The effect of ICD-10 on continuity in cause-of-death statistics.: The example of France
The effect of ICD-10 on continuity in cause-of-death statistics.: The example of France
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DOI：
10.3917/popu.802.0383
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发表时间：
2008-01-01
期刊：
影响因子：
3.8
通讯作者：
Vallin, Jacques
中科院分区：
文献类型：
--
作者：
Mesle, France;Vallin, Jacques
在2000年实施第十版《国际疾病分类》之后，法国很难根据最新版《国际疾病分类》重建一致的死亡原因时间序列。变化不仅多而复杂，而且在同一年，法国从根本上修改了产生死亡原因统计的方法，用一种新的自动系统取代了手工编码。现在几乎不可能区分由于国际疾病分类项目内容变化引起的统计不连续性和由于自动编码程序引起的统计不连续性。尽管INSERM采取了有价值的举措，对ICD-9和ICD-10的死亡样本进行了双重编码，但遗憾的是，由于所涉及的观察结果数量很少，这项研究的效用有限。我们能否更成功地依靠在美国或英格兰和威尔士进行的大规模可比性研究，或对多种死亡原因的深入分析？没有什么比这更不确定的了。
Following implementation of the tenth revision of the International Classification of Diseases (ICD) in 2000, it has become very difficult in France to reconstruct consistent cause-of-death time series based on this most recent version of the ICD. Not only are changes both numerous and complex, but in the same year France radically modified its method of producing cause-of-death statistic by replacing manual coding with a new automatic system. It is now practically impossible to distinguish between statistical discontinuities due to changes in the content of ICD items and those arising from the automatic coding procedure. Although INSERM has taken the worthy initiative of double coding a sample of deaths to ICD-9 and ICD-10, this study is, alas, of limited utility due to the very small number of observations concerned. Can we rely more successfully on the larger-scale comparability studies conducted in the United States or England and Wales, or on an in-depth analysis of multiple causes of deaths? Nothing is less certain.