Redelings Matthew D, Sorvillo Frank, Simon Paul
Los Angeles County Department of Health Services, CA, USA.
Epidemiology. 2006 Jan;17(1):100-3. doi: 10.1097/01.ede.0000187177.96138.c6.
Mortality statistics can be compiled using underlying cause-of-death data or multiple cause-of-death data, which include other contributing causes of death.
For the leading causes of death in the United States during 2000-2001, we compared underlying and multiple cause-of-death statistics.
For some conditions, little difference was observed between the 2 estimates. For other conditions, up to 10 times more deaths were identified from multiple-cause data than from underlying-cause data. The 10 leading causes of death differed when using the 2 types of data.
Whenever possible, underlying and multiple cause-of-death statistics should both be presented. Analyses that use only the underlying cause of death ignore additional information that is readily available from multiple-cause data, and the more limited data may underestimate the importance of several leading causes of death.
死亡率统计数据可使用根本死因数据或多种死因数据来编制,后者包含其他致死原因。
针对2000 - 2001年美国的主要死因,我们比较了根本死因统计数据和多种死因统计数据。
对于某些情况,两种估计之间差异不大。对于其他情况,多种死因数据确定的死亡人数比根本死因数据多多达10倍。使用这两种类型的数据时,前10位主要死因有所不同。
只要有可能,根本死因和多种死因统计数据都应呈现。仅使用根本死因进行的分析会忽略多种死因数据中容易获得的额外信息,而且更有限的数据可能会低估几种主要死因的重要性。