The accuracy of cancer mortality statistics based on death certificates in the United States
The accuracy of cancer mortality statistics based on death certificates in the United States
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DOI：
10.1016/j.canep.2010.09.005
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发表时间：
2011-04-01
影响因子：
2.6
通讯作者：
Yin, Daixin
中科院分区：
文献类型：
--
作者：
German, Robert R.;Fink, Aliza K.;Yin, Daixin
背景：癌症死亡率统计数据的准确性的一个衡量标准是癌症之间的一致性，癌症被定义为死亡证明中的潜在死亡原因，而癌症诊断记录在以人口为基础的中央癌症登记中。以前关于这种一致性的研究已经过时了。目的：从诊断时肿瘤死因与原发肿瘤部位的一致性来表征肿瘤死亡率统计的准确性。设计：美国加利福尼亚州、科罗拉多州和爱达荷州的中央癌症登记记录与州生命统计数据相关联，并通过79个站点类别的人口统计和肿瘤信息进行评估。回溯性ARM(每100例死亡的确认率)将2002年至2004年的死亡证明数据与1993年至2004年的癌症登记诊断进行了比较，而前瞻性ARM(每100例死亡的确诊率)将1993年至1995年的癌症登记诊断与1993年至2004年的死亡证明数据进行了比较，这是用来对死亡进行编码的国际疾病和相关健康问题统计分类(ICD)版本。结果：265,863例死亡病例中，ICD-10总确诊率为82.8%(95%可信区间为82.6-83.0%)，ICD-10总确诊率为81.0%(95%CI，80.4-81.6%)，ICD-9总确诊率为85.0%(95%CI，84.8-85.2%)。这些费率在主要站点之间有所不同，其中一些费率是
Background: One measure of the accuracy of cancer mortality statistics is the concordance between cancer defined as the underlying cause of death from death certificates and cancer diagnoses recorded in central, population-based cancer registries. Previous studies of such concordance are outdated. Objective: To characterize the accuracy of cancer mortality statistics from the concordance between cancer cause of death and primary cancer site at diagnosis. Design: Central cancer registry records from California, Colorado, and Idaho in the U.S. were linked with state vital statistics data and evaluated by demographic and tumor information across 79 site categories. A retrospective arm (confirmation rate per 100 deaths) compared death certificate data from 2002 to 2004 with cancer registry diagnoses from 1993 to 2004, while a prospective arm (detection rate per 100 deaths) compared cancer registry diagnoses from 1993 to 1995 with death certificate data from 1993 to 2004 by International Statistical Classification of Diseases and Related Health Problems (ICD) version used to code deaths. Results: With n = 265,863 deaths where cancer was recorded as the underlying cause based on the death certificate, the overall confirmation rate for ICD-10 was 82.8% (95% confidence interval [CI] 82.6-83.0%), the overall detection rate for ICD-10 was 81.0% (95% CI, 80.4-81.6%), and the overall detection rate for ICD-9 was 85.0% (95% CI, 84.8-85.2%). These rates varied across primary sites, where some rates were