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Assessing the quality of cause of death data in six high-income countries: Australia, Canada, Denmark, Germany, Japan and Switzerland

Mikkelsen, Lene and Iburg, Kim Moesgaard and Adair, Tim and Fürst, Thomas and Hegnauer, Michael and von der Lippe, Elena and Moran, Lauren and Nomura, Shuhei and Sakamoto, Haruka and Shibuya, Kenji and Wengler, Annelene and Willbond, Stephanie and Wood, Patricia and Lopez, Alan D.. (2020) Assessing the quality of cause of death data in six high-income countries: Australia, Canada, Denmark, Germany, Japan and Switzerland. International journal of public health, 65 (1). pp. 17-28.

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Official URL: https://edoc.unibas.ch/75663/

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Abstract

To assess the policy utility of national cause of death (COD) data of six high-income countries with highly developed health information systems.; National COD data sets from Australia, Canada, Denmark, Germany, Japan and Switzerland for 2015 or 2016 were assessed by applying the ANACONDA software tool. Levels, patterns and distributions of unusable and insufficiently specified "garbage" codes were analysed.; The average proportion of unusable COD was 18% across the six countries, ranging from 14% in Australia and Canada to 25% in Japan. Insufficiently specified codes accounted for a further 8% of deaths, on average, varying from 6% in Switzerland to 11% in Japan. The most commonly used garbage codes were Other ill-defined and unspecified deaths (R99), Heart failure (I50.9) and Senility (R54).; COD certification errors are common, even in countries with very advanced health information systems, greatly reducing the policy value of mortality data. All countries should routinely provide certification training for hospital interns and raise awareness among doctors of their public health responsibility to certify deaths correctly and usefully for public health policy.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Chronic Disease Epidemiology > Genetic Epidemiology of Non-Communicable Diseases (Probst-Hensch)
03 Faculty of Medicine > Departement Public Health > Sozial- und Präventivmedizin > Genetic Epidemiology of Non-Communicable Diseases (Probst-Hensch)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Household Economics and Health Systems Research > Household Economy (Fink)
UniBasel Contributors:Fürst, Thomas and Hegnauer, Michael
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Birkhäuser
ISSN:1661-8556
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:05 Mar 2020 12:35
Deposited On:05 Mar 2020 12:35

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