domingo, 8 de febrero de 2015

Preventing Chronic Disease | Effect of Cause-of-Death Training on Agreement Between Hospital Discharge Diagnoses and Cause of Death Reported, Inpatient Hospital Deaths, New York City, 2008–2010 - CDC

full-text ►

Preventing Chronic Disease | Effect of Cause-of-Death Training on Agreement Between Hospital Discharge Diagnoses and Cause of Death Reported, Inpatient Hospital Deaths, New York City, 2008–2010 - CDC



Preventing Chronic Disease Logo



Effect of Cause-of-Death Training on Agreement Between Hospital Discharge Diagnoses and Cause of Death Reported, Inpatient Hospital Deaths, New York City, 2008–2010

Paulina Ong, MPH; Melissa Gambatese, MPH; Elizabeth Begier, MD, MPH; Regina Zimmerman, PhD, MPH; Antonio Soto; Ann Madsen, PhD, MPH

Suggested citation for this article: Ong P, Gambatese M, Begier E, Zimmerman R, Soto A, Madsen A. Effect of Cause-of-Death Training on Agreement Between Hospital Discharge Diagnoses and Cause of Death Reported, Inpatient Hospital Deaths, New York City, 2008–2010. Prev Chronic Dis 2015;12:140299. DOI: http://dx.doi.org/10.5888/pcd12.140299External Web Site Icon.
PEER REVIEWED

Abstract

Introduction
Accurate cause-of-death reporting is required for mortality data to validly inform public health programming and evaluation. Research demonstrates overreporting of heart disease on New York City death certificates. We describe changes in reported causes of death following a New York City health department training conducted in 2009 to improve accuracy of cause-of-death reporting at 8 hospitals. The objective of our study was to assess the degree to which death certificates citing heart disease as cause of death agreed with hospital discharge data and the degree to which training improved accuracy of reporting.
Methods
We analyzed 74,373 death certificates for 2008 through 2010 that were linked with hospital discharge records for New York City inpatient deaths and calculated the proportion of discordant deaths, that is, death certificates reporting an underlying cause of heart disease with no corresponding discharge record diagnosis. We also summarized top principal diagnoses among discordant reports and calculated the proportion of inpatient deaths reporting sepsis, a condition underreported in New York City, to assess whether documentation practices changed in response to clarifications made during the intervention.
Results
Citywide discordance between death certificates and discharge data decreased from 14.9% in 2008 to 9.6% in 2010 (P < .001), driven by a decrease in discordance at intervention hospitals (20.2% in 2008 to 8.9% in 2010; P < .001). At intervention hospitals, reporting of sepsis increased from 3.7% of inpatient deaths in 2008 to 20.6% in 2010 (P < .001).
Conclusion
Overreporting of heart disease as cause of death declined at intervention hospitals, driving a citywide decline, and sepsis reporting practices changed in accordance with health department training. Researchers should consider the effect of overreporting and data-quality changes when analyzing New York City heart disease mortality trends. Other vital records jurisdictions should employ similar interventions to improve cause-of-death reporting and use linked discharge data to monitor data quality.

Acknowledgments

Paulina Ong completed this project with support from the New York City Bureau of Vital Statistics through the Epi Scholars program at the New York City Department of Health and Mental Hygiene.

Author Information

Corresponding Author: Ann Madsen, PhD, MPH, New York City Department of Health and Mental Hygiene, 125 Worth St, Room 203B, New York, NY 10013. Telephone: 646- 632-6724. E-mail: ann.madsen@me.com.
Author affiliations: Paulina Ong, Melissa Gambatese, Elizabeth Begier, Regina Zimmerman, Antonio Soto, Ann Madsen, New York City Department of Health and Mental Hygiene, New York, New York.

References

  1. Kircher T, Anderson RE. Cause of death: proper completion of the death certificate. JAMA 1987;258(3):349–52. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  2. Lloyd-Jones DM, Martin DO, Larson MG, Levy D. Accuracy of death certificates for coding coronary heart disease as the cause of death. Ann Intern Med 1998;129(12):1020–6. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  3. Johansson LA, Westerling R. Comparing Swedish hospital discharge records with death certificates: implications for mortality statistics. Int J Epidemiol 2000;29(3):495–502. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  4. Johns LE, Madsen AM, Maduro G, Zimmerman R, Konty K, Begier E. A case study of the impact of inaccurate cause-of-death reporting on health disparity tracking: New York City premature cardiovascular mortality. Am J Public Health 2012;103(4):733–9. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  5. Hinchliffe SR, Abrams KR, Lambert PC. The impact of under and over-recording of cancer on death certificates in a competing risks analysis: a simulation study. Cancer Epidemiol 2013;37(1):11–9. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  6. Sington JD, Cottrell BJ. Analysis of the sensitivity of death certificates in 440 hospital deaths: a comparison with necropsy findings. J Clin Pathol 2002;55(7):499–502. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  7. Hoff CJ, Ratard R. Louisiana death certificate accuracy: a concern for the public’s health. J La State Med Soc 2010;162(6):350–2. PubMedExternal Web Site Icon
  8. Lakkireddy DR, Gowda MS, Murray CW, Basarakodu KR, Vacek JL. Death certificate completion: how well are physicians trained and are cardiovascular causes overstated? Am J Med 2004;117(7):492–8. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  9. Wexelman BA, Eden E, Rose KM. Survey of New York City resident physicians on cause-of-death reporting, 2010. Prev Chronic Dis 2013;10:E76. CrossRefExternal Web Site IconPubMedExternal Web Site Icon
  10. Coady SA, Sorlie PD, Cooper LS, Folsom AR, Rosamond WD, Conwill DE. Validation of death certificate diagnosis for coronary heart disease: the Atherosclerosis Risk in Communities (ARIC) Study. J Clin Epidemiol 2001;54(1):40–50. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  11. Agarwal R, Norton JM, Konty K, Zimmerman R, Glover M, Lekiachvili A, et al. Over-reporting of deaths from coronary heart disease in New York City hospitals, 2003. Prev Chronic Dis 2010;7(3):A47. PubMedExternal Web Site Icon
  12. Lakkireddy DR, Basarakodu KR, Vacek JL, Kondur AK, Ramachandruni SK, Esterbrooks DJ, et al. Improving death certificate completion: a trial of two training interventions. J Gen Intern Med 2007;22(4):544–8. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  13. Myers KA, Farquhar DR. Improving the accuracy of death certification. CMAJ 1998;158(10):1317–23. PubMedExternal Web Site Icon
  14. Madsen A, Rossi M, Das T. Improving cause of death reporting: update 2012. City Health Information 2012;31(6):41–9.
  15. Improving cause of death reporting: E-learning module. New York (NY): New York City Department of Health and Mental Hygiene; 2008. http://www.nyc.gov/html/doh/media/video/icdr/. Accessed July 17, 2013.
  16. Madsen A, Thihalolipavan S, Maduro G, Zimmerman R, Koppaka R, Li W, et al. An intervention to improve cause-of-death reporting in New York City hospitals, 2009–2010. Prev Chronic Dis 2012;9:E157. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  17. Madsen A, Begier E. Improving quality of cause-of-death reporting in New York City. Prev Chronic Dis 2013;10:E118. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  18. Al-Samarrai T, Madsen A, Zimmerman R, Maduro G, Li W, Greene C, et al. Impact of a hospital-level intervention to reduce heart disease overreporting on leading causes of death. Prev Chronic Dis 2013;10:E77. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  19. Klijs B, Nusselder WJ, Mackenbach JP. Nationwide individual record linkage study showed poor agreement of causes of death and hospital diagnoses at individual level but reasonable agreement at population level. J Clin Epidemiol 2014;67(2):160–8. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  20. New York City Department of Health and Mental Hygiene. Health code and rules – article 205: deaths and disposals of human remains. http://www.nyc.gov/html/doh/downloads/pdf/about/health-code-article205.pdf/. Accessed July 20, 2013.
  21. National Vital Statistics System. Datasets and related documentation for mortality data. Centers for Disease Control and Prevention National Center for Health Statistics, National Vital Statistics System. http://www.cdc.gov/nchs//nvss/mortality_methods.htm#Standard forms. Accessed August 3, 2013.
  22. International statistical classification of diseases and related health problems. Tenth revision. Geneva (CH): World Health Organization; 1992.
  23. Physician’s handbook on death registration and fetal death reporting. Hyattsville (MD): US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2003. http://www.cdc.gov/nchs/data/misc/hb_cod.pdf. Accessed July 19, 2013.
  24. Murphy SL, Xu JQ, Kochanek KD. Deaths: final data for 2010. National Vital Statistics Reports. Vol. 61, no. 4. Hyattsville (MD): National Center for Health Statistics; 2013.
  25. New York State Department of State, Division of Administrative Rules. Public Health Law §28.16, Official Compilation of Codes, Rules, and Regulations of the State of New York, Title 10 (Health), §400.18.
  26. New York State Department of Health. Statewide Planning and Research Cooperative System (SPARCS). http://www.health.ny.gov/statistics/sparcs/sysdoc/elements/ipde68.htm. Accessed July 26, 2013.
  27. International statistical classification of diseases and related health problems, ninth revision, clinical modification. Geneva (CH): World Health Organization; 1980.
  28. New York State Department of Health. SPARCS-death match documentation. Statewide Planning and Research Cooperative System (SPARCS). http://www.health.ny.gov/statistics/sparcs/. Accessed July 26, 2013.
  29. Governor’s Press Office. Governor Cuomo announces New York State to lead the nation in fighting sepsis — the #1 killer in hospitals — and make major improvements in pediatric care through “Rory's Regulations.” http://www.governor.ny.gov/press/012913-nys-lead-nation-fighting-sepsis. Accessed January 31, 2014.
  30. Zimmerman R, Li W, Begier E, Davis K, Gambatese M, Kelley D, et al. Summary of vital statistics, 2010. New York (NY): New York City Department of Health and Mental Hygiene, Office of Vital Statistics; 2011.

No hay comentarios: