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  1. Accuracy of death certificates for coding coronary heart disease as the cause of death.

    Article - En anglais

    Background 

    Death certificates are widely used in epidemiologic and clinical investigations and for national statistics.

    Objective 

    To examine the accuracy of death certificates for coding coronary heart disease as the underlying cause of death.

    Design 

    Community-based inception cohort followed since 1948.

    Setting 

    Framingham, Massachusetts.

    Patients 

    2683 deceased Framingham Heart Study participants.

    Measurements 

    Sensitivity, specificity, and predictive values of the death certificate.

    The reference standard was cause of death adjudicated by a panel of three physicians.

    Results 

    Among 2683 decedents, the death certificate coded coronary heart disease as the underlying cause of death for 942 ; the physician panel assigned coronary heart disease for 758.

    The death certificate had a sensitivity of 83.8% (95% Cl, 81.1% to 86.4%), positive predictive value of 67.4% (Cl, 64.4% to 70.4%), specificity of 84.1% (Cl, 82.4% to 85.7%), and negative predictive value of 92.9% (Cl, 91.7% to 94.1%) for coronary heart disease.

    The death certificate assigned coronary heart disease in 51.2% of 242 deaths (9.0% of total deaths) for which the physician panel could not determine a cause.

    Compared with the physician panel, the death certificate attributed 24.3% more deaths to coronary heart disease overall and more than twice as many deaths to coronary heart disease in decedents who were at least 85 years of age. (...)

    Mots-clés Pascal : Cardiopathie coronaire, Etude cohorte, Précision, Certificat décès, Codage, Etiologie, Critère âge, Evaluation, Homme, Appareil circulatoire pathologie, Organisation santé

    Mots-clés Pascal anglais : Coronary heart disease, Cohort study, Accuracy, Death certificate, Coding, Etiology, Age criterion, Evaluation, Human, Cardiovascular disease, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0049418

    Code Inist : 002B12A03. Création : 31/05/1999.