr Investig, 2020 Dec 31; 4(4). PMID: 33376951    Free PMC article.
Radical cystectomy plus chemotherapy in patients with pure squamous cell bladder carcinoma: a population-based study.
Giuseppe Rosiello, Angela Pecoraro, +11 authors, Pierre I Karakiewicz.
World J Urol, 2020 May 20; 39(3). PMID: 32424515
Comparative effectiveness of denosumab, teriparatide, and zoledronic acid among frail older adults: a retrospective cohort study.
A R Zullo, Y Lee, +3 authors, S D Berry.
Osteoporos Int, 2021 Jan 08; 32(3). PMID: 33411003    Free PMC article.
Evaluation of efficacy of chemotherapy for mucinous carcinoma: a surveillance, epidemiology, and end results cohort study.
Hanwen Zhang, Ning Zhang, +2 authors, Qifeng Yang.
Ther Adv Med Oncol, 2021 Jan 12; 12. PMID: 33425023    Free PMC article.
The Prevalence, Associated Factors for Lung Metastases Development and Prognosis in Ovarian Serous Cancer Based on SEER Database.
Chengcheng Cao, Xianghong Yang.
Technol Cancer Res Treat, 2020 Dec 29; 19. PMID: 33356997    Free PMC article.

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Cardiac intervention rates for older patients with acute myocardial infarction in the United States and Ontario, 2003-2013: a retrospective cohort study.
Laura C Yasaitis, Jun Guan, +2 authors, Therese A Stukel.
CMAJ Open, 2020 Jun 13; 8(2). PMID: 32527795    Free PMC article.
Racial/Ethnic Disparities in Survival after Breast Cancer Diagnosis by Estrogen and Progesterone Receptor Status: A Pooled Analysis.
Esther M John, Valerie McGuire, +9 authors, Anna H Wu.
Cancer Epidemiol Biomarkers Prev, 2020 Dec 24; 30(2). PMID: 33355191    Free PMC article.
Outcomes for localized treatment of large cell neuroendocrine carcinoma of the lung in the United States.
Michael S May, Connor J Kinslow, +5 authors, Simon K Cheng.
Transl Lung Cancer Res, 2021 Feb 12; 10(1). PMID: 33569294    Free PMC article.
Socioeconomic and Surgical Disparities are Associated with Rapid Relapse in Patients with Triple-Negative Breast Cancer.
Samilia Obeng-Gyasi, Sarah Asad, +2 authors, Daniel G Stover.
Ann Surg Oncol, 2021 Feb 16;. PMID: 33586064
Importance of Examined Lymph Node Number in Accurate Staging and Enhanced Survival in Resected Gastric Adenocarcinoma-The More, the Better? A Cohort Study of 8,696 Cases From the US and China, 2010-2016.
Lei Huang, Xinyue Zhang, Zhijian Wei, Aman Xu.
Front Oncol, 2021 Feb 16; 10. PMID: 33585181    Free PMC article.
Twenty-year risks of breast cancer-specific mortality for stage III breast cancer in the surveillance, epidemiology, and end results registry.
José P Leone, Bernardo A Leone, +7 authors, Nancy U Lin.
Breast Cancer Res Treat, 2021 Feb 17;. PMID: 33590387
Conditional survival in patients with esophageal or gastroesophageal junction cancer after receiving various treatment modalities.
Wei Deng, Zhao Yang, +2 authors, Weihu Wang.
Cancer Med, 2020 Dec 15; 10(2). PMID: 33314798    Free PMC article.
Risk of contralateral breast cancer according to first breast cancer characteristics among women in the USA, 1992-2016.
Cody Ramin, Diana R Withrow, +2 authors, Amy Berrington de González.
Breast Cancer Res, 2021 Feb 19; 23(1). PMID: 33596988    Free PMC article.
The prognostic and predictive value of the 8th American Joint Committee on Cancer (AJCC) staging system among early breast cancer patients aged <50 years.
Jun Wang, Chen-Lu Lian, +4 authors, San-Gang Wu.
Gland Surg, 2021 Feb 27; 10(1). PMID: 33633979    Free PMC article.
Fine Particulate Matter Air Pollution and Mortality Risk Among US Cancer Patients and Survivors.
Nathan C Coleman, Majid Ezzati, +3 authors, C Arden Pope.
JNCI Cancer Spectr, 2021 Mar 02; 5(1). PMID: 33644681    Free PMC article.
Risk of hematologic malignancies after breast ductal carcinoma in situ treatment with ionizing radiation.
Kang Wang, Zhuyue Li, +11 authors, Guosheng Ren.
NPJ Breast Cancer, 2021 Mar 04; 7(1). PMID: 33654083    Free PMC article.
Incidence of death from kidney diseases among cancer patients: a US population-based analysis.
Xiaoli Li, Wenhui Chen, Jinfang Feng, Bo Zhao.
Int Urol Nephrol, 2021 Mar 10;. PMID: 33686534
Chemotherapy Plus Radiotherapy Versus Chemotherapy Alone for Patients With Peripheral T-Cell Lymphoma, Not Otherwise Specified.
Zegeng Chen, He Huang, +11 authors, Tongyu Lin.
Front Oncol, 2021 Mar 09; 11. PMID: 33680962    Free PMC article.
Predictive model for the 5-year survival status of osteosarcoma patients based on the SEER database and XGBoost algorithm.
Jiuzhou Jiang, Hao Pan, +3 authors, Shunwu Fan.
Sci Rep, 2021 Mar 12; 11(1). PMID: 33692453    Free PMC article.
Development and validation of a novel nomogram to predict cancer-specific survival in patients with uterine cervical adenocarcinoma.
Xiao Ni, Xiaoling Ma, +3 authors, Chengyan Luo.
Ann Transl Med, 2021 Mar 13; 9(4). PMID: 33708920    Free PMC article.
Lung Cancer Attributed Mortality Among 316,336 Early Stage Breast Cancer Cases Treated by Radiotherapy and/or Chemotherapy, 2000-2015: Evidence From the SEER Database.
Semaw Ferede Abera, Rafael T Mikolajczyk, +6 authors, Daniel Medenwald.
Front Oncol, 2021 Mar 16; 10. PMID: 33718108    Free PMC article.
Additional radiotherapy to breast-conserving surgery is an optional treatment for de novo stage IV breast cancer: A population-based analysis.
Jun Wang, Shi-Ping Yang, +5 authors, San-Gang Wu.
Cancer Med, 2021 Feb 16; 10(5). PMID: 33586323    Free PMC article.
Association of chemotherapy with survival in stage II colon cancer patients who received radical surgery: a retrospective cohort study.
Zhihao Lv, Yuqi Liang, Huaxi Liu, Delong Mo.
BMC Cancer, 2021 Mar 25; 21(1). PMID: 33757442    Free PMC article.
Artificial neural networks versus LASSO regression for the prediction of long-term survival after surgery for invasive IPMN of the pancreas.
Linus Aronsson, Roland Andersson, Daniel Ansari.
PLoS One, 2021 Mar 26; 16(3). PMID: 33765078    Free PMC article.
Comparison of treatment modalities for selected advanced laryngeal squamous cell carcinoma.
Aihemaiti Wushouer, Wenming Li, +2 authors, Xinliang Pan.
Eur Arch Otorhinolaryngol, 2021 Apr 18;. PMID: 33864482