| Autor | Franca, Elisabeth B. | |
| Autor | Souza, Fatima Marinho de | |
| Autor | Ishitani, Lenice H. | |
| Autor | Teixeira, Renato | |
| Autor | Szwarcwald, Celia Landmann | |
| Data de acesso | 2015-03-19T18:05:55Z | |
| Data de disponibilização | 2015-03-19T18:05:55Z | |
| Data do publicação | 2013 | |
| Citação | FRANCA, Elisabeth B. et al. Strengthening vital statistics in Brazil: investigation of ill-defined causes of death and implications on mortality statistics. The Lancet, London, p.51, 2013. | en_US |
| ISSN | 0140-6736 | |
| URI | https://www.arca.fiocruz.br/handle/icict/9754 | |
| Fomento | Ministry of Health of Brazil. | en_US |
| Idioma | por | en_US |
| Editor | Elsevier | en_US |
| Direito Autoral | open access | en_US |
| Título | Strengthening vital statistics in Brazil: investigation of ill-defi ned causes of death and implications on mortality statistics | en_US |
| Tipo do documento | Article | en_US |
| DOI | 10.1016/S0140-6736(13)61305-7 | |
| Resumo em Inglês | Background The number of ill-defi ned causes of death (IDCD) has been a signifi cant problem among registered
causes of death in Brazil. The IDCD proportion was 14·3% in 2000, with huge regional diff erences. In 2005, the
Brazilian government implemented a project in order to decrease the IDCD in states and municipalities in the
poorest regions. This study aims to compare the distribution of causes of death between IDCD investigated and
observed data.
Methods For each death certifi cate with IDCD all attempts were made by health-service professionals to trace existing
information about the fi nal disease and cause of death. The sources of information were hospital records, municipality
health departments, autopsies, family health teams, and civil registry records. For deaths that occurred at home,
verbal autopsy questionnaires were applied. The underlying cause of death was assigned using the documented
evidence available.
Findings During 2006–10, 27·6% (132 056 of 478 674) of IDCD were investigated, and 64·2% (84 751 of 132 056) of
these deaths were reclassifi ed into a defi ned group of causes. Deaths from diabetes, neuropsychiatric, and maternal
conditions occurred with a higher frequency among ill-defi ned causes investigated and were under-diagnosed in
observed data. Injuries were also under-reported, responsible for 7·7% (6551 of 84 751) of the diagnoses among IDCD
in that period. Cancer and respiratory diseases occurred with a higher frequency among registered deaths than among
IDCD (16·3% vs 11·1% for cancer and 11·0 vs 7·8% for respiratory diseases) when compared with circulatory or
endocrine diseases (30·6% vs 43·1% for circulatory and 6·2% vs 10·2% for endocrine diseases).
Interpretation These results show that the distribution of the cause of deaths after investigation of IDCD was diff erent
from those in observed data. Therefore, these diff erences must be taken into consideration when making redistribution
of ill-defi ned causes based on observed data to avoid bias. The investigation of IDCD is critical to the creation of a
reference for applying corrections to the observed data as well as to strategically improve the quality of mortality data. | en_US |
| Afiliação | Universidade Federal de Minas Gerais. Grupo de Epidemiologia e Avaliação em Saúde. Belo Horizonte, MG, Brasil. | en_US |
| Afiliação | Pan American Health Organization. Washington, DC, USA. | en_US |
| Afiliação | Universidade Federal de Minas Gerais. Grupo de Epidemiologia e Avaliação em Saúde. Belo Horizonte, MG, Brasil. | en_US |
| Afiliação | Universidade Federal de Minas Gerais. Grupo de Epidemiologia e Avaliação em Saúde. Belo Horizonte, MG, Brasil. | en_US |
| Afiliação | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| DeCS | Statistics | en_US |
| DeCS | Brazil | en_US |
| DeCS | Vital Statistics | en_US |
| DeCS | Cause of Death | en_US |
| e-ISSN | 1474-547X | |
