PMID: 8449631Feb 1, 1993Paper

European study of the certification and coding of causes of death of six clinical case histories of diabetic patients. EURODIAB Subarea C Study Group

International Journal of Epidemiology
B BalkauL Papoz

Abstract

This study was designed to investigate the large differences in diabetes mortality rates in Europe. In each of the participating countries (France, Germany, The Netherlands, Northern Ireland-UK, Republic of Ireland, Romania, Scotland-UK, Switzerland) a random sample of certifying physicians was asked to certify the causes of death of six case histories which described the deaths of diabetic patients; the responses from an average of 220 physicians per country were analysed. These registered causes were then coded nationally and the underlying cause was compared with that following a central recoding. Overall 28% of the physicians surveyed recorded diabetes on the death certificate as the underlying cause of death--France was 25% below this overall average and Germany 21% above. The national coding of diabetes as the underlying cause of death differed from the central recoding with a comparative undercoding of almost 40% in Romania, 30% in Northern Ireland and 25% in Switzerland; in contrast, there was an overcoding of diabetes by 80% in The Netherlands and 60% in the Republic of Ireland. After adjusting for central recoding, in part an adjustment for certification habits, the national coding from this simulation study was able ...Continue Reading

Citations

Apr 25, 2012·Social Psychiatry and Psychiatric Epidemiology·Anthony P Polednak
Mar 18, 2003·Diabetes Research and Clinical Practice·Tsung-Hsueh Lu
Feb 27, 2001·Journal of Clinical Epidemiology·J C WillJ Stevenson
Oct 16, 1999·Archives of Disease in Childhood·G MaudsleyP O Pharoah
Feb 19, 2014·Population Health Metrics·Delphine LefeuvreGrégoire Rey
Nov 20, 2012·Journal of Clinical Epidemiology·Beatrice NojilanaNaomi S Levitt
Apr 22, 2014·Primary Care Diabetes·V BaldoM Cristofoletti
May 19, 2000·International Journal of Epidemiology·T H LuM C Chou
Aug 21, 2016·European Journal of Public Health·Inbar Zucker, Tamar Shohat

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