尸检率以及自杀和意外死亡的错误分类。

IF 7.7 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
European Journal of Epidemiology Pub Date : 2024-10-01 Epub Date: 2024-07-24 DOI:10.1007/s10654-024-01142-4
Jim Schmeckenbecher, Nestor Damian Kapusta, Reinhard Michael Krausz, Christina Alma Emilian
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引用次数: 0

摘要

死亡率统计数据对于确定疾病负担至关重要。某些死因很容易在死因证明书上被错误分类。这对公共健康和安全构成了严重威胁,因为准确的死亡证明是死亡率统计的基础,而死亡率统计又是研究、资金分配和健康干预的关键。本研究使用广义估计方程和回归模型来调查自杀和意外死亡的死因类别被错误归类为哪些类别。我们对北美和欧洲过去四十年的国家死亡率统计数据和尸检率进行了分析,以确定不同死因在横截面和纵向模型中的关联。我们发现,自杀和意外死亡经常被相互错误分类。我们还发现,自杀经常被错误地归类为药物使用失调死亡,而意外死亡则不会被错误地归类为药物使用失调死亡。此外,自杀似乎并没有被错误地归类为未确定死亡或定义不清死亡。错误分类的频率表明,应提高死亡证明的质量,可以系统地使用尸检来控制死亡证明的质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Autopsy rates and the misclassification of suicide and accident deaths.

Autopsy rates and the misclassification of suicide and accident deaths.

Mortality statistics are critical to determine the burden of disease. Certain causes of death are prone to being misclassified on cause of death certificates. This poses a serious risk for public health and safety, as accurate death certificates form the basis for mortality statistics, which in turn are crucial for research, funding allocation and health interventions. This study uses generalised estimating equations and regression modelling to investigate for which cause of death categories suicide and accident deaths are misclassified as. National mortality statistics and autopsy rates from North America and Europe covering the past forty years were analysed to determine the associations between the different causes of death in cross-sectional and longitudinal models. We find that suicides and deaths by accidents are frequently mutually misclassified. We also find that suicides are frequently misclassified as drug use disorder deaths, in contrast to accident deaths, which are not misclassified as drug use disorder deaths. Furthermore, suicides do not seem to be misclassified as undetermined deaths or ill-defined deaths. The frequency of misclassification shows that the quality of death certificates should be improved, and autopsies may be used systematically to control the quality of death certificates.

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来源期刊
European Journal of Epidemiology
European Journal of Epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
21.40
自引率
1.50%
发文量
109
审稿时长
6-12 weeks
期刊介绍: The European Journal of Epidemiology, established in 1985, is a peer-reviewed publication that provides a platform for discussions on epidemiology in its broadest sense. It covers various aspects of epidemiologic research and statistical methods. The journal facilitates communication between researchers, educators, and practitioners in epidemiology, including those in clinical and community medicine. Contributions from diverse fields such as public health, preventive medicine, clinical medicine, health economics, and computational biology and data science, in relation to health and disease, are encouraged. While accepting submissions from all over the world, the journal particularly emphasizes European topics relevant to epidemiology. The published articles consist of empirical research findings, developments in methodology, and opinion pieces.
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