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National Cancer Data Base - Data Dictionary PUF 2015

Radiation Surgery Sequence

DD_category: 
PUF Data Item Name: 
RX_SUMM_SURGRAD_SEQ
NAACCR Item #: 
1380
length: 
1
Allowable values: 
0, 2-6, 9
Description: 
Records the sequencing of radiation and surgical procedures given as part of the first course of treatment.
Registry Coding Instructions: 
  • Surgical procedures include Surgical Procedure of Primary Site (NAACCR Item #1290); Scope of Regional Lymph Node Surgery (NAACCR Item #1292); Surgical Procedure/Other Site (NAACCR Item #1294). If none of these procedures was performed and/or if no radiation therapy was administered then this item is coded 0.
  • If the patient received both radiation therapy and any one or a combination of the following surgical procedures: Surgical Procedure of Primary Site, Regional Lymph Node Surgery, or Surgical Procedure/Other Site, then code this item 2–9, as appropriate.
Analytic Note: 

This item is reported as an optional item per the ROADS manual for cases diagnosed between January 1, 1996, and December 31, 2002, and required thereafter. For cases diagnosed December 31, 2002 and earlier where this item was not reported, a value was imputed from the following ROADS items: Radiation Therapy (NAACCR Item# 1350); Date Radiation Started (NAACCR Item# 1210); Surgical Procedure of Primary Site (NAACCR Item #1290); Scope of Regional Lymph Node Surgery (NAACCR Item #1292); Surgical Procedure/Other Site (NAACCR Item #1294); and Date of Definitive Surgery (NAACCR Item #3170) have been used to assign this item.

Beginning with 2010 diagnoses, when it is unknown whether radiation and/or surgery was performed, the code assigned changed from 9 to 0. It is likely a shift in distribution of these two codes may be noticeable around that time.

Code Label Definition
0 No radiation therapy and/or surgical procedures No radiation therapy given; and/or no surgery of the primary site; no scope of regional lymph node surgery; no surgery to other regional site(s), distant site(s), or distant lymph node(s); or no reconstructive surgery. It is unknown if radiation therapy was administered and/or it is unknown if surgery to primary site; scope of regional lymph node surgery, surgery to other regional site(s), distant site(s), or distant lymph node(s) was performed. Diagnosed at autopsy.
2 Radiation therapy before surgery Radiation therapy given before surgery to primary site; scope of regional lymph node surgery, surgery to other regional site(s), distant site(s), or distant lymph node(s).
3 Radiation therapy after surgery Radiation therapy given after surgery to primary site; scope of regional lymph node surgery, surgery to other regional site(s), distant site(s), or distant lymph node(s).
4 Radiation therapy both before and after surgery Radiation therapy given before and after any surgery to primary site; scope of regional lymph node surgery, surgery to other regional site(s), distant site(s), or distant lymph node(s).
5 Intraoperative radiation therapy Intraoperative therapy given during surgery to primary site; scope of regional lymph node surgery, surgery to other regional site(s), distant site(s), or distant lymph node(s).
6 Intraoperative radiation therapy with other therapy administered before or after surgery Intraoperative radiation therapy given during surgery to primary site; scope of regional lymph node surgery, surgery to other regional site(s), distant site(s), or distant lymph node(s) with other radiation therapy administered before or after surgery to primary site; scope of regional lymph node surgery, surgery to other regional site(s), distant site(s), or distant lymph node(s).
9 Sequence unknown Administration of radiation therapy and surgery to primary site, scope of regional lymph node surgery, surgery to other regional site(s), distant site(s), or distant lymph node(s) were performed and the sequence of the treatment is not stated in the patient record. Death certificate only.