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Accuracy of death certificates of cardiovascular disease in a community intervention in Sweden

Aim: The aim was to investigate the possibility to evaluate the mortality pattern in a community intervention programme against cardiovascular disease by official death certificates. Methods: For all deceased in the intervention area (Norsjö), the accuracy of the official death certificates were com...

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Published in:Scandinavian journal of public health 2013-12, Vol.41 (8), p.883-889
Main Authors: ERIKSSON, ANDERS, STENLUND, HANS, AHLM, KRISTIN, BOMAN, KURT, BYGREN, LARS OLOV, JOHANSSON, LARS AGE, OLOFSSON, BERT-OVE, WALL, STIG, WEINEHALL, LARS
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cited_by cdi_FETCH-LOGICAL-c617t-973e3f28610664d18d0a6183986412df3068fbc5f55380c2fdca77036e95ce7e3
cites cdi_FETCH-LOGICAL-c617t-973e3f28610664d18d0a6183986412df3068fbc5f55380c2fdca77036e95ce7e3
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container_title Scandinavian journal of public health
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creator ERIKSSON, ANDERS
STENLUND, HANS
AHLM, KRISTIN
BOMAN, KURT
BYGREN, LARS OLOV
JOHANSSON, LARS AGE
OLOFSSON, BERT-OVE
WALL, STIG
WEINEHALL, LARS
description Aim: The aim was to investigate the possibility to evaluate the mortality pattern in a community intervention programme against cardiovascular disease by official death certificates. Methods: For all deceased in the intervention area (Norsjö), the accuracy of the official death certificates were compared with matched controls in the rest of Västerbotten. The official causes of death were compared with new certificates, based on the last clinical record, issued by three of the authors, and coded by one of the authors, all four accordingly blinded. Results: The degree of agreement between the official underlying causes of death in "cardiovascular disease" (CVD) and the re-evaluated certificates was not found to differ between Norsjö and the rest of Västerbotten. The agreement was 87% and 88% at chapter level, respectively, but only 55% and 55% at 4-digit level, respectively. The reclassification resulted in a 1% decrease of "cardiovascular deaths" in both Norsjö and the rest of Västerbotten. Conclusions: The disagreements in the reclassification of cause of death were equal but large in both directions. The official death certificates should be used with caution to evaluate CVD in small community intervention programmes, and restricted to the chapter level and total populations.
doi_str_mv 10.1177/1403494813499653
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source Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); JSTOR Archival Journals and Primary Sources Collection; SAGE
subjects Accuracy
Adult
Aged
agreement
Biological and medical sciences
cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - mortality
Cardiovascular Diseases - prevention & control
Cause of Death
Causes of death
Certificates
Classification
Community services
Death
death certificate
Death Certificates
Epidemiology
Female
General aspects
Heart disease
Humans
Male
Medical Records
Medical sciences
Medicin och hälsovetenskap
Middle Aged
Mortality
Program Evaluation
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
re-classification
Reproducibility of Results
Social Medicine
Socialmedicin
Statistics for public health interventions
Sweden
Sweden - epidemiology
title Accuracy of death certificates of cardiovascular disease in a community intervention in Sweden
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