Postmortem Diagnostic Overshadowing: Reporting Cerebral Palsy on Death Certificates.
Postmortem Diagnostic Overshadowing: Reporting Cerebral Palsy on Death Certificates.
复制标题
DOI：
10.1177/00221465221078313
复制
发表时间：
2022-12
影响因子：
5
通讯作者：
Turk MA
中科院分区：
文献类型：
--
作者：
Landes SD;Stevens JD;Turk MA
死后诊断遮盖-定义为不准确地报告残疾为潜在死亡原因-发生在超过一半的成年脑瘫患者身上。这种做法掩盖了死因趋势，降低了减少这一边缘化健康人口过早死亡的努力的有效性。使用国家生命统计系统2005至2017年美国多死因文件(N=29,996)的数据，我们确定了与不准确报告脑瘫相关的因素(社会人口学特征、死亡背景和处理的方面，以及共病)作为潜在死因。结果表明，不准确的报告与临床不确定性的增加、残疾和健康的虚假对等以及潜在的种族偏见有关。结束死后诊断的阴影将需要对那些证明死亡证明的人进行关于残疾和健康的培训，并努力纠正无能为力的死亡证明政策。
Postmortem diagnostic overshadowing—defined as inaccurately reporting a disability as the underlying cause of death—occurs for over half of adults with cerebral palsy. This practice obscures cause of death trends, reducing the effectiveness of efforts to reduce premature mortality among this marginalized health population. Using data from the National Vital Statistics System 2005 to 2017 U.S. Multiple Cause of Death files (N = 29,996), we identify factors (sociodemographic characteristics, aspects of the context and processing of death, and comorbidities) associated with the inaccurate reporting of cerebral palsy as the underlying cause of death. Results suggest that inaccurate reporting is associated with heightened contexts of clinical uncertainty, the false equivalence of disability and health, and potential racial-ethnic bias. Ending postmortem diagnostic overshadowing will require training on disability and health for those certifying death certificates and efforts to redress ableist death certification policies.
登录
查看更多内容
影响因子：
--
作者：
De Alba, Israel;Sweningson, Jamie M.
通讯作者：
Sweningson, Jamie M.
影响因子：
3.5
作者：
Balsa, AI;McGuire, TG
通讯作者：
McGuire, TG
影响因子：
4.5
作者：
Iezzoni, Lisa I.;Long-Bellil, Linda M.
通讯作者：
Long-Bellil, Linda M.
影响因子：
3.8
作者：
Himmelmann, Kate;Sundh, Valter
通讯作者：
Sundh, Valter
影响因子：
1.9
作者：
Garland-Thomson, R
通讯作者：
Garland-Thomson, R