PMID: 7516132Jan 1, 1994Paper

The limitations of verbal autopsy in a malaria-endemic region

Annals of Tropical Paediatrics
J E ToddB M Greenwood

Abstract

Verbal autopsies are being used widely to describe the causes of mortality and to assess the effect of interventions against specific diseases in developing countries where many deaths occur at home. A verbal autopsy has been in use in the Upper River Division of The Gambia since 1988. In this paper we present the results of a validation study of this technique. One hundred and forty-one verbal autopsies were reviewed on two occasions by the same three physicians. In 38 (27%) of the cases, the first and subsequent diagnoses differed. In 94 children admitted to Basse Health Centre, the results of verbal autopsies were compared with the diagnoses made by a paediatrician--only 44 (47%) matched. The poor sensitivity and specificity of the verbal autopsy in this study may have been due to the confounding effect of malaria, which can be difficult to distinguish from other causes of death in this community.

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Citations

Nov 14, 1997·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·K Marsh, R W Snow
Jan 30, 1999·Annals of Tropical Paediatrics·S JaffarB Greenwood
Apr 25, 2000·Indian Journal of Pediatrics·L RodriguezH Guiscafre
Jun 21, 2001·International Journal of Epidemiology·A BoulleP Weller
Apr 2, 2003·Tropical Medicine & International Health : TM & IH·Olaf MüllerBocar Kouyaté
Jun 7, 2003·Tropical Medicine & International Health : TM & IH·Olaf MüllerHeiko Becher
Aug 4, 2005·International Journal of Epidemiology·Gisela Kynast-WolfHeiko Becher
Mar 2, 2006·International Journal of Epidemiology·Alexander K RoweRichard W Steketee
Aug 26, 2006·The American Journal of Tropical Medicine and Hygiene·Amanda RossThomas Smith
Sep 8, 2010·Bulletin de la Société de pathologie exotique·G DuthéG Pison
Jun 19, 2015·PloS One·Arthur MpimbazaSarah G Staedke
Dec 21, 2000·Tropical Medicine & International Health : TM & IH·K KahnJ S Gear
Nov 6, 2003·AIDS·Henry V Doctor, Alexander A Weinreb
Apr 24, 2004·The Cochrane Database of Systematic Reviews·C Lengeler
Oct 16, 2008·BMC Public Health·Laura GosoniuChristian Lengeler
Aug 13, 2010·Tropical Medicine & International Health : TM & IH·Edward FottrellPeter Byass
Apr 21, 2012·ISRN Pediatrics·Mwifadhi MrishoJoanna Armstrong Schellenberg
May 23, 2014·Tropical Medicine & International Health : TM & IH·C Grollman, C Ronsmans
Jul 10, 1998·Tropical Medicine & International Health : TM & IH·D ChandramohanR J Hayes
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Apr 21, 2007·Tropical Medicine & International Health : TM & IH·U MehtaK I Barnes
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Apr 2, 2010·International Journal of Epidemiology·Thomas P EiseleRichard W Steketee
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Mar 6, 2010·Epidemiologic Reviews·Edward Fottrell, Peter Byass
Aug 12, 1999·Tropical Medicine & International Health : TM & IH·K KahnJ S Gear

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