American Journal of Epidemiology Vol. 118, No. 1: 122-128
Copyright © 1983 by The Johns Hopkins University School of Hygiene and Public Health
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NOSOLOGICAL CODING OF CAUSE OF DEATH
1HDFP Coordinating Center, The University of Texas School of Public Health, Houston, TX, and Department of Internal Medicine, Baylor College of Medicine, Houston, TX. (Currently at the University of Hawaii School of Public Health, Honolulu, HI)
2Biometry Program, HDFP Coordinating Center, The University of Texas School of Public Health Houston, TX
3University of Iowa, Iowa City IA
Send reprint requests to Dr. Curb, University of Hawaii School of Public Health, 1960 East-West Road, Honolulu, HI 96822.
Curb, J. D. (U. of Hawaii School of Public Health, Honolulu, HI 96822), C. Bab-cock, S. Pressel, B. Tung, R. D. Remington and C. M. Hawkins. Nosological coding of cause of death. Am J Epidemiol 1983; 118: 122–8.
Death certificates representing 766 decedents who had participated in the Hypertension Detection and Follow-up Program (1973–1979) at one of 14 US centers were given to three nosologists for purposes of coding underlying cause of death. Analyses examined Interobserver variability among the three nosologists as well as intraobserver variability for each of the three nosologists. All three nosologists agreed on a three-digit International Classification of Diseases, Adapted (ICDA) code In 90.2% of the cases and at least two out of three agreed in 99.7% of the death certificates examined. Agreement rates Improved when disease codes were collapsed into broader categories utilized In the Hypertension Detection and Follow-up Program. When particular disease classifications (e.g., cerebrovascular, ischemlc heart disease, myocardial infarction, and neoplasms) were examined, three out of three agreement rates were highest for neoplasms (97.8%) and lowest for myocardial infarction (86.5%). Similarly, two out of three agreement was highest for neoplasms (98.5%) and lowest for myocardial infarction (88.0%). Intranosologist agreement rates were based on a recoded 20% sample of death certificates. Agreement rates for three-digit ICDA codes ranged from 94.8% to 96.1% for the three nosologists. The agreement rates for the general disease categories ranged from 96.7% to 97.4%.
clinical trials; death certificates; mortality
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