The flowchart above outlines the general process for conducting a research project. First starting with the idea phase, where a research question is identified. This leads to the planning phase, involving literature review, DCP, protocol and approvals. Next is data collection, where methods such as using specified databases, conducting interviews and/or surveys may be utilized. This is followed by data analysis where the collected data is processed and interpreted. Abstract and manuscript writing involving explaining findings, methodology and significance and submitting for a presentation and/ or publication. Lastly, after review and approval, a publication is granted for a wider audience to access through various journals.
Chart review involves the examination of patients' medical records to collect data for research purposes. This method is commonly used to extract specific information about patients' demographics, treatments, and outcomes, which can help answer research questions. Chart review is used when additional data is needed besides what is included in the Sphere dataset, which consists of deidentified data and serves as a foundation for analyzing trends, outcomes, and treatment pathways in breast cancer care.
Our work is built on the comprehensive SPHERE dataset, which encompasses twenty years of deidentified data from women diagnosed with breast cancer across Alberta. This dataset provides a foundation for analyzing trends, outcomes, and treatment pathways, enabling us to drive meaningful insights and innovations in breast cancer care. The dataset is deidentified data. If additional data is needed for a project, this is done through chart review or through access to additional datasets.
Database of newly diagnosed cancers and deaths in Alberta, providing access to all cancer patient data from multiple sources in one place.
Includes:
Availability for diagnosis of breast cancer:
Medication Data
Provides demographic, administrative, and clinical data from acute inpatient care and day surgeries, serving as a database primarily used for inpatient hospitalizations.
Availability: Admit Date from April 2002 – March 2024.
Collects demographic, administrative, clinical and service-specific data. Is primarily used for emergency department (ED), urgent care, and same-day surgery visits. This database uses International Classification of Diseases (ICD) codes for diagnosis and Canadian Classification of Health Interventions (CCI) codes for procedures.
Diagnoses Identification:
Procedure Identification:
Linking Care Episodes:
Availability: Visit Date from April 2001 – March 2024.
Contains information on physician service utilization, patient encounters, and payment records submitted through the Alberta Health Care Insurance Plan (AHCIP). Billing codes are primarily used from the database to identify specific surgical procedures and complementary treatments that may not be fully captured by CCI codes (Canadian Classification of Health Intervention).
Includes:
Mastectomy Types:
Breast Reconstruction Procedures:
Availability: April 2002- March 2024.
Contains detailed records of pharmaceutical dispensations from community-based pharmacies across the province. Provides data on prescribed medications, enabling the identification of treatment regimens. Primarily use the Anatomical Therapeutic Chemical codes (ATC) to identify drugs related to specific treatments.
For example:
Availability: January 1st, 2008 - 2024.
Records of deaths occurring within the province of Alberta.
Includes:
Availability: Vital Statistics - Death Registry: April 2002- October 2024.
Provides demographic and geographic information from basic medical and hospital care claims. Data is collected from all eligible residents in Alberta with Alberta Health Care Insurance Plan (AHCIP) coverage. The number of registrants can be used as a base for population counts.
Availability: April 2000- April 2024.
Synoptec (Softworks, Edmonton) is a synoptic reporting platform in use for procedure, surgical and pathology reports within Alberta Health Services, including surgical details such as surgery type, date and margin status. Requests for further data can be made by filling a CSA Synoptec Data Request Form, which asks for an overview of the project, privacy considerations, what type of data is required and how it will be used in the project.
Data Creation Plan (DCP) (doc)
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