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Item #
Length
Source of Standard
Year Implemented
Version Implemented
Year Retired
Version Retired
1531
2
CoC
2018
18
NAACCR XML: Tumor.radiationTxDiscontinuedEarly
Description
This field is used to identify patients/tumors whose radiation treatment course was discontinued earlier than initially planned. That is the patients/tumors received fewer treatment fractions (sessions) than originally intended by the treating physician. This data item is required for CoC-accredited facilities as of cases diagnosed 01/01/2018 and later.
Rationale
Currently, the total dose of radiation reflects what was actually delivered rather than what was intended. When a patient doesn’t complete a radiation course as initially intended this is typically commented on within the radiation end of treatment summary. By flagging these patients within the cancer registry database, these patients can be excluded from analyses attempting to describe adherence to radiation treatment guidelines or patterns of care analyses.
Codes
00 No radiation treatment 01 Radiation treatment completed as prescribed 02 Radiation treatment discontinued early - toxicity 03 Radiation treatment discontinued early - contraindicated due to other patient risk factors (comorbid conditions, advanced age, progression of tumor prior to planned radiation etc.) 04 Radiation treatment discontinued early - patient decision 05 Radiation discontinued early - family decision 06 Radiation discontinued early - patient expired 07 Radiation discontinued early - reason not documented 99 Unknown if radiation treatment discontinued; Unknown whether radiation therapy administered