The validity of death certificates:: routine validation of death certification and its effects on mortality statistics
The validity of death certificates:: routine validation of death certification and its effects on mortality statistics
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DOI：
10.1016/s0379-0738(00)00300-5
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发表时间：
2001-01-01
影响因子：
2.2
通讯作者：
Penttilä, A
中科院分区：
文献类型：
--
作者：
Lahti, RA;Penttilä, A
本研究的3478份死亡证明（占所有年度死亡证明的7.1%）包括1995年提交给代表医学和疾病分类学专业知识的小组进行验证的国家死亡证明。因此，它是经过严格挑选的，从疾病分类学的角度来看，它是芬兰死亡证明中填写最不一致的部分。例行的确认程序基本上是根据芬兰死亡证明表上的额外医疗资料，即病历。在3478份证书中，共有2813份（80.9%）可以在初级小组会议上进行调整;其余的需要进一步澄清。通过比较初始死亡证明和最终登记的基本死亡原因，特别是肿瘤、心血管疾病和非自然死亡的子类别，评估了专家组对死亡原因的重新分配以及专家组调整对国家死亡率统计的影响。统计学显著下降（p
The 3478 death certificates (7.1% of all annual death certificates) of this study comprise those national death certificates in 1995 submitted for validation to the panel representing both medical and nosological expertise. As such, it is highly selected and represents, from the nosological point of view, the most inconsistently filled-in portion of Finnish death certificates. The routine validation procedure is essentially based on exploitation of the extra medical information, i.e. the case history, on the Finnish death certificate form. Altogether, 2813 (80.9%) out of 3478 certificates could be adjusted at the primary panel session; the rest required further clarification. The re-assignment of cause of death by the panel and the impact of panel adjustments on the national mortality statistics is assessed here by comparing the initial death certification and the finally registered underlying cause of death grouped into ICD-9 major categories with special reference to the subcategories of neoplasm, cardiovascular disease (HVD) and unnatural death. A statistically significant decline (p