Improving the quality of external cause of death data in Brazil: evaluation and validation of a new form to investigate garbage codes
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Cadernos de Saúde Pública |
| Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8259 |
Resumo: | Garbage codes, such as external causes with no specific information, indicate poor quality cause of death data. Investigation of garbage codes via an effective instrument is necessary to convert them into useful data for public health. This study analyzed the performance and suitability of the new investigation of deaths from external causes (IDEC) form to improve the quality of external cause of death data in Brazil. The performance of the IDEC form on 133 external garbage codes deaths was compared with a stratified matched sample of 992 (16%) investigated deaths that used the standard garbage codes form. Consistency between these two groups was checked. The percentage of garbage codes from external causes reclassified into valid causes with a 95% confidence interval (95%CI) was analyzed. Reclassification for specific causes has been described. Qualitative data on the feasibility of the form were recorded by field investigators. Investigation using the new form reduced all external garbage codes by -92.5% (95%CI: -97.0; -88.0), whereas the existing form decreased garbage codes by -60.5% (95%CI: -63.5; -57.4). The IDEC form presented higher effectivity for external-cause garbage codes of determined intent. Deaths that remained garbage codes mainly lacked information about the circumstances of poisoning and/or vehicle accidents. Despite the fact that field investigators considered the IDEC form feasible, they suggested modifications for further improvement. The new form was more effective than the current standard form in improving the quality of defined external causes. |
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Improving the quality of external cause of death data in Brazil: evaluation and validation of a new form to investigate garbage codesMejora en la calidad de los datos de causa externa de muerte en Brasil: evaluación y validación de un nuevo formulario para investigar códigos garbageMelhorando a qualidade dos dados de causa externa de morte no Brasil: avaliação e validação de um novo formulário para investigar códigos garbageCausas de MorteCertificaçãoCausas ExternasRegistros de MortalidadeCausas de MuerteCertificaciónCausas ExternasRegistros de MortalidadCause of DeathCertificationExternal CausesMortality RegistriesGarbage codes, such as external causes with no specific information, indicate poor quality cause of death data. Investigation of garbage codes via an effective instrument is necessary to convert them into useful data for public health. This study analyzed the performance and suitability of the new investigation of deaths from external causes (IDEC) form to improve the quality of external cause of death data in Brazil. The performance of the IDEC form on 133 external garbage codes deaths was compared with a stratified matched sample of 992 (16%) investigated deaths that used the standard garbage codes form. Consistency between these two groups was checked. The percentage of garbage codes from external causes reclassified into valid causes with a 95% confidence interval (95%CI) was analyzed. Reclassification for specific causes has been described. Qualitative data on the feasibility of the form were recorded by field investigators. Investigation using the new form reduced all external garbage codes by -92.5% (95%CI: -97.0; -88.0), whereas the existing form decreased garbage codes by -60.5% (95%CI: -63.5; -57.4). The IDEC form presented higher effectivity for external-cause garbage codes of determined intent. Deaths that remained garbage codes mainly lacked information about the circumstances of poisoning and/or vehicle accidents. Despite the fact that field investigators considered the IDEC form feasible, they suggested modifications for further improvement. The new form was more effective than the current standard form in improving the quality of defined external causes.Códigos garbage (códigos inespecíficos o incompletos), como causas externas inespecíficas, son los indicadores de datos de mala calidad sobre la causa de muerte. Es necesario investigar los códigos garbage con un instrumento eficaz para convertirlos en datos útiles para la salud pública. Este estudio analizó el desempeño y la adecuación del nuevo formulario de investigación de muertes por causas externas (IDEC) para mejorar la calidad de los datos de causa externa de muerte en Brasil. El desempeño de este formulario en 133 muertes con códigos garbage de causas externas se comparó con una muestra estratificada y emparejada de 992 (16%) muertes investigadas que usaron el formulario estándar de códigos garbage existente. Se comprobó la consistencia entre estos dos grupos. Se analizó el porcentaje de códigos garbage por causas externas reclasificados en causas válidas con un intervalo del 95% de confianza (IC95%). Se procedió a una reclasificación por causas específicas. Los datos cualitativos sobre la viabilidad del formulario fueron registrados por investigadores de campo. La investigación con el nuevo formulario tuvo una reducción de todos los códigos garbage de causas externas en -92,5% (IC95%: -97,0; -88,0), mientras que el formulario existente redujo todos los códigos garbage de causas externas en -60,5% (IC95%: -63,5; -57,4). El formulario IDEC fue el más efectivo para códigos garbage de causa externa sin intención indeterminada. Las muertes que quedaron como códigos garbage carecían principalmente de información detallada sobre las circunstancias de envenenamiento y de accidentes de tránsito. Los investigadores de campo confirmaron la viabilidad del formulario IDEC, además de sugerir modificaciones para mejorarlo. El nuevo formulario fue el más efectivo que el formulario estándar actual en cuanto a la mejora de la calidad de las causas externas definidas.Códigos garbage (códigos inespecíficos ou incompletos), como causas externas sem informações específicas, indicam dados de má qualidade sobre a causa da morte. É necessário investigar os códigos garbage com um instrumento efetivo para convertê-los em dados úteis para a saúde pública. Este estudo analisou o desempenho e a adequação do novo formulário de investigação de óbitos por causas externas (IDEC) para melhorar a qualidade dos dados de causa externa de morte no Brasil. O desempenho deste formulário em 133 óbitos com códigos garbage de causas externas foi comparado com uma amostra estratificada e pareada de 992 (16%) óbitos investigados que utilizaram o formulário padrão de códigos garbage existente. A consistência entre esses dois grupos foi verificada. Analisou-se o percentual de códigos garbage de causas externas reclassificados em causas válidas com um intervalo de 95% de confiança (IC95%). A reclassificação para causas específicas foi descrita. Dados qualitativos sobre a viabilidade do formulário foram registrados por pesquisadores de campo. A investigação com o novo formulário reduziu todos os códigos garbage de causas externas em -92,5% (IC95%: -97,0; -88,0) enquanto o formulário existente diminuiu os códigos garbage em -60,5% (IC95%: -63,5; -57,4). O formulário IDEC foi mais eficaz para os códigos garbage de causa externa sem intenção indeterminada. As mortes que permaneceram como códigos garbage careciam principalmente de informações detalhadas sobre as circunstâncias do envenenamento e dos acidentes de trânsito. O formulário IDEC foi considerado viável pelos investigadores de campo, no entanto, eles sugeriram modificações para um maior aperfeiçoamento. O novo formulário foi mais eficaz do que o formulário padrão atual na melhoria da qualidade das causas externas definidas.Reports in Public HealthCadernos de Saúde Pública2023-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8259Reports in Public Health; Vol. 39 No. 3 (2023): MarchCadernos de Saúde Pública; v. 39 n. 3 (2023): Março1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8259/18454https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8259/18455Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessMartins Soares Filho, AdautoBarbosa de Lima, RaquelMerchan-Hamann, Edgarde Fátima Marinho de Souza, MariaMikkelsen, LeneKoralage Buddhika Mahesh, PasyodunAdair, Tim2023-07-02T00:27:32Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8259Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:25.577539Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
| dc.title.none.fl_str_mv |
Improving the quality of external cause of death data in Brazil: evaluation and validation of a new form to investigate garbage codes Mejora en la calidad de los datos de causa externa de muerte en Brasil: evaluación y validación de un nuevo formulario para investigar códigos garbage Melhorando a qualidade dos dados de causa externa de morte no Brasil: avaliação e validação de um novo formulário para investigar códigos garbage |
| title |
Improving the quality of external cause of death data in Brazil: evaluation and validation of a new form to investigate garbage codes |
| spellingShingle |
Improving the quality of external cause of death data in Brazil: evaluation and validation of a new form to investigate garbage codes Martins Soares Filho, Adauto Causas de Morte Certificação Causas Externas Registros de Mortalidade Causas de Muerte Certificación Causas Externas Registros de Mortalidad Cause of Death Certification External Causes Mortality Registries |
| title_short |
Improving the quality of external cause of death data in Brazil: evaluation and validation of a new form to investigate garbage codes |
| title_full |
Improving the quality of external cause of death data in Brazil: evaluation and validation of a new form to investigate garbage codes |
| title_fullStr |
Improving the quality of external cause of death data in Brazil: evaluation and validation of a new form to investigate garbage codes |
| title_full_unstemmed |
Improving the quality of external cause of death data in Brazil: evaluation and validation of a new form to investigate garbage codes |
| title_sort |
Improving the quality of external cause of death data in Brazil: evaluation and validation of a new form to investigate garbage codes |
| author |
Martins Soares Filho, Adauto |
| author_facet |
Martins Soares Filho, Adauto Barbosa de Lima, Raquel Merchan-Hamann, Edgar de Fátima Marinho de Souza, Maria Mikkelsen, Lene Koralage Buddhika Mahesh, Pasyodun Adair, Tim |
| author_role |
author |
| author2 |
Barbosa de Lima, Raquel Merchan-Hamann, Edgar de Fátima Marinho de Souza, Maria Mikkelsen, Lene Koralage Buddhika Mahesh, Pasyodun Adair, Tim |
| author2_role |
author author author author author author |
| dc.contributor.author.fl_str_mv |
Martins Soares Filho, Adauto Barbosa de Lima, Raquel Merchan-Hamann, Edgar de Fátima Marinho de Souza, Maria Mikkelsen, Lene Koralage Buddhika Mahesh, Pasyodun Adair, Tim |
| dc.subject.por.fl_str_mv |
Causas de Morte Certificação Causas Externas Registros de Mortalidade Causas de Muerte Certificación Causas Externas Registros de Mortalidad Cause of Death Certification External Causes Mortality Registries |
| topic |
Causas de Morte Certificação Causas Externas Registros de Mortalidade Causas de Muerte Certificación Causas Externas Registros de Mortalidad Cause of Death Certification External Causes Mortality Registries |
| description |
Garbage codes, such as external causes with no specific information, indicate poor quality cause of death data. Investigation of garbage codes via an effective instrument is necessary to convert them into useful data for public health. This study analyzed the performance and suitability of the new investigation of deaths from external causes (IDEC) form to improve the quality of external cause of death data in Brazil. The performance of the IDEC form on 133 external garbage codes deaths was compared with a stratified matched sample of 992 (16%) investigated deaths that used the standard garbage codes form. Consistency between these two groups was checked. The percentage of garbage codes from external causes reclassified into valid causes with a 95% confidence interval (95%CI) was analyzed. Reclassification for specific causes has been described. Qualitative data on the feasibility of the form were recorded by field investigators. Investigation using the new form reduced all external garbage codes by -92.5% (95%CI: -97.0; -88.0), whereas the existing form decreased garbage codes by -60.5% (95%CI: -63.5; -57.4). The IDEC form presented higher effectivity for external-cause garbage codes of determined intent. Deaths that remained garbage codes mainly lacked information about the circumstances of poisoning and/or vehicle accidents. Despite the fact that field investigators considered the IDEC form feasible, they suggested modifications for further improvement. The new form was more effective than the current standard form in improving the quality of defined external causes. |
| publishDate |
2023 |
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2023-07-01 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8259 |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8259 |
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eng |
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eng |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8259/18454 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8259/18455 |
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Copyright (c) 2023 Cadernos de Saúde Pública info:eu-repo/semantics/openAccess |
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Copyright (c) 2023 Cadernos de Saúde Pública |
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openAccess |
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Reports in Public Health Cadernos de Saúde Pública |
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Reports in Public Health Cadernos de Saúde Pública |
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Reports in Public Health; Vol. 39 No. 3 (2023): March Cadernos de Saúde Pública; v. 39 n. 3 (2023): Março 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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