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Using non-disclosive computerised linkage we combined Scottish breast screening and Census 2001 data.
A computerised linkage was made with hospital discharge records in Scotland (Scottish Morbidity Records (SMRs)).
We supplemented medical record data with computerised linkage to outpatient pharmacy data available after 1986.
Date of death was ascertained through the Swedish Death Register at Statistic Sweden and cancers by computerised linkage with the National Swedish Cancer Register and the Regional Cancer Register covering the study area, both virtually complete (Mattsson and Wallgren, 1984).
Incident cases of colorectal adenocarcinomas were identified by computerised linkage to the national and regional Swedish cancer registries, both of which provide nearly 100% case ascertainment in Sweden (Mattsson and Wallgren, 1984).
The strengths of our study are the population-based design, the continuously updated data on aspirin use based on a prescription database covering all pharmacies in a Danish county, the relatively large number of outcomes, and the complete follow-up obtained by use of the unique civil registry number and computerised linkage to the Danish Cancer Registry.
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All primary cancers before or after the index breast cancer were ascertained through a computerised record linkage method.
An alternative method of obtaining health outcome data for cohort studies is computerised record linkage [ 11, 12].
Computerised record linkage offers a passive and ongoing method of obtaining health outcomes from existing routinely collected data sources.
A study comparing the accuracy of ascertaining mortality through computerised record linkage with CMDB found 96.4% completeness, equivalent to high-quality manual searches (Shannon et al, 1989).
Cases of incident endometrial cancer and deaths were ascertained respectively through computerised record linkage to the Canadian Cancer Database and the National Mortality Database, both of which are maintained by Statistics Canada.
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