Alternate Name	Item#	Length	Source of Standard	Column #
Surgical Procedure of Primary Site RX Hosp--CA Dir Surgery (pre-96 NAACCR) Cancer-Directed Surgery at this Facility (pre-96 CoC)	746	2	CoC	800-801

Description
Describes surgical procedures used to treat the primary site of the reportable tumor. This item records that portion of the first course of treatment given at the reporting facility. This field is to be used for ROADS codes after the ROADS to FORDS conversion. It is also to be used to code Surgery Primary Site at the reporting facility for all tumors diagnosed before January 1, 2003. See Chapter V, Unresolved Issues, for a discussion of differences in treatment coding among groups and over time.

Rationale
This data item can be used to compare the efficacy of treatment options.

If central registries wish to study the treatment given at particular facilities, the facility-level treatment fields must be used. The summary treatment fields, conversely, combine information for all hospitals that provide first course of treatment for the tumor. Facility-specific fields allow studies of detailed referral patterns and treatment by type of healthcare setting. Knowing what part of the treatment was given at a particular facility also helps resolve consolidation issues.

Codes (in addition to the site-specific codes)

00	No surgery performed
99	Unknown if surgery performed

Note: See the CoC ROADS Manual 1998 Supplement and the SEER Program Code Manual for site-specific codes.