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[通过地区统计局探索德国死亡原因的新研究途径——以一项回顾性队列研究为例]

[New research avenues in exploring causes of death in Germany via regional statistical offices as exemplified by a retrospective cohort study].

作者信息

Klug S J, Zeeb H, Blettner M

机构信息

AG3 Epidemiologie und Medizinische Statistik, Fakultät für Gesundheitswissenschaften, Universität Bielefeld.

出版信息

Gesundheitswesen. 2003 Apr;65(4):243-9. doi: 10.1055/s-2003-39273.

DOI:10.1055/s-2003-39273
PMID:12751007
Abstract

In retrospective epidemiological cohort studies the mortality rate of a cohort exposed to certain agents under investigation is compared to the mortality rate of the general population. In Germany, vital status of the cohort is followed up via local population registries. Cause of death of deceased members of the cohort is obtained from death certificates by local health authorities. Since storage time for death certificates is short in some Federal German states, causes of death cannot be obtained if death occurred before storage deadline. Recently it became possible to obtain the cause of death from regional statistical offices. Initial co-operation has been established with the statistical offices of North Rhine Westphalia and Berlin. For a cohort study in the chemical industry, the initially low proportion of causes of death obtained from local health authorities (44.8 %) was increased by 30 % to 74.0 % after obtaining ICD coded causes of death from two regional statistical offices. Further advantages of this new data source are reduction in duration of inquiry time and of overall cost.

摘要

在回顾性流行病学队列研究中,将暴露于某些正在调查的因素的队列的死亡率与一般人群的死亡率进行比较。在德国,通过当地人口登记处对队列的生命状况进行随访。队列中已故成员的死因由当地卫生当局从死亡证明中获取。由于德国一些联邦州死亡证明的存储时间较短,如果死亡发生在存储截止日期之前,就无法获取死因。最近,从地区统计局获取死因成为可能。已经与北莱茵-威斯特法伦州和柏林的统计局建立了初步合作。对于一项化工行业的队列研究,从当地卫生当局获取的死因最初比例较低(44.8%),在从两个地区统计局获取国际疾病分类编码的死因后,这一比例提高了30%,达到74.0%。这个新数据源的其他优势包括查询时间和总体成本的降低。

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All-cause and cardiovascular mortality among ethnic German immigrants from the Former Soviet Union: a cohort study.前苏联德裔移民的全因死亡率和心血管死亡率:一项队列研究。
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Large-scale, population-based epidemiological studies with record linkage can be done in Germany.在德国可以开展基于人群的大规模记录链接流行病学研究。
Eur J Epidemiol. 2004;19(12):1073-4. doi: 10.1007/s10654-004-1752-2.