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Death Certificate

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101. Problems in the Medical Certification of Causes of Death: Committee on Medical Certification of Causes of Death—Statistics Section (PubMed)

Problems in the Medical Certification of Causes of Death: Committee on Medical Certification of Causes of Death—Statistics Section 13487880 2000 07 01 2018 12 01 0002-9572 48 1 1958 Jan American journal of public health and the nation's health Am J Public Health Nations Health PROBLEMS in the medical certification of causes of death. 71-80 eng Journal Article United States Am J Public Health Nations Health 1254075 0002-9572 OM Cause of Death Certification Death Humans Medical Records 5833

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1958 American Journal of Public Health and the Nations Health

102. Determinants and interpretation of death certificate only proportions in the initial years of newly established cancer registries. (PubMed)

Determinants and interpretation of death certificate only proportions in the initial years of newly established cancer registries. The proportion of cases notified by death certificate only (DCO) is a commonly used criterion to judge completeness of cancer registration even though it is affected by additional factors, particularly during initial years of newly established registries.Based on cancer registry data from the United States, we provide model calculations to demonstrate the magnitude (...) and time course of the impact of the following mechanisms on DCO proportions of "young" registries: registration of cancer deaths from patients diagnosed prior to the registration period and delayed registration by death certificate of patients diagnosed but not reported after initiation of registration.DCO proportions of up to ≥30% can be expected from deaths of previously diagnosed patients during the first year of registration. Although this proportion is expected to gradually diminish over

2013 European Journal of Cancer

103. An exploration of reported mortality from cutaneous squamous cell carcinoma using death certification and cancer registry data. (PubMed)

An exploration of reported mortality from cutaneous squamous cell carcinoma using death certification and cancer registry data. Cutaneous squamous cell carcinoma (cSCC) is increasing in incidence but mortality rates are low. Identifying high-risk tumours is important when rationalizing clinical review for patients with cSCC.To assess the accuracy of death certification in cases of reported fatal cSCC and to identify risk factors for fatal cSCC.A retrospective, observational study of cases (...) of fatal cSCC over 11 years (1993-2004) in Leeds, identified in cancer registry and death certification data.Fifty-eight patients were recorded by the registry as having fatal cSCC in this period. Review of case notes and pathology specimens, where available (34 cases), confirmed that 21/34 patients had died of cSCC. Five were on the ear and none on the lip. Four patients had been treated for leukaemia or lymphoma and one was a renal transplant recipient. On pathology review five patients proved

2013 British Journal of Dermatology

104. Death certificate completion skills of hospital physicians in a developing country. (PubMed)

Death certificate completion skills of hospital physicians in a developing country. Death certificates (DC) can provide valuable health status data regarding disease incidence, prevalence and mortality in a community. It can guide local health policy and help in setting priorities. Incomplete and inaccurate DC data, on the other hand, can significantly impair the precision of a national health information database. In this study we evaluated the accuracy of death certificates at a tertiary care (...) teaching hospital in a Karachi, Pakistan.A retrospective study conducted at Aga Khan University Hospital, Karachi, Pakistan for a period of six months. Medical records and death certificates of all patients who died under adult medical service were studied. The demographic characteristics, administrative details, co-morbidities and cause of death from death certificates were collected using an approved standardized form. Accuracy of this information was validated using their medical records. Errors

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2013 BMC Health Services Research

105. Utility of Death Certificate Data in Predicting Cancer Incidence (PubMed)

Utility of Death Certificate Data in Predicting Cancer Incidence Studies often rely on death certificates to identify cancer occurrence. This research assessed the death certificate's ability to reflect cancer incidence and factors that influence agreement with cancer registry data.This study compared death certificates to cancer incidence data for an occupational cohort of 1,795 deceased workers who were registered by the Iowa Cancer Registry (ICR) between 1973 and 2005. Logistic regression (...) models examined the effects of factors such as survival time, age at diagnosis, and gender on the odds of agreement between death certificate and incidence data.Death certificates under-reported cancer incidence by 10-100%, depending on site. A 1-year increase in survival decreased the odds of agreement between death certificate and ICR data by 18%. Younger and female workers had increased odds of agreement.Death certificates can be useful predictors of cancer incidence, particularly for diseases

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2013 American Journal of Industrial Medicine

106. Complete Republication: National Association of Medical Examiners Position Paper: Recommendations for the Investigation, Diagnosis, and Certification of Deaths Related to Opioid Drugs (PubMed)

Complete Republication: National Association of Medical Examiners Position Paper: Recommendations for the Investigation, Diagnosis, and Certification of Deaths Related to Opioid Drugs The American College of Medical Toxicology and the National Association of Medical Examiners convened an expert panel to generate evidence-based recommendations for the practice of death investigation and autopsy, toxicological analysis, interpretation of toxicology findings, and death certification to improve (...) the precision of death certificate data available for public health surveillance. The panel finds the following: 1. A complete autopsy is necessary for optimal interpretation of toxicology results, which must also be considered in the context of the circumstances surrounding death, medical history, and scene findings. 2. A complete scene investigation extends to reconciliation of prescription information and pill counts. 3. Blood, urine, and vitreous humor, when available, should be retained in all cases

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2013 Journal of Medical Toxicology

107. Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death

Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death We use cookies to enhance your experience on our website. By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death | European Heart Journal | Oxford Academic Search Account Menu Menu Navbar Search Filter Mobile Microsite Search Term Close (...) search filter search input Article Navigation Close mobile search navigation Article navigation 1 November 2015 Article Contents Article Navigation 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC) Endorsed by: Association for European Paediatric and Congenital

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2015 European Society of Cardiology

108. Study of recent and future trends in place of death in Belgium using death certificate data: a shift from hospitals to care homes. (PubMed)

Study of recent and future trends in place of death in Belgium using death certificate data: a shift from hospitals to care homes. Since most patients prefer out-of-hospital death, place of death can be considered an indicator of end-of-life care quality. The study of trends in place of death is necessary to examine causes of shifts, to evaluate efforts to alter place of death and develop future policies. This study aims to examine past trends and future projections of place of death.Analysis (...) of death certificates (decedents aged ≥ 1 year) in Belgium (Flanders and Brussels Capital region) 1998-2007. Trends in place of death were adjusted for cause of death, sociodemographic characteristics, environmental factors, numbers of hospital beds, and residential and skilled nursing beds in care homes. Future trends were based on age- and sex-specific mortality prognoses.Hospital deaths decreased from 55.1% to 51.7% and care home deaths rose from 18.3% to 22.6%. The percentage of home deaths

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2011 BMC Public Health

109. Agreement on Cause of Death Between Proxies, Death Certificates, and Clinician Adjudicators in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study. (PubMed)

Agreement on Cause of Death Between Proxies, Death Certificates, and Clinician Adjudicators in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study. Death certificates may lack accuracy and misclassify the cause of death. The validity of proxy-reported cause of death is not well established. The authors examined death records on 336 participants in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study, a national cohort study of 30,239 community (...) -dwelling US adults (2003-2010). Trained experts used study data, medical records, death certificates, and proxy reports to adjudicate causes of death. The authors computed agreement on cause of death from the death certificate, proxy, and adjudication, as well as sensitivity and specificity for certain diseases. Adjudicated cause of death had a higher rate of agreement with proxy reports (73%; Cohen's kappa (κ) statistic = 0.69) than with death certificates (61%; κ = 0.54). The agreement between proxy

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2011 American Journal of Epidemiology

110. Association of Low Alanine Aminotransferase with Loss of Independence or Death: a 5-year Population-based Cohort Study. (PubMed)

certifications. The hazard ratios of LOI or death were estimated by Cox proportional hazard models adjusted for potential confounders.During the median follow-up period of 5.75 (interquartile range 4.85-5.83) years, LOI or death occurred in 195 participants (7.85%). Compared with ALT 20-30 U/L, low ALT was associated with LOI or death (multivariable adjusted hazard ratios [95% confidence intervals]: 3.02 [1.57-5.81] and 1.55 [1.07-2.24] in ALT < 10 and 10-20 U/L groups, respectively), while high ALT (...) Association of Low Alanine Aminotransferase with Loss of Independence or Death: a 5-year Population-based Cohort Study. Alanine aminotransferase (ALT) is an important enzyme for amino acid metabolism and gluconeogenesis, and low ALT is an indicator of vitamin B6 deficiency. However, it is unknown whether individuals with low ALT are likely to develop loss of independence (LOI) or death. We investigated the association of low ALT with LOI or death in the elderly.Between 2008 and 2010, 2,484

2019 Journal of gastroenterology and hepatology

111. Hey, my fellow pro-vax warriors, death threats are NEVER acceptable, mmmkay? Knock it off!

Hey, my fellow pro-vax warriors, death threats are NEVER acceptable, mmmkay? Knock it off! Hey, my fellow pro-vax warriors, death threats are NEVER acceptable, mmmkay? Knock it off! - RESPECTFUL INSOLENCE March 27, 2019 March 25, 2019 March 22, 2019 March 20, 2019 March 19, 2019 March 18, 2019 RJ on RJ on RJ on RJ on rs on Christine Rose on Nancie on on Rich Scopie on Denice Walter on Dangerous Bacon on Search and explore Browse "A statement of fact cannot be insolent." The miscellaneous (...) ramblings of a surgeon/scientist on medicine, quackery, science, and pseudoscience (and anything else that interests him). Hey, my fellow pro-vax warriors, death threats are NEVER acceptable, mmmkay? Knock it off! There are a number of hazards that come with blogging. Personally, I’ve experienced the odd legal threat and a whole lot of attempts to harass me at work, beginning in 2005, less than five months after I started this blog, and continuing to this very day. Then there was the time that Mike

2018 Respectful Insolence

112. Causes of death in patients with Berardinelli-Seip congenital generalized lipodystrophy. (PubMed)

Causes of death in patients with Berardinelli-Seip congenital generalized lipodystrophy. Berardinelli-Seip Congenital Lipodystrophy (BSCL) is a rare autosomal recessive disease that affects the development of adipocytes and leads to an inability to store fat in adipocytes. This study aimed to evaluate the life expectancy and the causes of death of patients with BSCL.We analyzed death certificates, and medical records of BSCL patients who died between 1997 and 2017. If the death certificate (...) was incomplete or unavailable, we reviewed the medical records, and if they were not available too, we collected information from the patient's relatives to understand how the death happened. We calculated the potential years of life lost as a result of premature death.Twenty patients (12 female and 8 male) died between 1997 and 2017. The mean age at the time of death was 27.1±12.4 years (women 25.2±12.5 vs. men 29.9±12.6 years, p = 0.41). Life expectancy for the study population was 62.9±4.8 years

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2018 PLoS ONE

113. Early death after discharge from emergency departments: analysis of national US insurance claims data. (PubMed)

, in the 20% sample over 2007-12) died within seven days, or 10 093 per year nationally. Mean age at death was 69. Leading causes of death on death certificates were atherosclerotic heart disease (13.6%), myocardial infarction (10.3%), and chronic obstructive pulmonary disease (9.6%). Some 2.3% died of narcotic overdose, largely after visits for musculoskeletal problems. Hospitals in the lowest fifth of rates of inpatient admission from the emergency department had the highest rates of early death (0.27 (...) Early death after discharge from emergency departments: analysis of national US insurance claims data.  To measure incidence of early death after discharge from emergency departments, and explore potential sources of variation in risk by measurable aspects of hospitals and patients. Retrospective cohort study. Claims data from the US Medicare program, covering visits to an emergency department, 2007-12. Nationally representative 20% sample of Medicare fee for service beneficiaries. As the focus

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2017 BMJ

114. Asthma deaths in North Carolina: 1999-2016. (PubMed)

WONDER was used to query and evaluate age-adjusted asthma mortality rates from 1999 to 2016 among residents in N.C., greater than 1 year of age. Asthma death data were derived from death certificates using ICD-10 underlying cause-of-death codes J45 (asthma) and J46 (status asthmaticus). The Join point regression program was used to test statistical significance in age-adjusted rates for the U.S. and N.C. over the entire study period.N.C. experienced a total of 2,066 decedents assigned (...) Asthma deaths in North Carolina: 1999-2016. Despite the significant decline in overall death rates in the U.S. over the past decade, many asthma deaths could have been avoided. Eastern North Carolina (N.C.) is an economically challenged region with significant health disparities and a high prevalence of asthma.The primary purpose of this project was to examine trends of asthma deaths across N.C. and identify counties in the state with the highest mortality rates over an 18-year period.CDC

2019 Journal of Asthma

115. Obscuring effect of coding developmental disability as the underlying cause of death on mortality trends for adults with developmental disability: a cross-sectional study using US Mortality Data from 2012 to 2016. (PubMed)

indicated on their death certificate aged 18 through 103 at the time of death. The study population included 33 154 adults who died between 1 January 2012 and 31 December 2016.Decedents with a developmental disability coded as the underlying cause of death on the death certificate were identified using the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision code for intellectual disability, cerebral palsy, Down syndrome or other developmental disability (...) . Death certificates that coded a developmental disability as the underlying cause of death were revised using a sequential underlying cause of death revision process.There were 33 154 decedents with developmental disability: 7901 with intellectual disability, 11 895 with cerebral palsy, 9114 with Down syndrome, 2479 with other developmental disabilities and 1765 with multiple developmental disabilities. Among all decedents, 48.5% had a developmental disability coded as the underlying cause of death

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2019 BMJ open

116. The death of Charlotte Brontë from hyperemesis gravidarum and refeeding syndrome: A new perspective. (PubMed)

The death of Charlotte Brontë from hyperemesis gravidarum and refeeding syndrome: A new perspective. Many theories have been advanced concerning the cause of Charlotte Brontë's death, none of which fully explain all the symptoms she experienced in the course of her final illness. Her death certificate records the cause of death as phthisis (tuberculosis), but there is no evidence, other than circumstantial, to support this diagnosis. A diagnosis of Addison's disease, caused by tuberculosis (...) of the adrenals, has been proposed, but this is unlikely, since it does not fit well with two and a half months of severe anorexia, nausea and vomiting, followed by remission of these symptoms and eventual death. We agree, as suggested by some authors, that the most likely diagnosis was hyperemesis gravidarum, but suggest that this was complicated by the refeeding syndrome consequent on recovery of her appetite after resolution of hyperemesis gravidarum and that this was the cause of her death. These two

2019 Clinical nutrition (Edinburgh, Scotland)

117. Peter Brindley: Trust me with your death?

and concludes it must be a wall, one its tusk and assumes a spear, and one its tail and assumes a snake. The moral is that we all tend to project our experience as if we possess the whole truth, and nothing but the truth. This brings me back to medical charting and explains why two perfectly capable doctors can have three plausible opinions. It is why it’s darn tough to know exactly what to write on a death certificate. It’s not entirely fiction, but nor is it unalloyed fact. The documentation of death (...) hourglass. To the white coat brigade “frailty” is not a pejorative term, but rather means “ from which the patient does not bounce back”. Like many of our words it sounds terribly clever when, in fact, it’s still vague. Families are as close to the bullseye when they combine words like “straw” “camel” “broke” and “back”. In the intensive care unit, we cause similar consternation if we write “multisystem organ failure”, on a death certificate, although it is similarly on point. How else to summarize

2018 The BMJ Blog

118. On the estimation of population cause-specific mortality fractions from in-hospital deaths. (PubMed)

. Hospital medical certificates of cause of death (death certificates) were collected and mapped to the corresponding cause categories of the VAI. Tariff 2.0 was used to assign a COD for community deaths. Logistic regression models were created for broad causes in each country to calculate the probability of in-hospital death, given a set of covariate values. The reweighted CSMFs for deaths in the hospital catchment population, represented by each hospital death, were calculated from the corresponding (...) . The reweighted method generally estimated CSMFs that fell between those derived from hospitals and those diagnosed by Tariff 2.0.Statistical methods can be used to derive estimates of cause-specific probability of death in-hospital for Bangladesh and the Philippines to generate population CSMFs. In regions where hospital death certification is of reasonable quality and routine verbal autopsy is not applied, these estimates could be applied to generate cost-effective and robust CSMFs for the population.

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2019 BMC Medicine

119. Unclassified drug overdose deaths in the opioid crisis: emerging patterns of inequity. (PubMed)

in the overdose mortality records (as defined by the use of ICD-10 T50.9 on death certificates). We examined individual disparities in decedent-level multivariate logistic regression models, geographic disparities in spatial analysis (heat maps), and economic disparities in a combination of temporal trend analyses (descriptive statistics) and both decedent- and county-level multivariate logistic regression models.Our analyses consistently found higher rates of unclassified overdoses in decedents of female (...) Unclassified drug overdose deaths in the opioid crisis: emerging patterns of inequity. Examine whether individual, geographic, and economic phenotypes predict missing data on specific drug involvement in overdose deaths, manifesting inequities in overdose mortality data, which is a key data source used in measuring the opioid epidemic.We combined national data sources (mortality, demographic, economic, and geographic) from 2014-2016 in a multi-method analysis of missing drug classification

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2019 Journal of the American Medical Informatics Association

120. Monitoring progress in reducing maternal mortality using verbal autopsy methods in vital registration systems: what can we conclude about specific causes of maternal death? (PubMed)

Monitoring progress in reducing maternal mortality using verbal autopsy methods in vital registration systems: what can we conclude about specific causes of maternal death? Reducing maternal mortality is a key focus of development strategies and one of the indicators used to measure progress towards achieving the Sustainable Development Goals. In the absence of medical certification of the cause of deaths that occur in the community, verbal autopsy (VA) methods are the only available means (...) to assess levels and trends of maternal deaths that occur outside health facilities. The 2016 World Health Organization VA Instrument facilitates the identification of eight specific causes of maternal death, yet maternal deaths are often unsupervised, leading to sparse and generally poor symptom reporting to inform a reliable diagnosis using VAs. There is little research evidence to support the reliable identification of specific causes of maternal death in the context of routine VAs. We recommend

2019 BMC Medicine

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