Summary. The analysis of the reliability of mortality statistics through the proposed three-tier system. Used official mortality statistics of WHO, the Russian Federation and the data in the Tula region in 2000-2011 years (databases, medical Certificates of death, primary medical documentation).

Comparing databases in 2000 and 2011 shows an increase in the proportion of endocrine disease is 5.6 times the data of Tulastat and 2.5 times according to health care bodies. Errors of selection of the underlying cause of death in diabetes underestimate mortality (Russian Federation, 2010 - 5.4 per 100 thousand population), which is confirmed by international comparisons (Europe, 2010 - 11.9).

Analysis of the dynamics of errors in Certificates of death in the Tula region showed a decrease of 80.7% in 2000 to 13.9% in 2008 (down by 5.8 times). Increase in the number of errors to 23.6% in 2012 was associated with the introduction in 2009 of a new order of registration of Certificates of death. Our automated system of completing Certificates of death compared to the manual method have lower error rates (9.5% lower than in 2008 and 27 times - in 2012).

Decrease the number of unspecified conditions referred to as the underlying cause of death in the database of Tula region from 35.7% in 2000 to 11.9% in 2011 (down 3 times). The large number of "unspecified causes of death", offered by medical examiners, changes the structure of mortality, understating the death rate from injury and poisoning by about 2%.

The simulated data base revealed on which classes of ICD-10 is the wrong choice of the underlying cause of death, this database contains a sufficient number of conditions for the analysis of multiple causes of death.

Three levels of analysis show has identified errors in the registration of deaths at all levels and determine how to correct them: training of physicians and the implementation of automated systems.

Keywords. Demography; causes of death; mortality statistics; ICD-10; coding; death certificates, selection of underlying cause of death; unspecified causes of death; multiple causes of death; automated systems.

References

1. Vaysman DSh. Use of International Classification of Diseases in doctor’s practice. Tula: Grif and Co; 2007. 152 p. (in Russian).
2. Komarov YuM. Conceptual grounds for improving health statistics in the country. In: Improvement of health and healthcare statistics in the Russian Federation. Proceeding of the 6th Russian Annual Scientific and Practice Conference. Moscow: NPO "MedSotsEkonomInform"; 1999. P. 16-25 (in Russian).
3. International statistical classification of diseases and health related problems. 10-th revision. 3 volumes. Geneva. WHO; 1995-1998. V.1-3 (in Russian).
4. “On the procedure of filling and giving the medical certificates on birth and death”, the Letter of MoH&SD of the RF of January 19, 2009, ¹14-6/10/2-178. [Internet]. 2009 [cited 2013 Apr 09]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=LAW;n=84945;dst=0;ts=358CE89474A9BE31F09B4598B00650B1;rnd=0.6482655212748796 (in Russian).
5. Pogorelova EI, Sekrieru EM.Improvement of collection and use of statistical data on population mortality in the Russian Federation. The final research report. Moscow: RIO "TsNIIOIZ". 2002. 59 p. (in Russian).
6. “On the acts of civil status”, the Federal Regulation of November 15, 1997, ¹143-FZ [Internet]. 1997 [cited 2013 Apr 04]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req= doc;base=LAW;n=137716;dst=0;ts=358CE89474A9BE31F09B4598B00650B1;rnd=0.4079039487987757 (in Russian).
7. Deaths: Leading Causes for 2009 [Internet]. National Vital Statistics Reports 2012 [cited 2013 Feb 16]. 2012 October 26;61(7):17. Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_07.pdf

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