![]() ![]() For example, if a death certificate only states septicemia as the cause of death, there is no way of knowing whether this resulted, for example, from an infected wound following an accident, from a post-operative amputation due to diabetes, or from meningitis or pneumonia, each of which would require different preventive strategies. ![]() The major consequence of garbage codes is that they obscure the true mortality pattern in a population. Garbage codes include what are often called ‘Ill-defined” causes, but encompass a larger universe of uninformative diagnoses. codes that provide little or no information about the true underlying cause of death. In order to target efforts to improve the utility of COD data for policy, it is important to first understand what the key diagnostic errors are.Ī major problem with COD data is poor cause of death certification practices that result in ‘garbage codes’, i.e. ![]() However, several studies have demonstrated that policy and practice in many countries are based on data that are far from accurate. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: The authors have declared that no competing interests exist.Ī key source of evidence for targeting health interventions to improve population health is high quality cause of death (COD) data that reliably document trends in mortality for different diseases and injuries. ![]() Data were also obtained from the World Population Prospect 2017, UN Population Division ( population.un.org/wpp/Download/Standard/Population/) with the following selected variables: Country, Reference Year, 5-years Age Group, Sex, and Population number.įunding: This study was funded under an award from Bloomberg Philanthropies to the University of Melbourne to support the Data for Health Initiative: Grant number not applicable. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: The data underlying the results presented in the study are available in the WHO Mortality Database ( /healthinfo/statistics/mortality/whodpms/) with the following selected variables: Country, Reference Year, ICD-10 code, 5-years Age Group, Sex, and Number of deaths. Received: ApAccepted: JPublished: August 24, 2020Ĭopyright: © 2020 Iburg et al. PLoS ONE 15(8):Įditor: Brecht Devleesschauwer, Sciensano, BELGIUM Citation: Iburg KM, Mikkelsen L, Adair T, Lopez AD (2020) Are cause of death data fit for purpose? evidence from 20 countries at different levels of socio-economic development. ![]()
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