The More Things Change: 2018 Cancer Registry Changes – Part 2

2018 cancer registryThis is part two in our series covering the 2018 cancer registry changes. In part one of “The More Things Change,” we covered an initial overview of cancer registry changes that cancer registry professionals need to be aware of for the upcoming year.

2018 Cancer Registry Changes on the Horizon

As a brief recap, in part one, we reviewed the American Joint Committee on Cancer (AJCC) 8th Edition for staging, highlighting timing as a key factor for clinical and pathologic staging. In addition, starting in 2018, SEER EOD coding will also reflect the changes in the AJCC 8th Edition.

New and revised prognostic data items include:

  • Collaborative effort to develop new site-specific data items and revise existing site-specific data items (SSDI)
  • Discontinue the current Site Specific Factor approach
  • Develop discrete data items to allow for
    • More flexibility
    • Different data item lengths
    • Coding actual data item
    • Ease-of-use for programmers
    • Easier data retrieval
  • SSF Data Review
    • Priority review
      • Schema discriminators
      • Required for staging
      • Currently required by at least 1 standard setter
        • Listed in AJCC 8th edition as a data collection item
        • Not listed in AJCC 8th edition
      • Results of SSF Review
        • 260 unique CS SSFs
        • 101 discontinued
        • 12 obsolete
        • 147 required (of these, 27 are not required for 2018)
        • 120 SSFs brought over from CSv 2005
      • Current SSFs and requirements are still in effect for all cases diagnosed through the end of the year: December 31, 2017.
      • The new discrete data items (Site Specific Data Item – SSDI) will go into effect with all cases diagnosed January 1, 2018 and forward.
      • Whenever possible, SSFs will be combined. For example, Perineural Invasion is often collected in several different schemas, but not always the same SSF. Starting in 2018, it will now be considered one data item.
      • Other general 2018 cancer registry changes
        • Data items will be different lengths
        • Data items can contain decimal points
        • Different coding conventions us to document:
          • Recording of actual values, percentages, ranges
          • Recording different definitions of “unknown”
        • Current Status
          • Approximately 150 data items developed for 2018
            • Approximately 140 approved and 10 are pending review/approval
          • New Cancer Registry Data Items for 2018
            • 14 – Required for Staging
                • Breast (1)
                • CLL/SLL (5)
                • Esophagus (1)
                • Melanoma Skin (1)
                • Plasma cell myeloma/multiple myeloma (4)
                • Testis (2)

Additional 2018 Cancer Registry Changes On the Way

As 2018 approaches, cancer registry professionals have a lot to consider. While not all of the changes you need to know about are covered in this series, it will provide a good overview to get you proactively thinking ahead. Expect more changes to come regarding grade, MP/H rules, etc; we’ll keep you updated. If you’re struggling to prepare for the 2018 cancer registry changes, contact the experts at ONCO.

ONCO Total Solution Provider to Support 2018 Cancer Registry Changes

As your total-solution cancer registry software provider, ONCO offers only the best in unparalleled customer support and innovative technology infrastructure. Learn more about ONCO’s suite of oncology solutions to navigate seamlessly through the CoC accreditation process and help your organization gain and maintain accreditation.

Contact us today at 800-604-7538 to schedule a complimentary demonstration.

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