Colombian death certificate data quality
Abstract
Objective: To evaluate overall quality of death certification and quality of cancer mortality certification in Colombia.
Methods: Classic validity indexes were described through simple percentages for each department and five cities: Bogotá, Cali, Manizales, Pasto and Bucaramanga. A factorial analysis of principal components was performed in order to identify non-evident relationships.
Results: 984,159 deaths were analyzed, 164,542 corresponding to cancer deaths. 93.7% of the overall mortality was properly certified. Most errors were due to signs, symptoms and ill-defined conditions. 92.8% of the cancer deaths were properly certified. Ill-defined cancers site certification prevailed as the most frequent cause of error.
Conclusions: Colombia showed improvement in all indicators of quality certification. Given the high performance of quality indicators for overall death and cancer death certification, it is considered that mortality data can be used in the cancer incidence estimation process.
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References
Allin S, Grignon M. Examining the role of amenable mortality as an indicator of health system fffectiveness. Healthc Policy. 2014;9(3):12-9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999566/
Thacker SB, Stroup DF, Carande-Kulis V, Marks JS, Roy K, Gerberding JL. Measuring the public’s health. Public Health Rep. 2006;121(1):14-22. doi: 10.1177/003335490612100107.
Ferlay J, Pparkin MD, Steliarova-Fouche E. Estimates of the cancer incidence and mortality in Europe in 2008. Eur J Cancer. 2010;46:765-81.
Dyba T, Hakulinen T. Comparison of different approaches to incidence prediction based on simple interpolation techniques. Stat Med. 2000;19:1741-52.
Pardo C, Bravo LE, Uribe C, Lopez G, Yepez MC, Navarro E, et al. Comprehensive assessment of population-based cancer registries: an experience in Colombia. J Registry Manag. 2014;41(3):128-34.
Cendales R, Pardo C. La calidad de certificación de la mortalidad en Colombia, 2002-2006. Rev Salud Publica (Bogotá). 2011;13(2):229-38.
Pardo C, Cendales R. Cancer incidence estimates and mortality, five first types of cancer in Colombia. Colomb Med (Cali). 2018; 49(1):116-22
de Vries E, Arroyave I, Pardo C, Wiesner C, Murillo R, Forman D, et al. Trends in inequalities in premature cancer mortality by educational level in Colombia, 1998-2007. J Epidemiol Community Health. 2015;69(5):408–15.
de Vries E, Arroyave I, Pardo C. Time trends in educational inequalities in cancer mortality in Colombia, 1998-2012. BMJ Open. 2016;6(4):e008985.
de Vries E, Arroyave I, Pardo C. Re-emergence of educational inequalities in cervical cancer mortality, Colombia 1998–2015. J Cancer Policy. 2017. https://doi.org/10.1016/j.jcpo.2017.12.007.
Bray F, Colombet M, Mery L, Piñeros M, Znaor A, Zanetti R, Ferlay J (Editors). Cancer Incidence in Five Continents, Vol. XI. Lyon: IARC CancerBase No. 14. http://publications.iarc.fr/Databases/Iarc-Cancerbases/Cancer-Incidence-In-Five-Continents-Vol-Xi-2017.
Hutcheson GD, Sofroniou N. The multivariate social scientist. London: Sage; 1999.
Mahapatra P, Shibuya K, Lopez AD, Coullare F, Notzon FC, Rao C, Szreter S; on behalf of the Monitoring Vital Events (MoVE) writing group. Civil registration systems and vital statistics: successes and missed opportunities. Lancet 2007;370:1653–63.
Núñez F ML, Icaza N MG. Calidad de las estadísticas de mortalidad en Chile, 1997-2003. Rev Med Chil. 2006;134(9):1191-6.
Paes NA. [Quality of death statistics by unknown causes in Brazilian states]. Rev Saude Publica. 2007;41(3):436-45.
Rao C, Lopez AD, Yang G, Begg S, Ma J. Evaluating national cause-of-death statistics: principles and application to the case of China. Bull World Health Organ. 2005;83(8):618-25.
Pérez-Gómez B, Aragonés N, Pollán M, Suárez B, Lope V, Llácer A, López-Abente G. Accuracy of cancer death certificates in Spain: a summary of available information. Gac Sanit. 2006;20(Suppl 3):42-51.
Cáffaro Rovira M, Garau Llinás I, Cabeza Irigoyen E, Franch Sureda P, Obrador Adrover A. Validez de los certificados de defunción por cáncer en mallorca. Gac Sanit. 1995;9(48):166-73.
Mathers CD, Fat DM, Inoue M, Rao C, Lopez AD. Counting the dead and what they died from: an assessment of the global status of cause of death data. Bull World Health Organ. 2005;83(3):171-7.
WHO. Demographic and socioeconomic statistics: Census and civil registration coverage. Data by country. WHO 2014. consultado 2014 junio 21. Disponible en http://apps.who.int/gho/data/node.main.121?lang=en.
Phillips DE, Lozano R, Naghavi M, Atkinson C, Gonzalez-Medina D, Mikkelsen L, et al. A composite metric for assessing data on mortality and causes of death: the vital statistics performance index. Population Health Metrics. 2014; 12:14.
Phillips DE, AbouZahr C, Lopez AD, Mikkelsen L, de Savigny D, Lozano R, et al. Are well functioning civil registration and vital statistics systems associated with better health outcomes? Lancet. 2015; 386(10001):1386–94.
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