Artículo de revista
Reliability of cause of death coding: an international comparison
Fecha
2015Registro en:
Cad. Saúde Pública, Rio de Janeiro, 31(7):1473-1482, jul, 2015
DOI: 10.1590/0102-311X00099814
Autor
Antini Irribarra, Carmen
Rajs, Danuta
Muñoz Quezada, María Teresa
Lucero Mondaca, Boris Andrés
Heiss, Gerardo
Institución
Resumen
This study evaluates the agreement of nosologic
coding of cardiovascular causes of death between a Chilean coder and one in the United States, in a stratified random sample of death certificates of persons aged ≥ 60, issued in 2008 in the Valparaíso and Metropolitan regions, Chile. All causes of death were converted to ICD-10 codes in parallel by both coders. Concordance was analyzed with inter-coder agreement and Cohen’s kappa coefficient by level of specification
ICD-10 code for the underlying cause and the total causes of death coding. Inter-coder agreement was 76.4% for all causes of death and 80.6% for the underlying cause (agreement at the four-digit level), with differences by the level of specification of the ICD-10 code, by line of the death certificate, and by number of causes of death per certificate. Cohen's kappa coefficient was 0.76 (95%CI: 0.68-0.84) for the underlying cause and 0.75 (95%CI: 0.74-0.77) for the total causes of death. In conclusion, causes of death coding and inter-coder agreement for cardiovascular
diseases in two regions of Chile are comparable
to an external benchmark and with reports from other countries.