Organization

Field Name

ID

Required

KCR

Radiation Treatment Discontinued Early (RadTXDiscontinued)

50553

no

CoC

Radiation Treatment Discontinued Early

1531

no

Field length: 2

Description
This field is used to identify patients/tumors whose radiation treatment course was discontinued earlier than initially planned. That is the patients/tumors received fewer treatment fractions (sessions) than originally intended by the treating physician. This data item is required for CoC-accredited facilities as of cases diagnosed 01/01/2018 and later.


Rationale
Currently, the total dose of radiation reflects what was actually delivered rather than what was intended. When a patient doesn’t complete a radiation course as initially intended this is typically commented on within the radiation end of treatment summary. By flagging these patients within the cancer registry database, these patients can be excluded from analyses attempting to describe adherence to radiation treatment guidelines or patterns of care analyses.


CodeDescription
00No radiation treatment
01Radiation treatment completed as prescribed
02Radiation treatment discontinued early – toxicity
03Radiation treatment discontinued early - contraindicated due to other patient risk factors (comorbid conditions, advanced age, progression of tumor prior to planned radiation etc.)
04Radiation treatment discontinued early – patient decision
05Radiation discontinued early – family decision
06Radiation discontinued early – patient expired
07Radiation discontinued early – reason not documented
99Unknown if radiation treatment discontinued; Unknown whether radiation therapy administered