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Using GIS for Cancer Information

Providing cancer information and statistics for Clinical Commissioning Groups

Responsibility for commissioning health care is to move from Primary Care Trusts (PCTs) to Clinical Commissioning Groups (CCGs) in April 2013. By October 2011 the Department of Health had approved 30 CCGs in West Midlands. To provide the best cancer information and statistics for these CCGs the cancer registry must be able to identify both the number of cancers diagnosed and the population profile of every CCG either by resident or registered population. The WMCIU has used case studies of 4 CCGs to assess how we might provide cancer statistics for them and how robust those statistics will be.
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Methods & Examples

GIS can provide a wide variety of analyses and visual outputs. The most common are:

Location maps – can be used to identify point locations of services, e.g. GP surgeries, hospitals, etc. Additional topographic information e.g. roads can be added to enhance the visual identification of the locality.

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Administrative maps – similar to location maps but are used to identify service locations in terms of relevant area boundaries (e.g. electoral, health, statistical and local government areas). These can be enhanced by adding topographic information.

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Topographic maps – primarily used to portray information about the physical features of the earth’s surface. Topographic information may be natural, man-made, cultural or political features.
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Thematic maps – designed to demonstrate the spatial variability of one or more quantitative or qualitative variables (e.g. population, incidence of disease or deprivation measures).

The most common form is chloropleth mapping which uses qualitative colour schemes to identify areas with similar values in same way.

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Spatial distributions – a specific type of thematic mapping that utilises symbols and colour schemes to classify sets of point data according to qualitative and quantitative information.
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Buffer zones – these can be used for a variety of analyses, e.g. to define simple “as the crow flies” travel zones or defining exposures to environmental factors.
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Travel time zones – travel time analyses utilise the road and street maps from OS to create networks to define areas in which it is possible to travel to a defined location within a certain period.
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Service catchment areas – may be described in a number of ways. Depending on the service under consideration a number of factors may influence how a catchment are is defined e.g. the location of existing services, its patient locations and the geography of the area can all be important considerations.
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A variety of techniques can be used to take account of this locational information e.g. point aggregations, Voronoi tessellations/Thiessen polygons. If the collection of demographic data for the resulting area is an important by-product of the work then the area should be defined in terms of existing census or ward geography.

 

Our mapping is based on Ordnance Survey geographical data accessed through the Public Sector Mapping Agreement (PSMA). We also utilise a variety of national and regional health, demographic, socioeconomic and environmental datasets available through the Office for National Statistics (ONS) and the Department of Communities and Local Government (DCLG). GIS analyses are provided as part of our information service provided to health professionals to better understand cancer service provision and assess the incidence and management of the disease in the region.

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