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MCR MINI-UPDATE
AUGUST 2016
Fellow registrars,
I hope that your conversions to NAACCR v16 are going smoothly. This issue lists a variety
of educational opportunities available locally, nationally, in-person or on-line. Check
them out!
DUE DATES
Large hospitals (>500 cases/yr.) are to finish January 2016 cases by August 15 and smaller
facilities (<300 cases /yr.) report the 1st Quarter of 2016 by October 15.
If you have already converted to v16, you must hold cases until we are ready to accept v16
format and edited cases, probably in September
 One transmittal form saying that you are converted to v16 and hence holding cases
helps us know that you are not delinquent.
If your database software is still in v15
 Please upload any remaining completed cases diagnosed 2015 and earlier in v15 by
August 15.
 If you have started abstracting any 2016 cases in v15, hold those to submit to MCR in
v16 in September. See tips in previous monthly updates and enter excellent text
regarding fields that you may need to touch again after conversion.
 The cut-off date when MCR will stop accepting v15 files is anticipated to occur
sometime in September. Please schedule conversion to v16 with your vendor before
that time to avoid delays in reporting.
 If you have remaining 2015 or earlier cases to abstract after your conversion to v16, that
will still be possible.
EDUCATION
NAACCR Webinars
Live: August 4, 2016, 8-11 a.m., Collecting Cancer Data: Bladder. Webinar will address cancer
data collection for bladder and will include information on anatomy, multiple primary and
histology coding rules, TNM staging, and treatment data items. Exercises with answers and
rationale will be presented. Questions and answers will be provided for participants during the
session. To attend the live broadcast in Columbia, sign up here:
www.SignUpGenius.com/go/30E0E49A4A82CAAFA7-naaccr7
Note: One block of Turner Ave. between MCR and the construction site (Providence to 5th St)
will be closed next week, but the parking garage will be open.
Upcoming: September 1, 2016, 8-11 a.m., Coding Pitfalls. To attend the live broadcast in
Columbia, sign up here: http://www.SignUpGenius.com/go/30E0E49A4A82CAAFA7-naaccr8
Recordings: Earn 3 CEs by viewing recorded webinars. Check out our Education and Training
page to find out how you can receive access to the recorded NAACCR Webinars.
http://mcr.umh.edu/mcr-education.php
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MCR MINI-UPDATE
AUGUST 2016
GoToMeeting
Live: August 10, 2016, 10-11 a.m., Abstracting Pitfalls with Kirsten McDowell. Learn a variety of
helpful abstracting tips! Register at http://www.signupgenius.com/go/30e0e49a4a82caafa7gotomeeting0810 and enjoy this broadcast to your computer workstation.
Upcoming: If you have additional topics that you would like to have taught by MCR in
GoToMeeting webinars this fall, contact Jennifer Sedovic with your suggestions:
[email protected]
Recordings: Previous GoToMeeting presentations are posted to the MCR website as recordings.
http://mcr.umh.edu/mcr-education.php
Fundamentals of Abstracting Workshop:
Fundamentals of Abstracting Workshop is a day and a half course held in Columbia, MO at the
offices of the Missouri Cancer Registry and Research Center. This is a free class and geared
toward new abstractors who are not familiar with the abstracting process. The MCR manual is
reviewed in detail. Students use Abstract Plus to work through cases using the MCR-ARC
Abstract Code Manual. For those not familiar with abstracting and the MCR-ARC required fields,
this is a great place to start.
Date & Time: Monday 09/12/2016, 1-5 pm & Tuesday 09/13/2016, 8 am - 4 pm
Location: Missouri Cancer Registry and Research Center - Columbia MO (Clark Hall, MU
campus) Room 426
Sign up by clicking on the following link:
http://www.signupgenius.com/go/30e0e49a4a82caafa7-fundamentals1
How to use Sign Up Genius to register for all educational events
Click on any “signupgenius” link provided above. Click the check box for the listed event and
then click the button that says “Submit and Sign Up”. You do not need to create an account; just
fill in the boxes with your name, email, number of registrants and any needed ADA
accommodations. That information will not be made public. Click the “Sign Up Now” button to
complete your registration. You can also go back later and change your reservation. You will get
a confirmation email that allows you to put the webinar on your Outlook, Mac or Google
calendar.
MCR Help-Line
Reach us at 1-800-392-2829 during regular office hours, or leave a message; a member of our
QA team will return your call within one business day.
MOSTRA
The Missouri Tumor Registrars Association (MoSTRA) Annual Conference will be held in Lake
Ozark, MO from November 9-11, 2016. Info at: http://mostractr.org/Portals/0/Documents/MOSTRA%202016%20Annual%20Meeting%20note%205-3-16.pdf
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MCR MINI-UPDATE
AUGUST 2016
AJCC TNM Webinars
As we mentioned last month, AJCC will be broadcasting 5 free site-specific TNM webinars. The
first live webinar (Melanoma) was held on July 27. The second webinar (Lung) will be held Aug.
16, followed by a third webinar (Breast) on August 31. The webinars will be recorded for anyone
who is not able to watch the live session. Register now at:
https://cancerstaging.org/CSE/Registrar/Pages/Disease-Site-Webinars.aspx
AJCC Graphic
A new AJCC “Timing is Everything” graphic explains how timing is key to AJCC clinical and
pathologic staging, understanding the use of the “c” and “p.” The AJCC stage classification
timeframes match the points in time in a patient’s care based on their treatment. The graphic
represents the patient care continuum with treatment choices and the resulting stage
classifications. The arrows indicate the starting and ending points for information included in
that stage. https://cancerstaging.org/CSE/Registrar/Pages/default.aspx
MCR NEWS
Death Clearance
Death Clearance follow back for all electronic reporting hospitals, including Abstract Plus users,
is expected to begin next week. Be alert in the coming days for a Web Plus e-mail with
notification of pending case follow back requests. Keep in mind the e-mail will be sent to the
Facility Uploader. If the uploader is not the person that processes death clearance cases, they
must immediately notify the appropriate departmental staff that is responsible and provide
them with access to the Web Plus DC application. If no notification is received, it typically means
there are no cases for your hospital; however, it is a good idea to check your spam/junk folder
periodically over the next couple of weeks in case a notification was inadvertently routed there.
CDC Visit
In late August, Olivia Marr, our NPCR Program Consultant will be conducting a site visit at MCR.
This will be her first visit to our offices, and we are eager to show her all that we are achieving
with you.
STANDARD SETTER NEWS
NAACCR
NAACCR v16A edit metafile is due out next week with fixes to some problems in the NAACCR
v16 metafile. MCR is prepared to customize a MOv16A edit metafile quickly thereafter and get it
into the hands of registrars and software vendors.
From NAACCR:
“You may have seen recent news coverage of a study claiming metastatic prostate cancer is
rising dramatically. As you likely know, this conflicts with our cancer registry data which show
the rate of metastatic prostate cancer is actually fairly stable. The discrepancy between this
study and our data is due to the authors’ using the wrong measurement for incidence. NAACCR
and its partners, ACS, CDC, and NCI are concerned about how the results of this study will be
interpreted by patients and their physicians due to the amount of press the article received. A
formal press release from NAACCR has been prepared, and we plan to submit a joint letter to
the editor of the publishing journal. Our concerns are also detailed in the most recent
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MCR MINI-UPDATE
AUGUST 2016
NAACCReview blog post (available here http://news.naaccr.org/rate-of-metastatic-prostatecancer-is-not-increasing/).”
From NCRA
“After 10 years of hard work, NCRA is proud to announce interim approval by the U.S. Bureau of
Labor Statistics for a new Standard Occupational Classification of “Medical Registrar”. Our hard
work has paid off! NCRA created and advocated for the new job classification entitled “Medical
Registrar”. NCRA’s next step is to look at the details of the Bureau’s recommendations to make
sure important features of the job classification include the details that NCRA recommended.
NCRA will submit comments as needed to ensure the description is accurate. More information
coming soon from NCRA. Stay tuned!”
REGISTRY TO RESEARCH
Nearly 1 in 12 patients with a common cancer develop a second, unrelated malignancy, study
finds (SEER data)
http://www.medicalnewstoday.com/releases/311492.php
Study Forecasts ‘Silver Tsunami’ of Cancer Survivors (SEER data)
http://www.cancer.gov/news-events/cancer-currents-blog/2016/cancer-silver-tsunami
New findings concerning hereditary prostate cancer (Swedish registry data)
https://www.sciencedaily.com/releases/2016/07/160711092513.htm
Surgical vs Nonsurgical Treatment Modalities for T3 Glottic Squamous Cell Carcinoma (SEER
data, Washington Univ. study)
http://archotol.jamanetwork.com/article.aspx?articleid=2532574#Abstract
The Impact of Combined Radiation and Chemotherapy on Outcome in Uterine Clear Cell
Carcinoma Compared With Chemotherapy Alone (SEER data)
http://www.clinicaloncologyonline.net/article/S0936-6555(16)30127-3/abstract
Abnormal Uterine Bleeding Can Signal Hematologic Cancer
http://journals.lww.com/greenjournal/Abstract/publishahead/Abnormal_Uterine_Bleeding_as_
the_Presenting.98694.aspx
Survival with Radiotherapy After Breast-Conserving Surgery for DCIS (SEER data)
http://jco.ascopubs.org/content/34/11/1190
Risk of colorectal cancer after the diagnosis of prostate cancer: A population-based study
(Manitoba Cancer Registry)
http://onlinelibrary.wiley.com/doi/10.1002/cncr.29919/abstract
The effect of statins on survival in patients with stage IV lung cancer (SEER data)
http://www.lungcancerjournal.info/article/S0169-5002(16)30406-8/abstract
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MCR MINI-UPDATE
AUGUST 2016
RESOURCES
Genetic mutations found linked to rare cases of multiple bowel tumors
http://www.medicalnewstoday.com/releases/311464.php
'Breast cancer gene' BRCA1 linked to aggressive uterine cancer
http://www.foxnews.com/health/2016/07/05/breast-cancer-gene-brca1-linked-to-aggressiveuterine-cancer.html
Laser Tx of Pigmented Lesions May Obscure Melanoma Diagnosis
http://onlinelibrary.wiley.com/doi/10.1111/1346-8138.13484/abstract
Management and outcomes in metaplastic breast cancer
http://www.clinical-breast-cancer.com/article/S1526-8209(16)30144-6/abstract
Getting to the Root of Brain Cancer
http://www.cancertodaymag.org/Summer2016/Pages/Getting-to-the-Root-of-BrainCancer.aspx
A Pilot Study to Evaluate the Role of Magnetic Resonance Imaging for Prostate Cancer Screening
in the General Population
http://www.jurology.com/article/S0022-5347(16)00332-3/abstract
Thanks for all you do!
Nancy H. Rold, CTR
Operations Manager
Missouri Cancer Registry and Research Center
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