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National Bowel Cancer Screening Program: PI 09-Adverse events (hospital admission rate)

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 adverse events (hospital admission rate)
Synonymous names:Help on this termNBCSP adverse events (hospital admission rate)
METeOR identifier:Help on this term694185
Registration status:Help on this termHealth, Standard 06/09/2018
Description:Help on this term

The proportion of people who returned a positive National Bowel Cancer Screening Program (NBCSP) screening test and had a diagnostic assessment in a defined 12-month period who were admitted to hospital within 30 days of the assessment, measured 6 months after the defined period.

Rationale:Help on this term

As with any invasive procedure, there is the risk of an adverse event occurring with a colonoscopy or other diagnostic assessment.

Maximising benefit and minimising harm is an important tenet of population screening. Accordingly, it is important to report the known harms from screening when monitoring the performance of the program. Further, many international colorectal screening programs report this indicator, which would bring Australian monitoring in line with International programs and allow comparisons to be computed if required.

To operationalise the monitoring of adverse events, the rate at which people who had a diagnostic assessment in a 12-month period were admitted to hospital within 30 days of that procedure should be monitored.

To reduce the effect of any lag time between invitation, positive screen, and diagnostic assessment (with adverse event), this indicator includes all those who had a diagnostic assessment in the defined period, not all those invited in the defined period (who had a diagnostic assessment).

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

Collection and usage attributes

Computation:Help on this term

10,000 x (Numerator ÷ Denominator)

Numerator:Help on this term

The number of people who returned a positive NBCSP screening test and had a diagnostic assessment in a defined 12-month period who were admitted to hospital in the next 30 days.

Numerator data elements:Help on this term
Data Element / Data SetPerson—person identifier, X[X(19)]
Data Source
National Bowel Cancer Screening Program (NBCSP)
NMDS / DSS
National Bowel Cancer Screening Program NBEDS 2018–19
Data Element / Data SetPatient—type of adverse event, bowel cancer diagnostic assessment adverse event code N[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—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
Denominator:Help on this term

The number of people who had a diagnostic assessment (after a positive screen) in a defined 12-month period.

Denominator data elements:Help on this term
Data Element / Data SetPerson—person identifier, X[X(19)]
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—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
  • 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

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

N[N].N

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)


Accountability attributes

Further data development / collection required:Help on this term

Adverse event data are collected within the NBCSP for those undergoing assessment; however, return of these data to the NBCSP register is not compulsory, meaning they may be incomplete. These NBCSP register data will be used until a more accurate and complete data source is available.

The indicator will be reviewed at the completion of the biennial screening rollout, or earlier if program changes warrant it. The NBCSP adverse event data, while potentially incomplete, only contain true adverse events.

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 09-Adverse events (hospital admission rate) Health, Superseded 06/09/2018

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