Codificación Múltiple de las Causas de Muerte: de Morir «Por» a Morir «Con»

Benavides, Fernando G.; Godoy, Catalina; Pérez, Santiago; Bolúmar, Francisco

doi:10.1016/s0213-9111(92)71092-9

Cited by 13 publications

(5 citation statements)

References 8 publications

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“…1994 ). Therefore more attention has recently been given to analysing deaths by multiple cause, often described as death with , rather that death of ( Garcia Benavides et al . 1992 ; Marsh et al .…”

Section: Discussionmentioning

confidence: 99%

“…When reporting and aggregating cause of death statistics, usually only a single, underlying cause of death is given, even though most child deaths in developing countries are probably due to multiple causes, and identifying only a single cause of death can lead to misleading results (Chandramohan et al 1994). Therefore more attention has recently been given to analysing deaths by multiple cause, often described as death with, rather that death of (Garcia Benavides et al 1992;Marsh et al 1995). We allowed multiple causes of death in this study, with the effect that the CSF for each illness is generally much higher than where a single cause is assigned.…”

Section: Discussionmentioning

confidence: 99%

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Prospective validation of a standardized questionnaire for estimating childhood mortality and morbidity due to pneumonia and diarrhoea

Coldham

Ross

Quigley

et al. 2000

Tropical Med Int Health

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SummaryThis paper reports the validation of a 'best-judgement' standardised questionnaire using guidelines and algorithms developed by an expert working group conducted in Nicaragua between 1995 and 1997. Prospective hospital data, including standardised medical recording of selected signs and symptoms, laboratory and radiographic test results and physician diagnoses were collected for children Ͻ 5 years admitted with any serious life-threatening condition in 3 study hospitals. The mothers or caregivers of the children were later traced and interviewed using the 'best-judgement' questionnaire. Interviews were completed 1-22 months after admission to hospital for 1115 children (400 who died during the stay in hospital and 715 who were discharged alive). The cause of death or admission to hospital was determined by an expert algorithm applied to hospital data. A similar procedure was used to derive the cause using the answers to questions from interviews. Hospital causes were compared with interview causes and sensitivity and specificity calculated, together with the estimated cause-specific fraction for diarrhoea and pneumonia. Multiple diagnoses were allowed; 378 children in the sample (104 deaths, 274 survivors) had a reference diagnosis of diarrhoeal illness, and 506 (168 deaths, 338 survivors) a reference diagnosis of pneumonia. When results for deaths and survivors in all age groups were combined, the expert algorithms had sensitivity between 86% and 88% and specificity between 81% and 83% for any diarrhoeal illness; and sensitivity between 74% and 87% and specificity between 37% and 72% for pneumonia. Algorithms tested in previous validation studies were also applied to data obtained in this study, and the results are compared. Despite less than perfect sensitivity and specificity, reasonably accurate estimates of the cause-specific mortality and morbidity fractions for diarrhoea were obtained, although the accuracy of estimates in other settings using the same instrument will depend on the true cause-specific fraction in those settings. The algorithms tested for pneumonia did not produce accurate estimates of the cause-specific fraction, and are not recommended for use in community settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prospective validation of a standardized questionnaire for estimating childhood mortality and morbidity due to pneumonia and diarrhoea

Coldham

Ross

Quigley

et al. 2000

Tropical Med Int Health

View full text Add to dashboard Cite

show abstract

“…First, cause-specific death statistics in Spain include only the primary underlying cause of death ( 11 ), which omit possible contributions of other infectious causes and result in underestimation of deaths caused by infectious diseases, a finding that could be detected only by using multiple coding ( 28 ). Second, in 1998 Spain replaced ICD-9 with ICD-10, a decision that might have been led to problems of standardization of disease coding and discontinuity in assessment of trends.…”

Section: Discussionmentioning

confidence: 99%

Trends in Infectious Disease Mortality Rates, Spain, 1980–2011

Ortíz¹,

Llácer²,

Palmera-Suárez³

et al. 2014

Emerg. Infect. Dis.

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“…Also included here were articles that aimed to evaluate cause-related mortality using rates based on any mention of a cause; that is, by counting each death that mentions the cause of interest anywhere on the death certificate. [18][19][20][21] Some evaluated the leading causes of death using any mention [22][23][24][25][26][27] to understand the most common causes involved in deaths. Assessment of temporal trends in rates based on any mention against rates based on the underlying cause was used to highlight changes in certification or coding practices and changing patterns of disease contribution to death.…”

Section: Descriptive Measures Of Multiple Causes Based On Any Mentionmentioning

confidence: 99%

Analysis of Multiple Causes of Death: A Review of Methods and Practices

et al. 2023

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Background: Research and reporting of mortality indicators typically focus on a single underlying cause of death selected from multiple causes recorded on a death certificate. The need to incorporate the multiple causes in mortality statistics-reflecting increasing multimorbidity and complex causation patterns-is recognized internationally. This review aims to identify and appraise relevant analytical methods and practices related to multiple causes. Methods: We searched Medline, PubMed, Scopus, and Web of Science from their incept ion to December 2020 without language restrictions, supplemented by consultation with international experts. Eligible articles analyzed multiple causes of death from death certificates. The process identified 4,080 items of which we reviewed 434 full-text articles. Results: Most articles we reviewed (76%, n = 332) were published since 2001. The majority of articles examined mortality by "anymention" of the cause of death (87%, n = 377) and assessed pairwise combinations of causes (57%, n = 245). Since 2001, applications of methods emerged to group deaths based on common cause patterns using, for example, cluster analysis (2%, n = 9), and application of multiple-cause weights to re-evaluate mortality burden (1%, n = 5). We describe multiple-cause methods applied to specific research objectives for approaches emerging recently. Conclusion: This review confirms rapidly increasing international interest in the analysis of multiple causes of death and provides the most comprehensive overview, to our knowledge, of methods and practices to date. Available multiple-cause methods are diverse but suit a range of research objectives. With greater availability of data and technology, these could be further developed and applied across a range of settings.

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Codificación Múltiple de las Causas de Muerte: de Morir «Por» a Morir «Con»

Cited by 13 publications

References 8 publications

Prospective validation of a standardized questionnaire for estimating childhood mortality and morbidity due to pneumonia and diarrhoea

Prospective validation of a standardized questionnaire for estimating childhood mortality and morbidity due to pneumonia and diarrhoea

Trends in Infectious Disease Mortality Rates, Spain, 1980–2011

Analysis of Multiple Causes of Death: A Review of Methods and Practices

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