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National Bowel Cancer Screening Program: PI 04-Time between positive screen and diagnostic assessment

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termNational Bowel Cancer Screening Program interval between positive screen and diagnostic assessment
Synonymous names:Help on this termNBCSP interval between positive screen and diagnostic assessment
METeOR identifier:Help on this term694168
Registration status:Help on this termHealth, Standard 06/09/2018
Description:Help on this term

For those who received a positive National Bowel Cancer Screening Program (NBCSP) screening test (warranting further assessment) in a defined 12-month period, the time interval between the positive screening test and a follow-up diagnostic assessment, measured as median, 90th percentile, and participant diagnostic assessments within certain time cut offs, measured 12 months after the defined period.

Rationale:Help on this term

Waiting for a definitive diagnosis following a positive screen can create anxiety.

There are various steps, participant decisions, and wait times in the pathway between a positive screen and a diagnostic assessment. Therefore, this indicator should not be considered a hospital wait time indicator. However, after a positive screen further diagnostic evaluation should occur in a timely fashion as there is a defined risk of colorectal cancer in those with a positive screening test—and any harms (such as anxiety) from a positive screen should be minimised.

Indicator set:Help on this termNational Bowel Cancer Screening Program performance indicators 2019– Health, Standard 06/09/2018

Collection and usage attributes

Numerator:Help on this term

All NBCSP participants who received a positive screen in a defined 12-month period who underwent diagnostic assessment within 12 months of the defined period.

For all people who underwent a diagnostic assessment after a positive screen in a 12-month period (as measured 12 months after the period to be reported):

  • The median and 90th percentile value (in days) between the date the positive screen result was sent to the participant and the subsequent diagnostic assessment date
  • The number of participants for whom the time between the date of the positive screen result and diagnostic assessment was less than or equal to 30 days, less than or equal to 60 days, less than or equal to 90 days, less than or equal to 180 days, less than or equal to 360 days or greater than 360 days.
Numerator data elements:Help on this term
Data Element / Data SetPerson—disease screening test analysis date, DDMMYYYY
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—disease screening test results sent date, DDMMYYYY
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—cancer screening test result, bowel cancer code N[A]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPatient—cancer diagnostic assessment date, DDMMYYYY
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Disaggregation:Help on this term

Items will be presented by sex and age group, by:

  • State and territory
  • Socioeconomic status
  • Remoteness area
  • Indigenous status
  • Main language spoken at home
  • Disability status
  • Disease screening invitation round
  • Diagnostic assessment type
  • Patient election status

Some disaggregation may result in numbers too small for publication.

Disaggregation data elements:Help on this term
Data Element / Data SetPerson—sex, code X
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—age, total years N[NN]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—Australian state/territory identifier, code N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—area of usual residence, statistical area level 1 (SA1) code (ASGS 2016) N(11)
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—geographic remoteness, classification (ASGS-RA) N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—Indigenous status, code N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—main language other than English spoken at home, code (ASCL 2016) N[NNN]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—disability status, yes/no/not stated/inadequately described code N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPatient—election status, code N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPatient—cancer diagnostic assessment type, bowel cancer code N
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPerson—screening round number, identifier N[N]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19

Representational attributes

Representation class:Help on this termMedian
Data type:Help on this termReal
Unit of measure:Help on this termTime (e.g. days, hours)
Format:Help on this term

NNN

Data source attributes

Data sources:Help on this term
Data SourceNational Bowel Cancer Screening Program (NBCSP)
Frequency
6-monthly (register snapshot)
Data custodian

Medicare Australia (Medicare Australia merged with the Department of Human Services in 2011)


Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Relational attributes

Related metadata references:Help on this term

Supersedes National Bowel Cancer Screening Program: PI 04-Time between positive screen and diagnostic assessment Health, Superseded 06/09/2018

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