Document Detail

Standardized physician preparation of death certificates.
MedLine Citation:
PMID:  3608505     Owner:  NLM     Status:  MEDLINE    
One method for determining cause of death in a clinical trial is to use standard nosological coding of death certificates. In order to look at an alternative approach, the Hypertension Detection and Follow-up Program (HDFP) assessed underlying causes of death through the use of three physicians. These physicians were trained and standardized in the proper recording of cause of death on death certificates. Each physician completed a death certificate for each of the 768 deaths in the HDFP, utilizing all available information, including HDFP records, plus any additional hospital and autopsy records. The new standardized death certificates were then transmitted to a panel of three nosologists who coded the cause of death. The physician preparation procedure was compared with a procedure wherein a panel of three nosologists coded the original death certificate for the underlying cause of death. The procedures agreed on the three-digit International Classification of Disease, Adapted code in 60.1% of the cases. The agreement rate improved to 72.5% when disease codes were collapsed into broad disease categories utilized in the HDFP.
B R Davis; J D Curb; B Tung; C M Hawkins; S Ehrman; J Farmer; M Martin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Controlled clinical trials     Volume:  8     ISSN:  0197-2456     ISO Abbreviation:  Control Clin Trials     Publication Date:  1987 Jun 
Date Detail:
Created Date:  1987-08-28     Completed Date:  1987-08-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8006242     Medline TA:  Control Clin Trials     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  110-20     Citation Subset:  IM    
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MeSH Terms
Clinical Trials as Topic / standards*
Death Certificates*
Hypertension / mortality,  therapy
Middle Aged
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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