Completeness of reporting and internal validity of the coding of prost
ate cancer in the Cancer Registry (CR) in Norway were examined. Data w
ere matched and evaluated against diagnostic indices at eight selected
hospitals in the country and against death certificates from Statisti
cs Norway. Validity control was based on detailed reanalysis of an app
roximately 1% sample of the registered data during the period 1957-198
6. The deficiency in reporting of prostate cancer was less than 1%. Th
e grave deficiencies in hospital patient registers were considered to
be of non-systematic nature and should, therefore, not impair the reli
ability of our investigation of incompleteness. The validity control r
evealed errors in 0.5% of the data elements, or, illustrated different
ly, 6% of the patient files had an error, of importance or not, in one
of the data elements. One false positive registration was found among
298 controlled patient files (0.3%).