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Assessing the Accuracy of Reporting of Hypertension on Death Certificates in Australia
Abstract BACKGROUND There is insufficient evidence of how accurately hypertension is reported on death certificates, which are the primary evidence of causes of death. This study assesses the accuracy of reporting of hypertension on death certificates of decedents in Australia who previously had the...
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| Published in: | American journal of hypertension 2024-11, Vol.37 (12), p.948-952 |
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| Main Authors: | , , |
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| Language: | English |
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| container_end_page | 952 |
| container_issue | 12 |
| container_start_page | 948 |
| container_title | American journal of hypertension |
| container_volume | 37 |
| creator | Adair, Tim Li, Hang Rao, Chalapati |
| description | Abstract
BACKGROUND
There is insufficient evidence of how accurately hypertension is reported on death certificates, which are the primary evidence of causes of death. This study assesses the accuracy of reporting of hypertension on death certificates of decedents in Australia who previously had their blood pressure measured.
METHODS
Blood pressure data from the 2014–2015 and 2017–2018 National Health Surveys were linked to death registration data from July 2015 to December 2021 (average 3.3 years from survey to death). The percentage of decedents with hypertension reported on the death certificate was calculated according to blood pressure level and previous diagnosis of hypertension.
RESULTS
Hypertension was reported on the death certificate of 20.2% (95% confidence interval 12.1%–28.3%) of decedents who had very high to severe blood pressure (160/100 mm Hg and above), 14.5% (10.3%–18.8%) who had high blood pressure (140 to |
| doi_str_mv | 10.1093/ajh/hpae108 |
| format | article |
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BACKGROUND
There is insufficient evidence of how accurately hypertension is reported on death certificates, which are the primary evidence of causes of death. This study assesses the accuracy of reporting of hypertension on death certificates of decedents in Australia who previously had their blood pressure measured.
METHODS
Blood pressure data from the 2014–2015 and 2017–2018 National Health Surveys were linked to death registration data from July 2015 to December 2021 (average 3.3 years from survey to death). The percentage of decedents with hypertension reported on the death certificate was calculated according to blood pressure level and previous diagnosis of hypertension.
RESULTS
Hypertension was reported on the death certificate of 20.2% (95% confidence interval 12.1%–28.3%) of decedents who had very high to severe blood pressure (160/100 mm Hg and above), 14.5% (10.3%–18.8%) who had high blood pressure (140 to <160 / 90 to <100 mm Hg), 14.1% (10.8%–17.4%) who had normal to high blood pressure (<140/90 mm Hg) and who took hypertension medication, and 17.8% (13.6%–22.0%) who had been diagnosed with hypertension. Where the decedent had very high to severe blood pressure, hypertension was reported for 27.9% (14.1%–41.8%) of deaths if they had been diagnosed with hypertension, and 21.7% (9.6%–33.7%) where another cardiovascular disease was reported on the death certificate.
CONCLUSIONS
Hypertension mortality in Australia is only reported for a minority of deaths of people with high or very high to severe blood pressure; this is also found for those with a prior diagnosis of hypertension.
Graphical Abstract
Graphical Abstract</description><identifier>ISSN: 0895-7061</identifier><identifier>ISSN: 1941-7225</identifier><identifier>EISSN: 1941-7225</identifier><identifier>DOI: 10.1093/ajh/hpae108</identifier><identifier>PMID: 39135538</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Adult ; Aged ; Australia - epidemiology ; Blood Pressure ; Blood Pressure Determination - statistics & numerical data ; Brief Communication ; Cause of Death ; Data Accuracy ; Death Certificates ; Female ; Health Surveys ; Humans ; Hypertension - diagnosis ; Hypertension - epidemiology ; Hypertension - mortality ; Male ; Middle Aged ; Reproducibility of Results</subject><ispartof>American journal of hypertension, 2024-11, Vol.37 (12), p.948-952</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of American Journal of Hypertension, Ltd. 2024</rights><rights>The Author(s) 2024. Published by Oxford University Press on behalf of American Journal of Hypertension, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c301t-feabbc69863b1f45433e6d644eb718a464e09196ad08966e65d153efc95eeebf3</cites><orcidid>0000-0002-9554-0581 ; 0000-0003-2600-0298 ; 0000-0002-1562-4452</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39135538$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adair, Tim</creatorcontrib><creatorcontrib>Li, Hang</creatorcontrib><creatorcontrib>Rao, Chalapati</creatorcontrib><title>Assessing the Accuracy of Reporting of Hypertension on Death Certificates in Australia</title><title>American journal of hypertension</title><addtitle>Am J Hypertens</addtitle><description>Abstract
BACKGROUND
There is insufficient evidence of how accurately hypertension is reported on death certificates, which are the primary evidence of causes of death. This study assesses the accuracy of reporting of hypertension on death certificates of decedents in Australia who previously had their blood pressure measured.
METHODS
Blood pressure data from the 2014–2015 and 2017–2018 National Health Surveys were linked to death registration data from July 2015 to December 2021 (average 3.3 years from survey to death). The percentage of decedents with hypertension reported on the death certificate was calculated according to blood pressure level and previous diagnosis of hypertension.
RESULTS
Hypertension was reported on the death certificate of 20.2% (95% confidence interval 12.1%–28.3%) of decedents who had very high to severe blood pressure (160/100 mm Hg and above), 14.5% (10.3%–18.8%) who had high blood pressure (140 to <160 / 90 to <100 mm Hg), 14.1% (10.8%–17.4%) who had normal to high blood pressure (<140/90 mm Hg) and who took hypertension medication, and 17.8% (13.6%–22.0%) who had been diagnosed with hypertension. Where the decedent had very high to severe blood pressure, hypertension was reported for 27.9% (14.1%–41.8%) of deaths if they had been diagnosed with hypertension, and 21.7% (9.6%–33.7%) where another cardiovascular disease was reported on the death certificate.
CONCLUSIONS
Hypertension mortality in Australia is only reported for a minority of deaths of people with high or very high to severe blood pressure; this is also found for those with a prior diagnosis of hypertension.
Graphical Abstract
Graphical Abstract</description><subject>Adult</subject><subject>Aged</subject><subject>Australia - epidemiology</subject><subject>Blood Pressure</subject><subject>Blood Pressure Determination - statistics & numerical data</subject><subject>Brief Communication</subject><subject>Cause of Death</subject><subject>Data Accuracy</subject><subject>Death Certificates</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - mortality</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Reproducibility of Results</subject><issn>0895-7061</issn><issn>1941-7225</issn><issn>1941-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNp9kc1LAzEQxYMotlZP3mVPIshqptmkm5OU-lFBEES9hmw62420mzXZFfrfm9Ja9CIEhmR-vJeZR8gp0Cugkl3rj-q6ajQCzfdIH2QG6Wg45PukT3PJ0xEV0CNHIXxQSjMh4JD0mATGOcv75H0cAoZg63nSVpiMjem8NqvElckLNs636068TFcN-hbrYF2dxHOLuq2SSXyzpTW6xZDYOhl3ofV6YfUxOSj1IuDJtg7I2_3d62SaPj0_PE7GT6lhFNq0RF0URshcsALKjGeMoZiJLMNiBLnORIZUghR6FkcRAgWfAWdYGskRsSjZgNxsdJuuWOLMYL32V423S-1Xymmr_nZqW6m5-1IAXHCIaxiQi62Cd58dhlYtbTC4WOgaXRcUo3LIBJecRfRygxrvQvBY7nyAqnUUKkahtlFE-uz313bsz-4jcL4BXNf8q_QN-8iUnw</recordid><startdate>20241115</startdate><enddate>20241115</enddate><creator>Adair, Tim</creator><creator>Li, Hang</creator><creator>Rao, Chalapati</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9554-0581</orcidid><orcidid>https://orcid.org/0000-0003-2600-0298</orcidid><orcidid>https://orcid.org/0000-0002-1562-4452</orcidid></search><sort><creationdate>20241115</creationdate><title>Assessing the Accuracy of Reporting of Hypertension on Death Certificates in Australia</title><author>Adair, Tim ; Li, Hang ; Rao, Chalapati</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c301t-feabbc69863b1f45433e6d644eb718a464e09196ad08966e65d153efc95eeebf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Australia - epidemiology</topic><topic>Blood Pressure</topic><topic>Blood Pressure Determination - statistics & numerical data</topic><topic>Brief Communication</topic><topic>Cause of Death</topic><topic>Data Accuracy</topic><topic>Death Certificates</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - mortality</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Reproducibility of Results</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adair, Tim</creatorcontrib><creatorcontrib>Li, Hang</creatorcontrib><creatorcontrib>Rao, Chalapati</creatorcontrib><collection>Oxford Open</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adair, Tim</au><au>Li, Hang</au><au>Rao, Chalapati</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing the Accuracy of Reporting of Hypertension on Death Certificates in Australia</atitle><jtitle>American journal of hypertension</jtitle><addtitle>Am J Hypertens</addtitle><date>2024-11-15</date><risdate>2024</risdate><volume>37</volume><issue>12</issue><spage>948</spage><epage>952</epage><pages>948-952</pages><issn>0895-7061</issn><issn>1941-7225</issn><eissn>1941-7225</eissn><abstract>Abstract
BACKGROUND
There is insufficient evidence of how accurately hypertension is reported on death certificates, which are the primary evidence of causes of death. This study assesses the accuracy of reporting of hypertension on death certificates of decedents in Australia who previously had their blood pressure measured.
METHODS
Blood pressure data from the 2014–2015 and 2017–2018 National Health Surveys were linked to death registration data from July 2015 to December 2021 (average 3.3 years from survey to death). The percentage of decedents with hypertension reported on the death certificate was calculated according to blood pressure level and previous diagnosis of hypertension.
RESULTS
Hypertension was reported on the death certificate of 20.2% (95% confidence interval 12.1%–28.3%) of decedents who had very high to severe blood pressure (160/100 mm Hg and above), 14.5% (10.3%–18.8%) who had high blood pressure (140 to <160 / 90 to <100 mm Hg), 14.1% (10.8%–17.4%) who had normal to high blood pressure (<140/90 mm Hg) and who took hypertension medication, and 17.8% (13.6%–22.0%) who had been diagnosed with hypertension. Where the decedent had very high to severe blood pressure, hypertension was reported for 27.9% (14.1%–41.8%) of deaths if they had been diagnosed with hypertension, and 21.7% (9.6%–33.7%) where another cardiovascular disease was reported on the death certificate.
CONCLUSIONS
Hypertension mortality in Australia is only reported for a minority of deaths of people with high or very high to severe blood pressure; this is also found for those with a prior diagnosis of hypertension.
Graphical Abstract
Graphical Abstract</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>39135538</pmid><doi>10.1093/ajh/hpae108</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-9554-0581</orcidid><orcidid>https://orcid.org/0000-0003-2600-0298</orcidid><orcidid>https://orcid.org/0000-0002-1562-4452</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0895-7061 |
| ispartof | American journal of hypertension, 2024-11, Vol.37 (12), p.948-952 |
| issn | 0895-7061 1941-7225 1941-7225 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11565191 |
| source | Oxford Journals Online |
| subjects | Adult Aged Australia - epidemiology Blood Pressure Blood Pressure Determination - statistics & numerical data Brief Communication Cause of Death Data Accuracy Death Certificates Female Health Surveys Humans Hypertension - diagnosis Hypertension - epidemiology Hypertension - mortality Male Middle Aged Reproducibility of Results |
| title | Assessing the Accuracy of Reporting of Hypertension on Death Certificates in Australia |
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