Here is the answer from the I & R. Have them stage them TX NX MX. As of
1/1/06 - class 0 cases do not need to be staged, so your dilemma ends.



14442
3/3/2005
CANCER PROG STDS 2004

If a patient had a D&C and endometrial adenocarcinoma was found and they
went to another facility for additional treatment and work-up, is it
clinically staged TX, NX, MX or can information from the other facility be
used to stage T1b, N0, M0 path?
AJCC staging is required for all analytic cases (Class of case 0, 1, and
2). When a biopsy is performed at the reporting facility, the physician
should stage the case at that point in time. At the time of the biopsy,
unknown stage may be the correct information. This is to be recorded in
the medical record by the managing physician. If the patient does not
return to the facility, this may be the only staging done. The cancer
committee should monitor those cases staged unknown, especially when
staged unknown in the medical record. The cancer registrar can always
update information in the cancer registry data base. The pathologic
"staged by" would need to documented as 7: staging assigned at another
facility.




Karen S. Smith, RHIT, CTR




"Nancy" <nancyctr@...>
Sent by: cancerregistrargroup@yahoogroups.com
03/29/2006 02:49 PM
Please respond to
cancerregistrargroup@yahoogroups.com


To
cancerregistrargroup@yahoogroups.com
cc

Subject
[Cancer Registrar Group] Physician Staging (AJCC)






Our latest efforts to encourage AJCC staging by the managing physician
has uncovered yet another reason why they refuse to comply -
medicolegal implications.

The pulmonologists and gastroenterologists are the hold outs. They are
not comfortable staging from a diagnostic procedure because of the many
unknowns...and they refuse to enter 'x' or '9'. They call it valueless
paperwork that serves no purpose. (I cannot wholeheartedly disagree!)

I am referring to cases diagnosed with cancer via scopes -
bronchoscopy / colonoscopy / etc. - without further definitive
procedures at this facility.

Has anyone else heard of the 'legality' arguement for not staging?
How have you addressed it?
Where am I going wrong?

Nancy





SPONSORED LINKS
Health and wellness
Health wellness product
Health and wellness program
Diet fitness health nutrition wellness
Health promotion and wellness
Business health wellness

YAHOO! GROUPS LINKS

Visit your group "cancerregistrargroup" on the web.

To unsubscribe from this group, send an email to:
cancerregistrargroup-unsubscribe@yahoogroups.com

Your use of Yahoo! Groups is subject to the Yahoo! Terms of Service.



CONFIDENTIALITY NOTICE: This message, including any attachments, is for the sole
use of the intended recipient(s) and may contain confidential and privileged
information. Any unauthorized review, use, disclosure or distribution is
prohibited. If you are not the intended recipient, please contact the sender by
reply e-mail and destroy all copies of the original message.