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Factors associated with reporting multiple causes of death

Authors
Publisher
BioMed Central
Publication Date
Source
PMC
Keywords
  • Research Article
Disciplines
  • Medicine

Abstract

1471-2288-5-4.fm ral BMC Medical Research ss BioMed CentMethodology Open AcceResearch article Factors associated with reporting multiple causes of death Melanie M Wall*1, Jinzhou Huang1, John Oswald2 and Diane McCullen2 Address: 1Division of Biostatistics, University of Minnesota, A460 Mayo Building MMC 303, 420 Delaware Street S.E., Minneapolis, MN 55455, USA and 2Center for Health Statsitics, Minnesota Department of Health, 717 Delaware Street S.E., Minneapolis, MN 55455, USA Email: Melanie M Wall* - [email protected]; Jinzhou Huang - [email protected]; John Oswald - [email protected]; Diane McCullen - [email protected] * Corresponding author Abstract Background: There is analytical potential for multiple cause of death data collected from death certificates. This study examines relationships of multiple causes of death as a function of factors available on the death certificate (demographics of decedent, place of death, type of certifier, disposal method, whether an autopsy was performed, and year of death). Methods: Data from 326,332 Minnesota death certificates from 1990–1998 are examined. Underlying and non-underlying causes of death are examined (based on record axis codes) as well as demographic and death-related covariates. Associations between covariates and prevalence of multiple causes of death and conditional probability of underlying compared to non-underlying causes of death are examined. The occurrence of ischemic heart disease or diabetes as underlying causes are specifically examined. Results: Both the probability of multiple causes of death and the proportion of underlying cause compared to non-underlying cause of death are associated with demographic characteristics of the deceased and other non-medical conditions related to filing death certificate such as place of death. Conclusions: Multiple cause of death data provide a potentially useful way of looking for inaccuracies in reporting of causes of death. Differences acros

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