Follow-Up

Question 1

What are the two methods of follow-up?

Answer 1

Active and Passive

Question 2

According to CoC Standard 6.5, a(n)______% follow-up rate is required to be maintained for all analytic patients diagnosed within the last five years, or from the registry reference date, whichever is shorter.

Answer 2

90%

Question 3

A patient is considered lost to follow-up if no follow-up information has been obtained on them for _____ months.

Answer 3

15

Question 4

According to CoC Standard 6.5, a(n)____% follow-up rate must be maintained for all eligible analytic patients from the cancer registry reference date.

Answer 4

80%

Question 5

What type of registry can calculate population-based survival statistics?

Answer 5

A central registry

Question 6

What is the primary purpose of a central cancer registry?

Answer 6

To evaluate the survival of specific groups/demographics of patients.

Question 7

Who is responsible for monitoring the follow-up rate for all analytic patients?

Answer 7

The cancer committee.

Question 8

Patients greater than _____ years old may be excluded from follow-up calculations, according to the CoC.

Answer 8

100

Question 9

What method of follow-up does NOT require contact with the patient or physician?

Answer 9

Passive

Question 10

The CoC requires follow-up to be performed at least:

A. Quarterly
B. Bi-annually
C. Semi-annually
D. Annually

Answer 10

D. Annually

Question 11

Follow-up timing is based on:

A. Date of diagnosis

B. Date of last contact

C. Date of first contact

Answer 11

B. Date of last contact

Question 12

This method of follow-up involves directly contacting physicians, patients, or other facilities.

Answer 12

Active

Question 13

Another term for follow-up is _______

Answer 13

Surveillance

Question 14

Hospital registries report updated follow-up information to the central registry and ________.

Answer 14

The CoC’s NCDB (National Cancer Data Base).

Question 15

The process of linking death certificates from a state’s vital statistics office with registry records to obtain death data for previously registered cancer cases is called ______

Answer 15

Death clearance

Question 16

Linking with voter registration files, dept. of motor vehicle files, or Medicare files is what method of follow-up?

A. Active
B. Passive

Answer 16

B. Passive

Question 17

Living with cancer, living through cancer, and living beyond cancer are the three phases of _______

Answer 17

Cancer survivorship

Question 18

According to CoC standards, a survivorship care plan is recommended but not required of accredited cancer programs.

True or False?

Answer 18

True

Question 19

Follow-up is important because:

A. It provides survival information.

B. It provides information about the success or failure of cancer diagnosis and treatment.

C. Information obtained through follow-up is used to improve patient care.

D. All of the above.

Answer 19

D. All of the above.

Question 20

Standard 4.8 Survivorship Program states that the ________ appoints a coordinator of the survivorship program.

Answer 20

Cancer committee.

Question 21

A follow-up program is good for public relations.

True or False?

Answer 21

True. Most patients appreciate the continued interest in their care.

Question 22

All are common objectives of follow-up EXCEPT:

A. Determine the patient’s vital status.

B. Determine the patient’s medical status.

C. Determine the patient’s financial status.

D. Collect information on recurrence.

E. Collect information on any new primaries.

F. Encourage the patient to continue surveillance.

Answer 22

C. Determine the patient’s financial status.

Question 23

A cancer program should develop policies regarding permission to contact patients directly.

True or False?

Answer 23

True.

Question 24

Survival data relies on successful, comprehensive _______ information.

Answer 24

Follow-up.

Question 25

How often are central registries required to do a death clearance on all residents of their state/territory who died during the year?

Answer 25

Annually at the end of each calendar year.

Question 26

The follow-up rate is calculated on all eligible patients, both living and dead. True or False?

Answer 26

True.

Question 27

Which method of follow-up is more costly and labor intensive? A. Active. B. Passive.

Answer 27

A. Active.

Question 28

Which of the following must be included in follow-up: ``` A. Foreign residents. B. Reportable by agreement cases. C. Patients over 100 years of age. D. Non-analytic cases. E. None of the above. ```

Answer 28

E. None of the above. These are all EXCLUDED from follow-up.

Question 29

According to CoC Standard 6.5, PCP facilities must maintain a follow-up rate of ________% for all eligible analytic cases from the registries reference date.

Answer 29

60%

Question 30

Long-term follow-up is essential to evaluate outcomes of cancer care. True or False?

Answer 30

True.

Question 31

Which CoC Standard addresses Follow-Up of Patients? A. 6.3 B. 7.1 C. 7.2 D. 6.5

Answer 31

D. 6.5

Question 32

Follow-up information is obtained at least annually for all analytic cases of living patients included in the cancer registry database. True or False?

Answer 32

True.

Question 33

A non-CTR can perform follow-up activities in the registry. True or False?

Answer 33

True.

Question 34

In registry terms, what phrase is used to describe the general approval by a facility's medical staff for the registry to contact patients directly to obtain current follow-up information? A. Blanket permission B. Legal authorization C. Patient consent D. Limited approval

Answer 34

A. Blanket permission

Question 35

All follow-up letters need to be approved by the A. National Program of Cancer Registries (NPCR). B. Commission on Cancer (CoC). C. North American Association of Central Cancer Registries (NAACCR). D. The cancer committee, hospital administration, or governing agencies.

Answer 35

D. The cancer committee, hospital administration, or governing agencies.

Question 36

Which statement is true regarding follow-up preference and costs to central registries? A. Active follow-up is more typically performed and it is more expensive than passive follow-up. B. Active follow-up is more typically performed and it is less expensive than passive follow-up. C. Passive follow-up is more typically performed and it is more expensive than active follow-up. D. Passive follow-up is more typically performed and it is less expensive than active follow-up.

Answer 36

D. Passive follow-up is more typically performed and it is less expensive than active follow-up.

Question 37

What is the required follow-up rate for all eligible living patients in the registry?

Answer 37

80%

Question 38

What method of follow up is used primarily to determine the patient’s vital status and current date last seen alive or date of death?

Answer 38

Passive