Completeness of MCCD and Accuracy of Underlying Cause of Death

Abstract Background To compare the underlying cause of death reported by the Israeli Central Bureau of Statistics (CBS) with diagnoses in the electronic health records (EHR) of a fully integrated payer/provider healthcare system. Methods Underlying cause of death was obtained from the CBS for deaths occurring during 2009–2012 of all Clalit Health Service members in Israel. The final cohort consisted of members who had complete medical records. The frequency of a supportive diagnosis in the EHR was reported for 10 leading causes of death (malignancies, heart disease, cerebrovascular disease, diabetes, kidney disease, septicemia, accidents, chronic lower respiratory disease, dementia and pneumonia and influenza). Results Of the 45 680 members included in the study, the majority of deaths had at least one diagnosis in the EHR that could support the cause of death. The lowest frequency of supportive diagnosis was for septicemia (52.2%) and the highest was for malignancies (94.3%). Sensitivity analysis did not suggest an alternative explanation for the missing documentation. Conclusions The underlying cause of death coded by the CBS is often supported by diagnoses in Clalit’s EHR. Exceptions are septicemia or accidents that cannot be anticipated from a patient’s EHR, and dementia which may be under-reported.

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Disparities in intensity of treatment at end‐of‐life among children according to the underlying cause of death

Acta Paediatrica ◽

10.1111/apa.15713 ◽

2020 ◽

Author(s):

S Wolff ◽

C Christiansen ◽

S Johnsen ◽

H Schroeder ◽

A Darlington ◽

...

Keyword(s):

End Of Life ◽

Cause Of Death ◽

Underlying Cause Of Death ◽

Intensity Of Treatment

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Querying of Death Certificates in the United States

Public Health Reports ◽

10.1177/003335490512000312 ◽

2005 ◽

Vol 120 (3) ◽

pp. 288-293 ◽

Cited By ~ 12

Author(s):

Donna L. Hoyert ◽

Ann R. Lima

Keyword(s):

United States ◽

New York ◽

Incomplete Information ◽

Cause Of Death ◽

The United States ◽

Death Certificates ◽

Death Rates ◽

Underlying Cause Of Death ◽

The Impact ◽

Registration Area

Objective. Data from death certificates are often used in research; however, little has been published on the processing of vague or incomplete information reported on certificates. The goal of this study was to examine the querying efforts in the United States used to clarify such records. Methods. The authors obtained data on the querying efforts of the 50 states, New York City, and the District of Columbia. Descriptive statistics are presented for two units of analysis: registration area and death record. Using data from a single registration area, Washington State, the authors compared the percent change in age-adjusted death rates for data from before and after querying to analyze the effect of querying on selected causes of death. Results. Fifty-one of the 52 registration areas queried either demographic or cause-of-death information. Almost 90% of queries were returned; the underlying cause of death changed in approximately 68% of these records. This data translates into about 3% of total U.S. death records, given that 4% of total U.S. death records were queried about cause of death. The impact of queries on age-adjusted death rates varied by cause of death. Generally, the effect is most obvious for cause-of-death categories that are specific and relatively homogenous. Conclusion. Querying continues to be widely practiced. In the case of cause-of-death queries, this method refines the assigned underlying cause of death for records reported with vague or incomplete information.

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Underlying cause of death identification from death certificates using reverse coding to text and a NLP based deep learning approach

Informatics in Medicine Unlocked ◽

10.1016/j.imu.2020.100456 ◽

2020 ◽

Vol 21 ◽

pp. 100456

Author(s):

Vincenzo Della Mea ◽

Mihai Horia Popescu ◽

Kevin Roitero

Keyword(s):

Deep Learning ◽

Cause Of Death ◽

Learning Approach ◽

Death Certificates ◽

Underlying Cause Of Death

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Hypertension is the underlying cause of death assessed at the autopsy of individuals

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2018006103457 ◽

2019 ◽

Vol 53 ◽

Author(s):

Juliana Chaves Coelho ◽

Renata Eloah de Lucena Ferretti-Rebustini ◽

Claudia Kimie Suemoto ◽

Renata Elaine Paraizo Leite ◽

Wilson Jacob-Filho ◽

...

Keyword(s):

Cause Of Death ◽

Public Health Problem ◽

Female Gender ◽

Cross Sectional Study ◽

Aging Brain ◽

Cross Sectional ◽

History Of ◽

Underlying Cause Of Death ◽

Definition Of ◽

Brain Study

ABSTRACT Objective: To analyze hypertension and its relationship with the causes of death identified by the autopsy. Method: Cross-sectional study analyzed 356 participants belonging to the Brazilian Aging Brain Study Group, over 50 years of age, autopsied at the Sao Paulo Autopsy Service between 2004 to 2014. A clinical interview was conducted with the informant of the deceased. Hypertension was defined by reporting the disease and/or use of antihypertensive medication, by the informant of the deceased. Descriptive analyzes and bivariate and multivariable associations were performed. Results: The prevalence of hypertension was 66.2% and it was the second leading cause of death (25.6%) identified by autopsy, preceded by atherosclerosis (37.8%). The variables associated with hypertension were: female gender (OR=2.30 (1.34-3.90)); living with partner [OR=0.55 (0.32-0.92)]; Body Mass Index [OR=1.14 (1.08-1.22)] and history of diabetes [OR=2.39 (1.34-4.27)]. Conclusion: The prevalence of hypertension was high, and it was the second most common underlying cause of death. The gold standard for the definition of cause of death, the autopsy, shows important results, which confirmed the relevance of hypertension as a public health problem.

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