الفهرس 
History of Medical RecordsOnly 14 pages are availabe for public view
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Abstract
A cancer registry is the process of continuous systematic collection of data on the rates and characteristics of reported cancers to help to evaluate and control the effect of cancer on the community. These cancer registries rely on extracting data from patients’ medical records, so without proper documentation within the medical records, we will have incomplete abstracted data items and missed data values within cancer registries.
This retrospective study was conducted at the Clinical Oncology and Nuclear Medicine department at Menoufia University Hospitals, aiming to assess the quality of the oncology patient’s records, determine the missing point at the oncology medical record in comparative to data form of cancer registry program of Egypt and analyze of cancer statistics during 2019 at Menoufia university hospitals.
This study includes 1844 oncology patient’ records which were formed during 2019 at the Clinical Oncology and Nuclear Medicine department. The records were revised according to the modified checklist designed by the investigator from the data form of cancer registry program of Egypt, the data obtained from the oncology patients’ records are checked for its presence or absence and cancer statistical analysis during 2019 at Menoufia university hospitals.
from the results, there were a high percentage of patients’ records that exceeded 80% level of completeness and the items on the checklist also were completed in a high percentage of the records. The name, age, sex, type of the tumor, diagnostic information, patient chief complaint, final diagnosis, vital status, Reporting hospital, and record number were present in all records, current address, marital status, occupation, history of present illness, physical examination, and past history were present in (95%-99%) of the checked records .Primary Site, laterality, type of reporting source, date of initial diagnosis, date of initial treatment, provisional diagnosis and frequency of the drug were present in (90%94%) of the checked records. I.D number, stage, date of last contact, dose, route of the drug were present in (85%-89%) of the checked records. Grade of the tumors and the medication name were present in (80%-84%) of the checked records while the place of birth and date of birth were present only in few records (2% and 7.3% respectively).
The most common tumor among the entire population and among the female patients was breast cancer. The most common tumor among the male patients was GIT tumors, smoking was a strong risk factor for respiratory tumors, urinary tract tumors, metastatic of unknown origin and blood cancer rather than the other types of tumors. A positive family history also was a strong risk factor for breast cancer rather than the other types of tumors. Males are risky for GIT tumors, metastatic of unknown origin, respiratory tumors, blood cancer and urinary tract tumors.
Survival analysis for the cases with concurrent treatment up to 2022 showed that there was a significantly higher survival time among nonsmokers than smokers’ patients among the studied group.
So from the results obtained in this study, training programs for the medical staff about the importance of proper documentation are recommended and a short course about hospital registrations could be included in the educational program of the students of medicine.