Fetal death certificate data quality: a tale of two US counties
Fetal death certificate data quality: a tale of two US counties
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DOI：
10.1016/j.annepidem.2017.07.001
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发表时间：
2017-08-01
影响因子：
5.6
通讯作者：
Hogue, Carol J. R.
中科院分区：
文献类型：
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作者：
Christiansen-Lindquist, Lauren;Silver, Robert M.;Hogue, Carol J. R.
目的：描述胎儿死亡证明 (FDC) 数据缺失和误报的相对频率和联合效应，并根据关键特征识别差异。方法：在 2006 年至 2008 年期间进行一项基于多地点人群的病例对照研究，前瞻性地识别死产。在本研究中，符合条件的死产母亲不是佐治亚州迪卡尔布县或犹他州盐湖县年龄 >= 13 岁且具有可识别 FDC 的被监禁居民。我们按县、种族/族裔、胎龄以及死产是产前还是产时确定了 FDC 数据的缺失和误报（任何偏离研究值）的频率。结果：数据质量因项目而异，其中盐湖县最高。报告通常与母亲或分娩特征无关。迪卡尔布县数据质量差的原因因项目而异：一些项目经常缺失和误报；结论：FDC 数据存在数据缺失和不准确的问题，并且因项目和县而异。盐湖县的数据表明高质量的报告是可以实现的。必须提高报告的整体质量，以支持随后的死产流行病学分析，并且应根据每个管辖区的需求制定改进工作。 (C) 2017 Elsevier Inc. 保留所有权利。
Purpose: Describe the relative frequency and joint effect of missing and misreported fetal death certificate (FDC) data and identify variations by key characteristics.Methods: Stillbirths were prospectively identified during 2006-2008 for a multisite population-based case-control study. For this study, eligible mothers of stillbirths were not incarcerated residents of DeKalb County, Georgia, or Salt Lake County, Utah, aged >= 13 years, with an identifiable FDC. We identified the frequency of missing and misreported (any departure from the study value) FDC data by county, race/ethnicity, gestational age, and whether the stillbirth was antepartum or intrapartum.Results: Data quality varied by item and was highest in Salt Lake County. Reporting was generally not associated with maternal or delivery characteristics. Reasons for poor data quality varied by item in DeKalb County: some items were frequently missing and misreported; however, others were of poor quality due to either missing or misreported data.Conclusions: FDC data suffer from missing and inaccurate data, with variations by item and county. Salt Lake County data illustrate that high quality reporting is attainable. The overall quality of reporting must be improved to support consequential epidemiologic analyses for stillbirth, and improvement efforts should be tailored to the needs of each jurisdiction. (C) 2017 Elsevier Inc. All rights reserved.