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Death Certificate

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1. Value and disvalue of the pregnancy checkbox on death certificates in the United States -- Impact on newly released 2018 maternal mortality data. (Abstract)

Value and disvalue of the pregnancy checkbox on death certificates in the United States -- Impact on newly released 2018 maternal mortality data. Maternal mortality is a sentinel health indicator. To improve identification of maternal deaths, a pregnancy question was added during the 2003 revision of the standard death certificate in the United States. Its adoption across U.S. states took 16 years (2003-2018), and therefore, the National Center for Health Statistics (NCHS) has not provided (...) condition reported in the cause of death section of the death certificate continue to be coded as maternal deaths regardless of age. The 2018 method likely corrects errors introduced by the use of the checkbox among women >45 years, but whether it provides accurate maternal mortality figures remains unknown. We call for efforts to urgently and systematically validate the pregnancy checkbox information. Post-hoc coding adjustments cannot substitute for providing accurate and actionable maternal mortality

2020 American Journal of Obstetrics and Gynecology

2. Educational Case: Death Certification and the Role of the Medical Examiner/Coroner Full Text available with Trip Pro

Educational Case: Death Certification and the Role of the Medical Examiner/Coroner The following fictional case is intended as a learning tool within the Pathology Competencies for Medical Education (PCME), a set of national standards for teaching pathology. These are divided into three basic competencies: Disease Mechanisms and Processes, Organ System Pathology, and Diagnostic Medicine and Therapeutic Pathology. For additional information, and a full list of learning objectives for all three

2018 Academic pathology

3. The quality of medical death certification of cause of death in hospitals in rural Bangladesh: impact of introducing the International Form of Medical Certificate of Cause of Death. Full Text available with Trip Pro

The quality of medical death certification of cause of death in hospitals in rural Bangladesh: impact of introducing the International Form of Medical Certificate of Cause of Death. Accurate and timely data on cause of death are critically important for guiding health programs and policies. Deaths certified by doctors are implicitly considered to be reliable and accurate, yet the quality of information provided in the international Medical Certificate of Cause of Death (MCCD) usually varies (...) project physicians assigned an underlying cause of death, assessed the quality of the death certificate, and reported the degree of certainty of the medical records provided for a given cause. We examined the frequency of common errors in completing the MCCD, the leading causes of in-hospital deaths, and the degree of certainty in the cause of death data.The study included 4914 death certificates. 72.9% of medical records were of too poor quality to assign a cause of death, with little difference

2017 BMC health services research

4. Pregnant? Validity of the pregnancy checkbox on death certificates in four states, and characteristics associated with pregnancy checkbox errors. (Abstract)

Pregnant? Validity of the pregnancy checkbox on death certificates in four states, and characteristics associated with pregnancy checkbox errors. Maternal mortality rates in the United States appear to be increasing. One potential reason may be increased identification of maternal deaths after the addition of a pregnancy checkbox to the death certificate. In 2016, 4 state health departments (Georgia, Louisiana, Michigan, and Ohio) implemented a pregnancy checkbox quality assurance pilot (...) , with technical assistance provided by the Centers for Disease Control and Prevention. The pilot aimed to improve accuracy of the pregnancy checkbox on death certificates and resultant state maternal mortality estimates.To estimate the validity of the pregnancy checkbox on the death certificate, and to describe characteristics associated with errors using 2016 data from a 4-state quality assurance pilot.Potential pregnancy-associated deaths were identified by linking death certificates with birth or fetal

2020 American Journal of Obstetrics and Gynecology

5. Place of death in a small island state: a death certificate population study. Full Text available with Trip Pro

Place of death in a small island state: a death certificate population study. Low/middle-income countries, particularly Small Island Developing States, face many challenges including providing good palliative care and choice in place of care and death, but evidence of the circumstances of dying to inform policy is often lacking. This study explores where people die in Trinidad and Tobago and examines and describes the factors associated with place of death.A population-level analysis (...) of routinely collected death certificate and supplementary health data where the unit of analysis was the recorded death. We followed the Reporting of Studies Conducted Using Observational Routinely Collected Health Data reporting guidelines, an extension of Strengthening the Reporting of Observational Studies in Epidemiology, on a deidentified data set on decedents (n=10 221) extracted from International Statistical Classification of Diseases version 10 coded death records for the most recent available

2019 BMJ Supportive & Palliative Care

6. Trends in premature mortality in the USA by sex, race, and ethnicity from 1999 to 2014: an analysis of death certificate data. Full Text available with Trip Pro

Trends in premature mortality in the USA by sex, race, and ethnicity from 1999 to 2014: an analysis of death certificate data. Reduction of premature mortality is a UN Sustainable Development Goal. Unlike other high-income countries, age-adjusted mortality in the USA plateaued in 2010 and increased slightly in 2015, possibly because of rising premature mortality. We aimed to analyse trends in mortality in the USA between 1999 and 2014 in people aged 25-64 years by age group, sex, and race (...) and ethnicity, and to identify specific causes of death underlying the temporal trends.For this analysis, we used cause-of-death and demographic data from death certificates from the US National Center for Health Statistics, and population estimates from the US Census Bureau. We estimated annual percentage changes in mortality using age-period-cohort models. Age-standardised excess deaths were estimated for 2000 to 2014 as observed deaths minus expected deaths (estimated from 1999 mortality rates).Between

2017 Lancet

7. Automatic classification of free-text medical causes from death certificates for reactive mortality surveillance in France. (Abstract)

Automatic classification of free-text medical causes from death certificates for reactive mortality surveillance in France. Mortality surveillance is of fundamental importance to public health surveillance. The real-time recording of death certificates, thanks to Electronic Death Registration System (EDRS), provides valuable data for reactive mortality surveillance based on medical causes of death in free-text format. Reactive mortality surveillance is based on the monitoring of mortality (...) not specific to an MSG.The high performance of the rule-based method and SVM2 model will allow us to set-up a reactive mortality surveillance system based on free-text death certificates. This surveillance will be an added-value for public health decision making.Copyright © 2019 Elsevier B.V. All rights reserved.

2019 International journal of medical informatics

8. Trends in overall, cardiovascular and cancer-related mortality among individuals with diabetes reported on death certificates in the United States between 2007 and 2017. (Abstract)

Trends in overall, cardiovascular and cancer-related mortality among individuals with diabetes reported on death certificates in the United States between 2007 and 2017. The determination of diabetes as underlying cause of death by using the death certificate may result in inaccurate estimation of national mortality attributed to diabetes, because individuals who die with diabetes generally have other conditions that may contribute to their death. We investigated the trends in age-standardised (...) mortality due to diabetes as underlying or contributing cause of death and cause-specific mortality from cardiovascular disease (CVD), complications of diabetes and cancer among individuals with diabetes listed on death certificates in the USA from 2007 to 2017.Using the US Census and national mortality database, we calculated age-standardised mortality due to diabetes as underlying or contributing cause of death and cause-specific mortality rates among adults over 20 years with diabetes listed on death

2019 Diabetologia

9. Continuous Deep Sedation Until Death-a Swiss Death Certificate Study. Full Text available with Trip Pro

Continuous Deep Sedation Until Death-a Swiss Death Certificate Study. In the last decade, the number of patients continuously deeply sedated until death increased up to fourfold. The reasons for this increase remain unclear.To identify socio-demographic and clinical characteristics of sedated patients, and concurrent possibly life-shortening medical end-of-life decisions.Cross-sectional death certificate study in German-speaking Switzerland in 2001 and 2013.Non-sudden and expected deaths (2001 (...) : N = 2281, 2013: N = 2256) based on a random sample of death certificates and followed by an anonymous survey on end-of-life practices among attending physicians.Physicians' reported proportion of patients continuously deeply sedated until death, socio-demographic and clinical characteristics, and possibly life-shortening medical end-of life decisions.In 2013, physicians sedated four times more patients continuously until death (6.7% in 2001; 24.5.5% in 2013). Four out of five sedated patients

2018 Journal of General Internal Medicine

10. Standard Death Certificates Versus Enhanced Surveillance to Identify Heroin Overdose-Related Deaths. (Abstract)

underestimate the contribution of heroin to drug-related mortality. Enhanced surveillance efforts should be considered to allow a better understanding of the contribution of heroin to the overdose crisis. Public Health Implications. If enhanced surveillance can be incorporated into the death certificate process, national data on overdoses may better reflect the contribution of heroin to the opioid crisis. (...) Standard Death Certificates Versus Enhanced Surveillance to Identify Heroin Overdose-Related Deaths. To compare 2 approaches to identifying heroin-related deaths in cases of overdose: standard death certificates and enhanced surveillance.We reviewed Maryland death certificates from 2012 to 2015 in cases of overdose to determine specific mentions of heroin. Counts were compared with estimates obtained through an enhanced surveillance approach that included a protocol considering cause of death

2018 American Journal of Public Health

11. Place of death for people with HIV: a population-level comparison of eleven countries across three continents using death certificate data. Full Text available with Trip Pro

Place of death for people with HIV: a population-level comparison of eleven countries across three continents using death certificate data. With over 1 million HIV-related deaths annually, quality end-of-life care remains a priority. Given strong public preference for home death, place of death is an important consideration for quality care. This 11 country study aimed to i) describe the number, proportion of all deaths, and demographics of HIV-related deaths; ii) identify place of death; iii (...) ) compare place of death to cancer patients iv), determine patient/health system factors associated with place of HIV-related death.In this retrospective analysis of death certification, data were extracted for the full population (ICD-10 codes B20-B24) for 1-year period: deceased's demographic characteristics, place of death, healthcare supply.i) 19,739 deaths were attributed to HIV. The highest proportion (per 1000 deaths) was for Mexico (9.8‰), and the lowest Sweden (0.2‰). The majority of deaths

2018 BMC Infectious Diseases

12. Leading causes of death among decedents with mention of schizophrenia on the death certificates in the United States. (Abstract)

Leading causes of death among decedents with mention of schizophrenia on the death certificates in the United States. Little is known about the changes in the ranking of leading cause of death (COD) among people died with schizophrenia across years in the United States (U.S.). This study aims to determine the ranking of leading COD among U.S. decedents with mention of schizophrenia by age from 2000 to 2015.The mortality multiple COD files maintained by the National Center for Health Statistics (...) were used to identify decedents aged 15 years old and above with mention of schizophrenia anywhere on the death certificates to determine the number and proportion of deaths attributed to various underlying CODs.Of 13,289, 13,655, 14,135, and 15,033 people who died in 2000-2003, 2004-2007, 2008-2011and 2012-2015 with mention of schizophrenia, similar to all decedents, heart disease and cancer was the first and the second leading COD throughout the study years. Schizophrenia ranked the third in most

2018 Schizophrenia Research

13. In-hospital dementia-related deaths following implementation of the national dementia plan: observational study of national death certificates from 1996 to 2016. Full Text available with Trip Pro

In-hospital dementia-related deaths following implementation of the national dementia plan: observational study of national death certificates from 1996 to 2016. To examine changes in places of dementia-related death following implementation of the national dementia plan and other policy initiatives.Observational study.Japan between October 1996 and September 2016. Four major changes in health and social care systems were identified: (1) the public long-term care insurance programme (April 2000 (...) ); (2) community centres as a first access point for older residents (April 2006); (3) medical care system for older people (April 2008) and (4) the national dementia plan (April 2013).9 60 423 decedents aged 65 years or older whose primary cause of death was Alzheimer's disease, vascular or other types of dementia or senility.Place of death which was classified into 'hospital', 'intermediate geriatric care facility' (rehabilitation facility aimed at home discharge), 'nursing home' or 'own home

2018 BMJ open

14. Identification of American Indians and Alaska Natives in Public Health Data Sets: A Comparison Using Linkage-Corrected Washington State Death Certificates. (Abstract)

/AN on estimates of all-cause and cause-specific mortality for AI/AN in Washington during 2015-2016.Secondary analysis of death certificate data from Washington State. Data were corrected for AI/AN racial misclassification through probabilistic linkage with the Northwest Tribal Registry. Counts and age-adjusted rates were calculated and compared for 6 definitions of AI/AN. Comparisons were made with the non-Hispanic white population to identify disparities.Washington State.AI/AN and non-Hispanic white (...) Identification of American Indians and Alaska Natives in Public Health Data Sets: A Comparison Using Linkage-Corrected Washington State Death Certificates. Efforts to address disparities experienced by American Indians/Alaska Natives (AI/AN) have been hampered by a lack of accurate and timely health data. One challenge to obtaining accurate data is determining who "counts" as AI/AN in health and administrative data sets.To compare the effects of definition and misclassification of AI

2019 Journal of Public Health Management and Practice

15. Global burden of hypoglycaemia-related mortality in 109 countries, from 2000 to 2014: an analysis of death certificates. Full Text available with Trip Pro

Global burden of hypoglycaemia-related mortality in 109 countries, from 2000 to 2014: an analysis of death certificates. In the context of increasing prevalence of diabetes in elderly people with multimorbidity, intensive glucose control may increase the risk of severe hypoglycaemia, potentially leading to death. While rising trends of severe hypoglycaemia rates have been reported in some European, North American and Asian countries, the global burden of hypoglycaemia-related mortality (...) is unknown. We aimed to investigate global differences and trends of hypoglycaemia-related mortality.We used the WHO mortality database to extract information on death certificates reporting hypoglycaemia or diabetes as the underlying cause of death, and the United Nations demographic database to obtain data on mid-year population estimates from 2000 to 2014. We calculated crude and age-standardised proportions (defined as number of hypoglycaemia-related deaths divided by total number of deaths from

2018 Diabetologia

16. Mortality and quality of death certification in a cohort of patients with Parkinson's disease and matched controls in North Wales, UK at 18 years: a community-based cohort study. Full Text available with Trip Pro

Mortality and quality of death certification in a cohort of patients with Parkinson's disease and matched controls in North Wales, UK at 18 years: a community-based cohort study. This investigation reports the cause and the quality of death certification in a community cohort of patients with Parkinson's disease (PD) and controls at 18 years.Denbighshire North Wales, UK.The community-based cohorts consisted of 166 patients with PD and 102 matched controls.All-cause mortality was ascertained (...) at 18 years by review of hospitals' primary care records and examination of death certificates obtained from the UK General Register Office. Mortality HRs were estimated using Cox proportional regression, controlling for covariates including age at study entry, age at death, gender, motor function, mood, health-related quality of life (HRQoL) and cognitive function.After 18 years, 158 (95%) of patients in the PD cohort and 34 (33%) in the control cohort had died. Compared with the general UK

2018 BMJ open

17. Insights on dying, dementia and death certificates Full Text available with Trip Pro

Insights on dying, dementia and death certificates For our master thesis in medicine, we aimed to determine how many deaths were caused by and with dementia in 2014 and we compared our results with figures from abroad. The mortality rates of 2014 in Flanders were used to determine the amount of deaths related to dementia. These figures are collected by Vlaams Agentschap Zorg & Gezondheid (VAZG) and coded per ICD-10 classification. Of all deaths in Flanders in 2014, 6.60% were caused by dementia (...) and 4.29% were caused by another condition, while also suffering from dementia. Data from abroad are ambiguous. While working on our thesis about "death & dementia", we questioned the reliability of mortality statistics. Possible explanations could be; the complexity of completing death certificates correctly and the challenges involved in properly constructing a chain of causes of death. The accuracy of mortality data can be improved by training and redrafting death certificates.

2018 Archives of Public Health

18. Death certificate: admitting uncertainty Full Text available with Trip Pro

Death certificate: admitting uncertainty 30046550 2018 11 14 2236-1960 8 2 2018 Apr-Jun Autopsy & case reports Autops Case Rep Death certificate: admitting uncertainty. e2018024 10.4322/acr.2018.024 Rocha Luiz Otávio Savassi LOS Federal University of Minas Gerais (UFMG), Faculty of Medicine, Internal Medicine Department. Belo Horizonte, MG, Brazil. eng Editorial 2018 06 08 Brazil Autops Case Rep 101640070 2236-1960 Conflict of interest: None 2018 05 22 2018 7 27 6 0 2018 7 27 6 0 2018 7 27 6 1

2018 Autopsy & Case Reports

19. Quality of death certification in Colombia Full Text available with Trip Pro

Quality of death certification in Colombia To evaluate the quality of the certification of general death and cancer in Colombia.Validity indicators were described for each province and the cities of Bogotá, Cali, Manizales, Pasto and Bucaramanga. A factorial analysis of principal components was carried out in order to identify non-obvious relationships.Were analyzed 984,159 deaths, among them there were 164,542 deaths due to cancer. 93.7% of the general mortality was well certified (...) . The predominant errors were signs, symptoms and ill-defined conditions. 92.8% of cancer mortality was well certified. The predominant errors were due to poorly defined cancer sites.Certification of quality indicators in Colombia has improved. Given the good performance of the quality indicators for certificating general death and cancer, it is considered that this is a valid input for the estimation of cancer incidences.

2018 Colombia Médica : CM

20. Physicians' knowledge and practice on death certification in the North West Bank, Palestine: across sectional study. Full Text available with Trip Pro

Physicians' knowledge and practice on death certification in the North West Bank, Palestine: across sectional study. Mortality data are essential for many aspects of everyday public health practices at both national and international levels. Despite the current developments in various aspects of the medical field, the apparent inability of physicians to complete death notification forms (DNF) accurately is still worldwide concern. The aim of this study is to assess the physicians' knowledge (...) the accuracy of mortality data. Complicated cases, problems in the current design of the DNFs and lack of training were the most common factors contributing to inaccuracy in death certification. We recommend offering periodical training workshops on completing the DNF to all physicians, and developing a manual on completing the DNFs with clear instructions and guidelines.

2018 BMC health services research

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