A National Cooperative Program for the Evaluation of End Results in Cancer

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Abstract
More than 200 hospitals in the United States are participating in a cooperative program for the evaluation of end results in cancer. Punch cards on individual cancer patients are submitted annually to the National Cancer Institute, which is sponsoring the program. A Uniform Punch Card Code has been developed which provides information on the characteristics of the patient, the primary site and extent of the tumor, the treatment given, follow-up status, and length of survival. The institutions cooperating in the End-Results Evaluation Program were selected on the basis of ability and willingness to participate. The extent to which they are representative of all hospitals treating cancer patients in the United States is not known. It is known, however, that approximately one fifth of all cancer patients in the United States are seen in the hospitals participating in the program and that a wide variety of institutions are represented, e.g., cancer research centers, university hospitals, federal, State, county, and voluntary hospitals. Thus, comparisons may be made of the experience in different kinds of medical institutions. Whereas the primary goal of the program is the evaluation of end results, there will be opportunities for utilizing the resources of this group of cooperating institutions in epidemiological studies.

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