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Título: | Territorial gaps on quality of causes of death statistics over the last forty years in Spain |
Fecha de publicación: | 3-feb-2024 |
Editorial: | BMC |
Cita bibliográfica: | BMC Public Health 24, Article number: 361 (2024) |
ISSN: | 1471-2458 |
Palabras clave: | Mortality Cause of death Data accuracy Reliability Monitoring Territoriality Spain |
Resumen: | Background The quality of the statistics on causes of death (CoD) does not present consolidated indicators in literature further than the coding group of ill-defined conditions of the International Classification of Diseases. Our objective was to assess the territorial quality of CoD by reliability of the official mortality statistics in Spain over the years 1980–2019. Methods A descriptive epidemiological design of four decades (1980-, 1990-, 2000-, and 2010–2019) by region (18) and sex was implemented. The CoD cases, age-adjusted rates and ratios (to all-cause) were assigned by reliability to unspecific and ill-defined quality categories. The regional mortality rates were contrasted to the Spanish median by decade and sex by the Comparative Mortality Ratio (CMR) in a Bayesian perspective. Statistical significance was considered when the CMR did not contain the value 1 in the 95% credible intervals. Results Unspecific, ill-defined, and all-cause rates by region and sex decreased over 1980–2019, although they scored higher in men than in women. The ratio of ill-defined CoD decreased in both sexes over these decades, but was still prominent in 4 regions. CMR of ill-defined CoD in both sexes exceeded the Spanish median in 3 regions in all decades. In the last decade, women’s CMR significantly exceeded in 5 regions for ill-defined and in 6 regions for unspecific CoD, while men’s CMR exceeded in 4 and 2 of the 18 regions, respectively on quality categories. Conclusions The quality of mortality statistics of causes of death has increased over the 40 years in Spain in both sexes. Quality gaps still remain mostly in Southern regions. Authorities involved might consider to take action and upgrading regional and national death statistics, and developing a systematic medical post-grade training on death certification. |
Autor/es principal/es: | Cirera, L Bañón, RM Maeso, S Molina, P Ballesta, M Chirlaque, MD Salmerón, D |
Autor/es secundario/s: | Mortality Working Group of the Spanish Association of Epidemiology |
Facultad/Departamentos/Servicios: | Facultades, Departamentos, Servicios y Escuelas::Departamentos de la UMU::Ciencias Sociosanitarias |
Versión del editor: | https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-17616-1 |
URI: | http://hdl.handle.net/10201/139242 |
DOI: | https://doi.org/10.1186/s12889-023-17616-1 |
Tipo de documento: | info:eu-repo/semantics/article |
Derechos: | info:eu-repo/semantics/openAccess Atribución 4.0 Internacional |
Descripción: | © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain This document is the published version of a published work that appeared in final form in BMC Public Health. |
Aparece en las colecciones: | Artículos: Ciencias Sociosanitarias |
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