Use of death certificates in epidemiological studies, including occupational hazards: variations in discordance of different asbestos-associated diseases on best evidence ascertainment
| Autor: | Herbert Seidman, Irving J. Selikoff |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Mesothelioma medicine.medical_specialty Canada Lung Neoplasms Adolescent Pleural Neoplasms Asbestosis Occupational disease Disease medicine.disease_cause Asbestos Death Certificates Cohort Studies Risk Factors Cause of Death Neoplasms Occupational Exposure Epidemiology medicine Humans Prospective Studies Intensive care medicine Cause of death Aged Gastrointestinal Neoplasms Aged 80 and over business.industry Public Health Environmental and Occupational Health Middle Aged medicine.disease Survival Analysis Kidney Neoplasms United States Surgery Occupational Diseases Death certificate Risk assessment business |
| Zdroj: | American journal of industrial medicine. 22(4) |
| ISSN: | 0271-3586 |
| Popis: | There is extensive information on discordance in general between accuracy of medical diagnoses on death certificate categorization of cause of death and available clinical and histopathological data. This is as true for occupational disease as for other conditions. But occupational illnesses bear a special problem. Discordance is not equal across the board—it may vary with each occupationally related disease, and no single formula can be applied. It may be high for angiosarcoma and low for acute hydrogen sulfide poisoning, low for bladder cancer, high for unsuspected methyl mercury poisoning. We have found that for one agent—asbestos—there were different rates of discordance for different asbestos-related diseases (e.g., lung cancer, mesothelioma, asbestosis, kidney cancer) among 4,951 deaths studied prospectively from 1967 to 1986. Caution is therefore required before accepting generalizations concerning (unstudied) discordance in occupational mortality studies, and in their use in risk assessment models. |
| Databáze: | OpenAIRE |
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