Tumor Board

Please note that the Tumor Board definition has been updated and the previous released metrics are presented here: Old Tumor Board

Summary:

Tumor Board encounters are defined using the OMOP visit_occurrence table, where the source value for the visit contains the phrase ‘tumor board’. Specifically, Thoracic Tumor Board patients are identified based on their primary site descriptions in the Neural Frame diagnoses data, which include diagnoses of lung, bronchus, or thymus cancers in addition to having a Tumor Board encounter.

Note: Thoracic Tumor Board definition will be narrowed further due to observations from cross-comparison between encounter data in Epic Hyperspace versus Epic Clarity.

As of July 2025, From 12,975 patients with thoracic cancer, 2,489 also had a Tumor Board encounter.

Tumor Board Encounter

Data Sources Across Tumor Board

Data Sources Across Tumor Board
Data Sources Count (N) Percentage (%)
Tumor Board Patients 23,116 100
Tumor Board Patients with Registry Data 19,900 86
Tumor Board Patients with Imaging and Registry Data 19,740 85
Tumor Board Patients with Imaging and Genomic Data 2,671 12
Tumor Board Patients with Thoracic Cancer 2,489 11

Summary of Patient Population

The demographic categories examined include Age, Sex, Race, and Ethnicity.

Thoracic Tumor Board
Characteristic Count (N) Percentage (%)
Total Total number of pts 2,489 100
Age 0-17 2 0
Age 18-44 88 4
Age 45-64 597 24
Age 65+ 1,802 72
Sex Male 1,133 46
Sex Female 1,355 54
Sex Unknown 1 0
Race American Indian-Alaska Native 7 0
Race Asian 787 32
Race Native Hawaii 25 1
Race Black 65 3
Race White 1,322 53
Race Other-Unknown 283 11
Ethnicity Hispanic Latino 182 7
Ethnicity NOT Hispanic Latino 2,248 90
Ethnicity Other-Missing 59 2

Neural Frame Case Status

The Stanford Cancer Registry keeps track of every cancer case at Stanford and uses the case status variable to monitor each case’s progress. The major categories are: Completed, Not Reportable, and Incomplete.

  • Not Reportable cases refer to cases that are not reportable to the state per cancer registry rules, or those that have already been abstracted.

  • Incomplete cases are reportable and have been abstracted, but are marked as incomplete due to pending treatment information or unresolved edit errors. These edits can arise for a variety of reasons, such as version changes by the state registry or code updates by standard-setting agencies.

  • Completed cases are reportable, have been fully abstracted, and have passed all edit checks. These cases are transmitted to the state.

Please note that the Incomplete case status is eventually updated to either Completed or Not Reportable.

The distribution of case status for Thoracic Tumor Board encounter patients are listed below:

Case Status Number of Patients
Complete 2,082
Not Reportable 280
Incomplete 127

Image Occurrence

As of July 2025, 2,486 with thoracic tumor board encounter had image occurrence procedures.

Note: The following modality source values without image pixel were excluded from the analysis:

SR: Structured Report, REG: Registration, KO: Key Object Selection, PR: Presentation State