Anderson Robert N, Rosenberg Harry M
Division of Vital Statistics, National Center for Health Statistics, Hyattsville, MD 20782, USA.
Stat Med. 2003 May 15;22(9):1551-70. doi: 10.1002/sim.1511.
The purpose of this paper is to describe the statistical impact of the Tenth Revision of the International Classification of Diseases (ICD-10) on cause-of-death data for the United States. ICD-10 was implemented in the U.S. effective with deaths occurring in 1999. The paper is based on cause-of-death information from a large sample of 1996 death certificates filed in the 50 States and the District of Columbia. Cause-of-death information in the sample includes underlying cause of death classified by both ICD-9 and ICD-10. Preliminary comparability ratios by cause of death presented in this paper indicate the extent of discontinuities in cause-of-death trends from 1998 to 1999 resulting from implementing ICD-10. For some leading causes (for example, septicaemia, influenza and pneumonia, Alzheimer's disease, and nephritis, nephrotic syndrome and nephrosis) the discontinuity in trend is substantial. Results of this study, although preliminary, are essential to analysing trends in mortality statistics between ICD-9 and ICD-10. In particular, the results provide a means for interpreting changes between 1998, which is the last year in which ICD-9 was used, and 1999, the year in which ICD-10 was implemented for mortality in the United States. Published in 2003 by John Wiley & Sons, Ltd.
本文旨在描述《国际疾病分类第十次修订本》（ICD - 10）对美国死因数据的统计影响。ICD - 10于1999年在美国实施，适用于该年发生的死亡案例。本文基于从美国50个州和哥伦比亚特区提交的大量1996年死亡证明书中获取的死因信息。样本中的死因信息包括按照ICD - 9和ICD - 10分类的根本死因。本文给出的按死因划分的初步可比率表明了因实施ICD - 10而导致的1998年至1999年死因趋势不连续性的程度。对于一些主要死因（例如败血症、流感和肺炎、阿尔茨海默病以及肾炎、肾病综合征和肾病），趋势的不连续性相当大。本研究结果虽然是初步的，但对于分析ICD - 9和ICD - 10之间死亡率统计趋势至关重要。特别是，这些结果为解释1998年（使用ICD - 9的最后一年）与1999年（ICD - 10在美国用于死亡率统计的年份）之间的变化提供了一种方法。由约翰·威利父子有限公司于2003年出版。
