Changes in the quality of cause-of-death statistics in Brazil: garbage codes among registered deaths in 1996-2016.
Changes in the quality of cause-of-death statistics in Brazil: garbage codes among registered deaths in 1996-2016.
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DOI：
10.1186/s12963-020-00221-4
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发表时间：
2020-09-30
影响因子：
3.3
通讯作者：
Naghavi M
中科院分区：
文献类型：
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作者：
França E;Ishitani LH;Teixeira R;Duncan BB;Marinho F;Naghavi M
在生命统计中被归类为垃圾代码的登记原因被视为死因数据质量的指标。我们的目的是描述巴西这种质量的时间变化，以及根据全球疾病负担（GBD）研究收集的水平的主要GC。我们还评估了不同水平的GC在区域层面上的负担的社会经济差异。我们提取了1996年至2016年巴西死亡率信息系统的数据。根据GBD的研究建议，所有被认为是GC的三位和四位ICD-10代码都被选择并分为四类。GC级别1和2是最具破坏性的不可用代码，或主要GC。根据选定的变量，按GC水平进行死亡的比例分布。计算校正死亡漏报后的标准化死亡率，以研究时间关系，以及1996-2005年和2006-2016年GBD研究中各州GC率与社会人口指数（SDI）之间的线性相关性。我们将巴西各州分为三类的发展应用三分位数截止SDI国家级的估计。1996年至2016年，巴西因GC导致的标准化死亡率有所下降，特别是1级GC。1996年，最重要的GC组为原因不明（1级），2016年为未指明的肺炎（4级）。在州一级，1996-2005年SDI与1-2级GC率呈显著负相关，但SDI和完整性与3-4级均呈非预期显著正相关。在2006-2016年，SDI较高的州倾向于所有类型的GC比率较低。在1996-2016年期间，由于主要GC导致的死亡率在所有三个SDI类别中都有所下降，但GC水平3-4仅在高SDI类别中有所下降。分类为低或中等SDI组的国家是主要GC下降最严重的原因。在巴西，随着时间的推移，主要GC的发生与社会经济决定因素有关。随着社会经济群体之间死亡率差距的缩小，死亡率下降，这表明该国在减少不平等和加强死因统计方面取得了进展。
Registered causes in vital statistics classified as garbage codes (GC) are considered indicators of quality of cause-of-death data. Our aim was to describe temporal changes in this quality in Brazil, and the leading GCs according to levels assembled for the Global Burden of Disease (GBD) study. We also assessed socioeconomic differences in the burden of different levels of GCs at a regional level. We extracted data from the Brazilian Mortality Information System from 1996 to 2016. All three- and four-digit ICD-10 codes considered GC were selected and classified into four categories, according to the GBD study proposal. GC levels 1 and 2 are the most damaging unusable codes, or major GCs. Proportionate distribution of deaths by GC levels according selected variables were performed. Age-standardized mortality rates after correction of underreporting of deaths were calculated to investigate temporal relationships as was the linear association adjusted for completeness between GC rates in states and the Sociodemographic Index (SDI) from the GBD study, for 1996–2005 and 2006–2016. We classified Brazilian states into three classes of development by applying tertiles cutoffs in the SDI state-level estimates. Age-standardized mortality rates due to GCs in Brazil decreased from 1996 to 2016, particularly level 1 GCs. The most important GC groups were ill-defined causes (level 1) in 1996, and pneumonia unspecified (level 4) in 2016. At state level, there was a significant inverse association between SDI and the rate of level 1–2 GCs in 1996–2005, but both SDI and completeness had a non-expected significant direct association with levels 3–4. In 2006–2016, states with higher SDIs tended to have lower rates of all types of GCs. Mortality rates due to major GCs decreased in all three SDI classes in 1996–2016, but GC levels 3–4 decreased only in the high SDI category. States classified in the low or medium SDI groups were responsible for the most important decline of major GCs. Occurrence of major GCs are associated with socioeconomic determinants over time in Brazil. Their reduction with decreasing disparity in rates between socioeconomic groups indicates progress in reducing inequalities and strengthening cause-of-death statistics in the country.
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影响因子：
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作者：
Marinho, Maria Fatima;França, Elisabeth Barboza;Abreu, Daisy Maria Xavier de
通讯作者：
Abreu, Daisy Maria Xavier de
影响因子：
3.3
作者：
Naghavi M;Makela S;Foreman K;O'Brien J;Pourmalek F;Lozano R
通讯作者：
Lozano R
DOI：
10.1590/s0102-311x2010000300009
发表时间：
2010-03-01
期刊：
Cadernos de Saúde Pública
影响因子：
--
作者：
Lima-Costa, Maria Fernanda;Matos, Divane Leite;Cesar, Cibele Comini
通讯作者：
Cesar, Cibele Comini
DOI：
10.1590/s0102-30982010000100006
发表时间：
2010-06-01
期刊：
Revista Brasileira de Estudos de População
影响因子：
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作者：
Abreu, Daisy Maria Xavier de;Sakurai, Emília;Campos, Lorenza Nogueira
通讯作者：
Campos, Lorenza Nogueira
DOI：
10.1590/s0104-42302011000300019
发表时间：
2011-06-01
期刊：
Revista da Associação Médica Brasileira
影响因子：
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作者：
Martins Junior, Davi Félix;Costa, Tania Maria;Felzemburg, Ridalva Dias Martins
通讯作者：
Felzemburg, Ridalva Dias Martins