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National Cancer Data Base - Data Dictionary PUF 2015

Reason For No Radiation

DD_category: 
Radiation
PUF Data Item Name: 
REASON_FOR_NO_RADIATION
NAACCR Item #: 
1430
length: 
1
Allowable values: 
0 – 2, 5 – 9
Description: 
Records the reason that no regional radiation therapy was administered to the patient.
Registry Coding Instructions: 
  • If Regional Treatment Modality (NAACCR Item #1570) is coded 00, then record the reason based on documentation in patient record.
  • Code 1 if the treatment plan offered multiple options and the patient selected treatment that did not include radiation therapy.
  • Code 7 if the patient refused recommended radiation therapy, made a blanket refusal of all recommended treatment, or refused all treatment before any was recommended.
  • Cases coded 8 should be followed and updated to a more definitive code as appropriate.
  • Code 9 if the treatment plan offered multiple options, but it is unknown which treatment, if any, was provided.
Analytic Note: 

Prior to the implementation of FORDS in 2003, the information recorded in this item was limited to the content recorded as 0, 1, 7, 8 and 9.

Code Definition
0 Radiation therapy was administered.
1 Radiation therapy was not administered because it was not part of the planned first course treatment.
2 Radiation therapy was not recommended/administered because it was contraindicated due to other patient risk factors (comorbid conditions, advanced age, etc.).
5 Radiation therapy was not administered because the patient died prior to planned or recommended therapy.
6 Radiation therapy was not administered; it was recommended by the patient’s physician, but was not administered as part of first course treatment. No reason was noted in patient record.
7 Radiation therapy was not administered; it was recommended by the patient’s physician, but this treatment was refused by the patient, the patient’s family member, or the patient’s guardian. The refusal was noted in patient record.
8 Radiation therapy was recommended, but it is unknown whether it was administered.
9 It is unknown if radiation therapy was recommended or administered. Death certificate and autopsy cases only.