Feasibility of using death certificates for studying place of death in Latin America

Seitz, Katja; Deliëns, Luc; Cohen, Joachim; Adrian, Cardozo Emanuel; Tripodoro, Vilma; Marcucci, Fernando Cesar Iwamoto; Rodrigues, Luís Fernando; Derio, Lea; Sánchez-Cárdenas, Miguel Antonio; Salazar, Valentina; Samayoa, Victor Rolando; Pozo, Ximena; Dykeman-Sabado, Diane A.; Lanza, Celina Castañeda de la; Algaba, Nineth Carolina Baltodano; Álvarez, Gabriela Píriz; Viana, Leticia; González, Tulio; Pastrana, Tania

doi:10.26633/rpsp.2021.149

Cited by 8 publications

(6 citation statements)

References 24 publications

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“…The quality of DC data and the availability and completeness of the variables in the country databases is limited. In a previous quality assessment, we found the databases of El Salvador and Peru to be of low quality because in El Salvador, a high percentage of the underlying causes of death were coded to unspecific/ill-defined conditions, while in Peru, mortality registration was considered incomplete [ 18 ]. Certain variables had high rates of missing values: PoD was missing in 25.5% in Peru.…”

Section: Discussionmentioning

confidence: 99%

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Place of death and associated factors in 12 Latin American countries: A total population study using death certificate data

et al. 2022

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Background Little is known about place of death in Latin America, although this data are crucial for health system planning. This study aims to describe place of death and associated factors in Latin America and to identify factors that contribute to inter-country differences in place of death. Methods We conducted a total population observational study using death certificates of the total annual decedent populations in 12 countries (Argentina, Brazil, Chile, Colombia, Costa Rica, El Salvador, Guatemala, Ecuador, Mexico, Paraguay, Peru, and Uruguay) for the most recent available year (2016, 2017, or 2018). Data were analysed regarding place of death and multivariable logistic regression with place of death as the dependent variable was used to examine associated clinical and sociodemographic factors (independent variables) in each of the countries. Results The total study sample was 2 994 685 deaths; 31.3% of deaths occurred at home, and 57.6% in hospitals. A strong variation was found among the countries with home deaths ranging from 20% (Brazil) to 67.9% (Guatemala) and hospital deaths from 22.3% (Guatemala) to 69.5% (Argentina). These differences between countries remained largely unchanged after controlling for sociodemographic factors and causes of death. The likelihood of dying at home was consistently higher with increasing age, for those living in a rural area, and for those with a lower educational level (except in Argentina). Conclusions Most deaths in Latin America occur in hospitals, with a strong variation between countries. As clinical and sociodemographic factors included in this study did not explain country differences, other factors such as policy and health care system seem to have a crucial impact on where people die in Latin America.

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Section: Discussionmentioning

confidence: 99%

“…A previous analysis considered the included DC data comparable (ie, containing most of the variables analysed) and of acceptable quality: high quality in three countries, medium quality in seven, and low quality in two. More details on this data collection and its resources can be found elsewhere [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

Place of death and associated factors in 12 Latin American countries: A total population study using death certificate data

et al. 2022

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“…20 The reasons for these findings remain unclear. Although epidemiological-data registration is good functioning, mainly in death certificates, with quality and high completeness reported, 21 in data on prevalence, DALY rates are subject to restrictions, such as data sources quality. Some researchers remarked on fragmentation and decentralization in providing good healthcare services in Argentina's health system.…”

Section: Discussionmentioning

confidence: 99%

Burden of Other Musculoskeletal Disorders in Latin America and the Caribbean

Mendoza-Pinto,

Etchegaray-Morales,

Munguía-Realpozo

et al. 2023

J Clin Rheumatol

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Objective To describe the results from the Global Burden Disease (GBD) study 2019 on the burden of other musculoskeletal (MSK) disorders in Latin America and the Caribbean (LAC). Methods In this cross-sectional study, we analyzed data from all LAC region in the GBD study from 1990 to 2019. Other MSK (other than rheumatoid arthritis, osteoarthritis, gout, low back pain, and neck pain) burden was measured as prevalence, mortality, years lived with disability (YLD), and disability-adjusted life (DALY), by year, sex, and country. We show the counts, rates, and 95% uncertainty intervals (95% UI). Joinpoint regression analysis was used to estimate the average annual percentage change (AAPC) from 1990 to 2019. A correlational analysis between the burden parameters and sociodemographic index (SDI) was performed. Results In 2019, there were 52.0 million (95% UI, 44.8–60.1 million) individuals with other MSK disorders in LAC. The age-standardized mortality rate in 2019 was 1.2 (95% UI, 0.8–1.6) per 100,000 inhabitants. The AAPC was estimated as 0.1% (95% confidence interval [CI], 0.1–0.2) and 0.2% (95% CI, 0.1–0.3) for prevalence and mortality rates, respectively. The age-standardized DALY rate was 685.4 (95% UI, 483.6–483.6) per 100,000 inhabitants, representing an AAPC of 0.2% (95% CI, 0.1–0.3). The burden was larger in women and the elderly. The SDI was positively correlated with the prevalence of YLD in 2019. Conclusions LAC region has experienced a significant burden of other MSK disorders over the last three decades. To challenge this growing burden, population-based strategies designed to reduce the burden of other MSK and strengthen health systems to contribute effective and cost-efficient care are necessary.

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“…This study strengths include the use of high-quality whole population data from Chile and Brazil, and moderate-quality data from Peru 24 . The information about place of death presented in death certificates is complete and accurate, providing high-quality data for our analyses 24 , 25 . Furthermore, the coverage of death registrations in Brazil and Chile is close to 100% 26 .…”

Section: Discussionmentioning

confidence: 99%

Uncovering the impact of COVID-19 on the place of death of cancer patients in South America

Durán,

Anyosa,

Nicolau

et al. 2023

Cad. Saúde Pública

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The COVID-19 pandemic has significantly impacted healthcare systems worldwide, especially on the management of chronic diseases such as cancer. This study explores the effects of COVID-19 on cancer mortality trends in Brazil, Chile, and Peru. The monthly age-standardized mortality rates in different places of death (hospital/clinic or home) were estimated using vital statistics and death certificate databases. An interrupted time series analysis was performed for each country, using the date of lockdown implementation as the intervention point. Overall cancer mortality rates reduced after the implementation of pandemic restrictions, with a significant decrease in Brazil. In total, 75.3%, 55.4%, and 45.7% of deaths in Brazil, Peru, and Chile, respectively, occurred in hospitals. After lockdowns were implemented, at-home deaths increased in all countries, and in-hospital deaths correspondingly decreased only in Chile. Our results suggest that COVID-19 has significantly affected rates of cancer mortality and place of death in Latin America.

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Feasibility of using death certificates for studying place of death in Latin America

Cited by 8 publications

References 24 publications

Place of death and associated factors in 12 Latin American countries: A total population study using death certificate data

Place of death and associated factors in 12 Latin American countries: A total population study using death certificate data

Burden of Other Musculoskeletal Disorders in Latin America and the Caribbean

Uncovering the impact of COVID-19 on the place of death of cancer patients in South America

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