Examination of Cause-of-Death Data Quality Among New York City Deaths Due to Cancer, Pneumonia, or Diabetes From 2010 to 2014

Falci, Laura; Argov, Erica J. Lee; Wye, Gretchen Van; Plitt, Madia; Soto, Antonio

doi:10.1093/aje/kwx207

Cited by 21 publications

(23 citation statements)

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“…While this study is not generalizable to all of NYC, it does suggest that hospital-level investigation can be helpful in examining entrenched systematic bias surrounding death certificate completion. Another study of the quality of cause of death reporting in NYC showed that >60% of death certificates listing pneumonia as the underlying cause of death were of limited quality [27]. When completing death certificates, physicians use their best judgment and the medical information available at the time of death to work back from the immediate cause of death to the underlying cause of death [28].…”

Section: Discussionmentioning

confidence: 99%

Deaths From Pneumonia—New York City, 1999–2015

Cordoba

Maduro

Varma

et al. 2018

Open Forum Infectious Diseases

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Background“Pneumonia and influenza” are the third leading cause of death in New York City. Since 2012, pneumonia and influenza have been the only infectious diseases listed among the 10 leading causes of death in NYC. Most pneumonia and influenza deaths in NYC list pneumonia as the underlying cause of death, not influenza. We therefore analyzed death certificate data for pneumonia in NYC during 1999–2015.MethodsWe calculated annualized pneumonia death rates (overall and by sociodemographic subgroup) and examined the etiologic agent listed.ResultsThere were 41 400 pneumonia deaths during the study period, corresponding to an annualized age-adjusted death rate of 29.7 per 100 000 population. Approximately 17.5% of pneumonia deaths specified an etiologic agent. Age-adjusted pneumonia death rate declined over the study period and across each borough. Males had an annualized age-adjusted pneumonia death rate 1.5 (95% confidence interval [CI], 1.5–1.5) times that of females. Non-Hispanic blacks had an annualized age-adjusted pneumonia death rate 1.2 (95% CI, 1.2–1.2) times that of non-Hispanic whites. The annualized pneumonia death rate increased with age group above 5–24 years and neighborhood-level poverty. Staten Island had an annualized age-adjusted pneumonia death rate 1.3 (95% CI, 1.2–1.3) times that of Manhattan. In the multivariable analysis, pneumonia deaths were more likely to occur among males, non-Hispanic blacks, persons aged ≥65 years, residents of neighborhoods with higher poverty levels, and in Staten Island.ConclusionsWhile the accuracy of death certificates is unknown, investigation is needed to understand why certain populations are disproportionately recorded as dying from pneumonia in NYC.

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Section: Discussionmentioning

confidence: 99%

Deaths From Pneumonia—New York City, 1999–2015

Cordoba

Maduro

Varma

et al. 2018

Open Forum Infectious Diseases

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“…Selain penyakit menular, perhatian pemerintah saat ini adalah meningkatnya kematian dikarenakan penyakit yang tidak menular sehingga para pembuat kebijakan, pakar epidemiologi dan para pengambil keputusan harus fokus pada permasalah ini (Satman et al, 2013) (Walker, 2012) Sebanyak 120 surat kematian yang dilaporkan, untuk ketepatan penetuan UCOD masih ada dibawah 50% hal ini dibuktikan ketika peneliti menganalisis meggunakan tabel MMDS. Ketepatan dalam menentukan UCOD tidak hanya berdampak terhadap pelaporan kematian (Redelings, Wise and Sorvillo, 2007) (Falci et al, 2018), namun dalam penentuan tarif layanan kesehatan yang diberikan serta ketepatan pengambilan keputusan untuk pemangku kebijakan (Hazard et al, 2018) (Morano and Watkins, 2017). Pada laporan kematian diatas dikategorikan berdasarkan penggolongan diagnosis, dari hasil analisis diagnosis penyebab kematian adalah penyakit tidak menular, sehingga diperlukan perhatian khusus tidak hanya pemberi layanan kesehatan tetapi juga pada pengambil keputusan atau kebiajakan kesehatan (Mellhammar et al, 2016) (Tobergte and Curtis, 2013).…”

Section: Kualitas Ucodunclassified

Penentu Penyebab Kematian Di Rsud Panembahan Senopati Bantul : Miscoding Berdampak Pada Laporan Statistik Kematian

Purbobinuko¹

2020

JurnalMIKI

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The doctor's explanation of the cause of death form contains the sequence of the disease that caused the patient to die. The determination of the underlying cause of death (UCOD) has been standardized by the WHO. The right UCOD supports decision-makers and health policy, but much of the information is inaccurate, thus affecting death reports. This study aims to measure the quality of UCOD and miscoding in Panembahan Senopati Bantul District Hospital. This research is descriptive. Retrieval of data using observation checklist, interviews and study of medical records of patients and death certificates for the 2018 period were 120 sheets. The results of the UCOD quality analysis are not possible 46 (38%), improper UCOD 39 (33%), there are multiple unrelated conditions reported in one row 15 (13%), there is one condition that is reported as 12 (10%) and UCOD is not specific 8 (7%). A total of 55 diagnoses were reported as UCOD. The highest classification of diagnoses was in the Certain infectious and parasitic diseases group 10 (18%), the Sign group, symptoms, Abnormal Finding were 9 (16%) and the Diseases of the circulatory system group 8 (15%). 374 diagnoses reported in the letter meet the exact coding category (55) and incorrect (311). The results of the interview with the UCOD determination coder are not according to WHO, due to the lack of understanding of the rule and UCOD determination so that it can affect the quality of death reports.

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“…9 A study in 2017 examining the quality of COD reporting found that death certificates for pneumonia-related deaths were more likely than death certificates for cancer and diabetes to be incomplete or have other quality-related issues. 10 The reasons for this discrepancy are unclear but may be related to uncertainties inherent to pneumonia diagnosis, 11 particularly in patients with multiple concurrent medical problems. Furthermore, limited data exist on how logistical factors (such as a relative unfamiliarity with a patient after a change in physician schedule) may contribute to misreporting on death certificates.…”

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confidence: 99%

Erroneous Reporting of Deaths Attributed to Pneumonia and Influenza at 2 New York City Teaching Hospitals, 2013-2014

et al. 2020

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Objectives Cause-of-death information, reported by frontline clinicians after a patient’s death, is an irreplaceable source of public health data. However, systematic bias in cause-of-death reporting can lead to over- or underestimation of deaths attributable to different causes. New York City consistently reports higher rates of deaths attributable to pneumonia and influenza than many other US cities and the country. We investigated systematic erroneous reporting as a possible explanation for this phenomenon. Methods We reviewed all deaths from 2 New York City hospitals during 2013-2014 in which pneumonia or influenza was reported as the underlying cause of death (n = 188), and we examined the association between erroneous reporting and multiple extrinsic factors that may influence cause-of-death reporting (patient demographic characteristics and medical comorbidities, time and hospital location of death, type of medical provider reporting the death, and availability of certain diagnostic information). Results Pneumonia was erroneously reported as the underlying cause of death in 163 (86.7%) reports. We identified heart disease and dementia as the more likely underlying cause of death in 21% and 17% of erroneously reported deaths attributable to pneumonia, respectively. We found no significant association between erroneous reporting and the multiple extrinsic factors examined. Conclusions Our results underscore how erroneous reporting of 1 condition can lead to underreporting of other causes of death. Misapplication or misunderstanding of procedures by medical providers, rather than extrinsic factors influencing the reporting process, are key drivers of erroneous cause-of-death reporting.

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Examination of Cause-of-Death Data Quality Among New York City Deaths Due to Cancer, Pneumonia, or Diabetes From 2010 to 2014

Cited by 21 publications

References 20 publications

Deaths From Pneumonia—New York City, 1999–2015

Deaths From Pneumonia—New York City, 1999–2015

Penentu Penyebab Kematian Di Rsud Panembahan Senopati Bantul : Miscoding Berdampak Pada Laporan Statistik Kematian

Erroneous Reporting of Deaths Attributed to Pneumonia and Influenza at 2 New York City Teaching Hospitals, 2013-2014

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