Deaths from Heart Failure: Using Coarsened Exact Matching to Correct Cause-of-Death Statistics

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Deaths from Heart Failure: Using Coarsened Exact Matching to Correct Cause-of-Death Statistics

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dc.contributor.author Stevens, Gretchen A
dc.contributor.author King, Gary
dc.contributor.author Shibuya, Kenji
dc.date.accessioned 2010-10-04T19:19:31Z
dc.date.issued 2010
dc.identifier.citation Stevens, Gretchen A., Gary King, and Kenji Shibuya. 2010. Deaths from heart failure: Using coarsened exact matching to correct cause-of-death statistics. Population Health Metrics 8:6. en_US
dc.identifier.issn 1478-7954 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:4456948
dc.description.abstract Background: Incomplete information on death certificates makes recorded cause-of-death data less useful for public health monitoring and planning. Certifying physicians sometimes list only the mode of death without indicating the underlying disease or diseases that led to the death. Inconsistent cause-of-death assignment among cardiovascular causes of death is of particular concern. This can prevent valid epidemiologic comparisons across countries and over time. Methods: We propose that coarsened exact matching be used to infer the underlying causes of death where only the mode of death is known. We focus on the case of heart failure in US, Mexican, and Brazilian death records.Results Redistribution algorithms derived using this method assign the largest proportion of heart failure deaths to ischemic heart disease in all three countries (53%, 26%, and 22% respectively), with larger proportions assigned to hypertensive heart disease and diabetes in Mexico and Brazil (16% and 23% vs. 7% for hypertensive heart disease, and 13% and 9% vs. 6% for diabetes). Reassigning these heart failure deaths increases the US ischemic heart disease mortality rate by 6%. Conclusions: The frequency with which physicians list heart failure in the causal chain for various underlying causes of death allows for inference about how physicians use heart failure on the death certificate in different settings. This easy-to-use method has the potential to reduce bias and increase comparability in cause-of-death data, thereby improving the public health utility of death records. en_US
dc.description.sponsorship Government en_US
dc.language.iso en_US en_US
dc.publisher BioMed Central en_US
dc.relation.isversionof doi:10.1186/1478-7954-8-6 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2873307/pdf/ en_US
dash.license OAP
dc.title Deaths from Heart Failure: Using Coarsened Exact Matching to Correct Cause-of-Death Statistics en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal Population Health Metrics en_US
dash.depositing.author King, Gary
dc.date.available 2010-10-04T19:19:31Z

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  • FAS Scholarly Articles [6898]
    Peer reviewed scholarly articles from the Faculty of Arts and Sciences of Harvard University

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