Son I.M., Leonov S.A., Vaisman D.Sh.
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow 

Summary. Decrease in mortality, as one of the most important indicators of the health status of the population, is a policy priority of any state.

First of all, decreased mortality implies employment of methods of primary and secondary prophylaxis to prevent death from certain diseases and injuries. The point of application is «preventable» causes of death, their analysis is important for understanding trends leading to increased life expectancy and improved demographic situation.

The aim: to study and analyze rates of preventable mortality causes at the level of the Russian Federation using the automated system of death registration.

Materials and methods. Used: data of the territorial division of the Federal State Statistics Service of the Tula region on population and mortality by cause of death in the Tula region by ICD-10 class; electronic databases of health authorities of the Tula region, containing data of medical death certificates for 2004 and 2010.

For samples, statistical analysis and proper coding and selection of underlying death cause according to the ICD-10 rules as well as evaluation of statistical information reliability the automated system of death registration was used.

Results. Dynamics of the three groups of causes of preventable mortality in the Tula region in 2004 and 2010 in two age groups: «5-64 years» and «the working-age population» was analyzed.

The structure of preventable mortality in the Tula region in 2004, compared with the Russian Federation was characterized by lower rates in both men and women (0.5% and 5.9 %, respectively).

Comparison of the preventable mortality rates in the Tula region in 2004 and 2010 by the second group showed increase in the number of malignant neoplasm of breast, cervix and uterus, which indicates insufficient early detection of those diseases.

Growth rates of malignant neoplasm in both men and women in the first group of death causes in the age group of «5-64 years» suggests insufficient primary prevention of cancer.

In all groups of preventable mortality causes the study detected errors in coding and selecting underlying cause of death, resulting in decreased reliability of statistical information.

Keywords: automated system of death registration; preventable mortality; reliability of mortality statistics; primary and secondary disease prevention.

References

1. Vaysman D.Sh. Scientific grounds for development and implementation of automated death registration system. Cand. Med. Sci [thesis]. Moscow. 2005. 26 p. (In Russian).
2. Leonov S.A., Vaysman D.Sh. The order of registration of “Medical death certificates” for the deaths caused by some circulatory diseases: Guidelines. Moscow: Federal Research Institute for Health Organization and Informatics of the MoH of the RF; 2013. 16 p. (In Russian).
3. International statistical classification of diseases and related problems. 10-th revision: 3 volumes. Geneva: WHO; 1995-1998.
4. Mikhaylova Yu.V., Ivanova A.E., editors. Avoidable mortality in Russia and ways for its reduction. Moscow: Federal Research Institute for Health Organization and Informatics of the MoH of the RF; 2006. 312 p. (In Russian).
5. Sabgayda T.P. Methodology of avoidable mortality to analyze the regional features of healthcare. Sotsial'nye aspekty zdorov'ya naseleniya [online series] 2010 [cited 2013 Sep 14]; 16(4). Available from: http://vestnik.mednet.ru/content/view/247/30/lang,ru/ (In Russian).
6. Improvement of quality and use of information on birth, death and death causes: Manual for standardized analysis of country trends. WHO Regional Office for Europe. 2012. 78 p.
7. Treurniet HF, Boshuizen HC, Harteloh PPM. Avoidable mortality in Europe (1980-1997): a comparison of trends. J Epid Comm Health 2004;58:290-295.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*