Examination of Cause-of-Death Data Quality Among New York City Deaths Due to Cancer, Pneumonia, or Diabetes From 2010 to 2014
| Autor: | Antonio Soto, Gretchen Van Wye, Erica J Lee Argov, Mary Huynh, Laura Falci, Madia Plitt |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Quality management Epidemiology 030204 cardiovascular system & hematology Death Certificates Young Adult 03 medical and health sciences 0302 clinical medicine International Classification of Diseases Cause of Death Neoplasms Diabetes mellitus Diabetes Mellitus medicine Humans 030212 general & internal medicine Intensive care medicine Aged Cause of death Aged 80 and over business.industry Public health Pneumonia Middle Aged medicine.disease Certificate Data Accuracy Data quality Family medicine Female New York City Death certificate business |
| Zdroj: | American Journal of Epidemiology. 187:144-152 |
| ISSN: | 1476-6256 0002-9262 |
| Popis: | The cause-of-death (COD) statement on the standard US death certificate is a valuable tool for public health practice, but its utility is impaired by reporting inaccuracies. To assess the quality of CODs reported in New York City, we developed and applied a quality measure to 3 leading CODs: cancer, pneumonia, and diabetes. The COD quality measure characterized 5 common issues with COD completion: nonspecific conditions as the underlying COD (UCOD); UCOD discrepancies; the presence of only 1 informative cause on the entire certificate; competing causes listed together on 1 line; and clinically improbable sequences. COD statements with more than 1 quality issue were defined as statements of "limited" quality. Of 82,116 deaths with cancer, diabetes, or pneumonia assigned as the UCOD in New York City from 2010 to 2014, 66.8% of pneumonia certificates were classified as "limited" quality as compared with 45.6% of cancer certificates and 32.3% of diabetes certificates. Forty percent of cancer certificates listed only 1 informative condition on the death certificate. Almost half of pneumonia certificates (45.9%) contained only enough information to assign International Classification of Diseases, Tenth Revision, code J18.9 ("unspecified pneumonia") as the UCOD, whereas most diabetes certificates contained UCOD discrepancies (25.2%). These limitations affect the quality of mortality data but may be reduced through quality improvement efforts. |
| Databáze: | OpenAIRE |
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