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Main arrow Archive of previous Issues arrow 4 2014 (38) arrow Modification of underlying cause of death from diseases of the circulatory system
Modification of underlying cause of death from diseases of the circulatory system Print
Monday, 01 September 2014

T.P. Sabgayda1, V.G. Semyonova1, A.E. Ivanova1, Ye.M. Sekrieru1, S.Yu. Nikitina2
1Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow
2Federal State Statistics Service, Moscow, Russia

Abstract. Meeting the global objective of reducing mortality from diseases of the circulatory system presupposes that mortality statistics is reliable. This determines the relevance of this work which aims at improving quality of coding of death causes.

The aim of the study: To analyze compliance with rules of modifications of underlying death cause from diseases of the circulatory system.

Methods. We analyzed compliance with the rules of modification of the underlying cause of death form diseases of the circulatory system in the death register for 2011. Only data from the impersonalized death register which describes the lethal process using the three death codes was accepted.

Results. The study showed that in cases when one of the fields of the section 19 malignant tumors, diabetes or asthma (which suggests a check for potential modification of the underline death cause), the share of incorrect death codes equals to 56.4% and the share of potentially incorrect death codes adds up to 24.3%. In case of death diagnoses to be checked for causal relationships with other diseases, the share of incorrect death codes equals to 7.9%. In total, 2.0% death cases from diseases of the circulatory system should be coded as others classes of causes.

Conclusions. Non-compliance with rules of modification of death causes leads to overdiagnosis of mortality from diseases of the circulatory system. Doctors have poor skills coding death causes. It is proposed to resume the previous practice, when medical statistic specialists coded death causes based on medical records taking into account all rules of coding.

Keywords. Quality of coding causes of death; ICD-X; mortality statistic; quality control of coding causes of death; underlying cause of death; coding; death certificates; selection of underlying cause of death; accuracy of death cause diagnosis



  1. Boytsov S.A., Yakushin S.S., Liferov R.A., Marevichev M.M., Nikulina N.N., Kildisheva Ye.V. Uglublennyy analiz rasprostranennosti ostrykh form IBS i smertnosti ot nikh v Ryazani (v ramkakh mnogotsentrovogo issledovaniya REZONANS) [In-depth analysis of prevalence of acute coronary heart disease and CHD mortality in Ryazan (within the frames of REZONANS multi-center study)]. Byulleten Rossiyskogo kardiologicheskogo nauchno-proizvodstvennogo kompleksa 2008;3(2):31-38. (in Russian).
  2. Vaysman D.A., Dubrovina Ye.V., A.N. Redko. Informatsionnoye obespecheniye issledovaniy po problemam smertnosti v Rossii [Information provision of research on mortality in Russia]. Obshchestvennoye zdorovye i profilaktika zabolevaniy 2006;(6):31-38. (in Russian).
  3. Dedov II, Shestakov MV. Sakharnyy diabet [Diabetes Mellitus]. Moscow: " Universum Pablishing " 2003: 282 p. (in Russian).
  4. Doskina EV. Prichiny neudach v kompensatsii patsientov s sakharnym diabetom 2 tipa. Rol' postprandial'noy glikemii [Causes of failures to compensate patients with type 2 diabetes. The role of postprandial hyperglycemia[ // Sakharnyy diabet, 2010 (1): 129-132. (in Russian).
  5. Ivanova A.E., Sabgayda T.P., Semenova V.G., Zaporozhchenko V.G., Zemlyanova E.V., Nikitina S.Yu. Faktory iskazheniya struktury prichin smerti trudosposobnogo naseleniya Rossii [Factors distorting structure of death causes in working population in Russia] Sotsialnye aspekty zdorovya naseleniya [Online scientific journal] 2013 [cited 2014 Jen 28]; 32(4). Available from http://vestnik.mednet.ru/content/view/491/30/lang,ru/ (in Russian).
  6. Lopakov K.V. Otsenka dostovernosti kodirovaniya prichin smerti (po materialam pilotnogo issledovaniya) [Assessing the reliability of coding of mortality causes (using the pilot test data)]. Sotsialnye aspekty zdorovya naseleniya [Online scientific journal] 2011 [cited 2014 Jen 18]; 18(2). Available from: http://vestnik.mednet.ru/content/view/292/30/lang,ru/ (in Russian).
  7. Nikulina N.N. Serdechno-sosudistaya smertnost: analiz kachestva diagnostiki i statisticheskogo ucheta prichin smerti [Cardiovascular mortality: analysis of quality of diagnosis and statistical registration of mortality causes]. Saratovskiy nauchno-meditsinskiy zhurnal 2011;7(1):91-96. (in Russian).
  8. Pogorelova E.I. Ob oshibkakh pri zapolnenii meditsinskogo svidetelstva o smerti [Errors in completing a medical death certificate]. Problemy sotsialnoy gigiyeny, zdravookhraneniya i istorii meditsiny 2007;(1):43-47. (in Russian).
  9. Prikaz Minsotsrazvitiya Rossii ot 26 dekabrya 2008 goda 782n Ob utverzhdenii i poryadke vedeniya meditsinskoy dokumentatsii, udostoveryayushchey sluchai rozhdeniya i smerti [On approving the order of medical records certifying birth and death cases, the Regulation of the MoH&SD of the RF 782n of December 26, 2008. [Internet]. 2008 [cited 2014 Jen 18] Available from: http://www.legis.ru/misc/doc/5884/ (in Russian).
  10. Semenova V.G., Gavrilova N.S., Evdokushkina G.N., Gavrilov L.A. Kachestvo mediko-statisticheskikh dannykh kak problema sovremennogo rossiyskogo zdravookhraneniya [Quality of health and statistical data as the problem of the present-day Russian healthcare]. Obshchestvennoye zdorovye i profilaktika zabolevaniy 2004;(2):11-19. (in Russian).
  11. France Meslé, Shkolnikov VM, Veronique Hertrich and Jacques Vallin. Sovremennye tendentsii smertnosti po prichinam smerti v Rossii 1965-1994. Epidemiologicheskiy krizis v stranakh byvshego SSSR [Modern trends in mortality by death cause in Russia for 1965-1994. Epidemiological crisis in the former Soviet Union]. INED - National Institute of Demographic Studies (Paris) and Center for Demography and Human Ecology (Moscow). 1996: 140 p. (in Russian).
  12. Kharchenko V.I., Kakorina Ye.P., Koryakin M.V., Virin M.M., Undritsov V.M., Onishchenko P.I., Potiyevskiy B.G., Smirnova N.L., Mikhaylova R.Yu. Smertnost ot bolezney sistemy krovoobrashcheniya v Rossii i v ekonomicheski razvitykh stranakh. Analiticheskiy obzor ofitsialnykh dannykh Goskomstata, MZ i SR Rossii, VOZ i ekspertnykh otsenok po probleme [Mortality caused by circulatory diseases in Russia and developed countries. Analytical review of the data of Goskomstat, MoH&SD of Russia, WHO and expert assessments on the problems]. Rossiyskiy kardiologicheskiy zhurnal 2005;(2):5-17. (in Russian).
  13. International Statistical Classification of Diseases and Related Health Problems. 10 th Revision. Volume 2. Instruction manual. 2010 Edition. [Internet]. 2010 [cited 2014 Jen 18]. Available from: http://www.who.int/classifications/icd/ICD10Volume2_en_2010.pdf

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