Camidge D R, Stockton D L, Bain M
Edinburgh Cancer Centre, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK.
Br J Cancer. 2006 Sep 4;95(5):649-52. doi: 10.1038/sj.bjc.6603293. Epub 2006 Aug 8.
ICD-9 code 163 (malignant neoplasm of pleura) listed as underlying cause of death detected only 40% of Scottish mesothelioma cases (all body sites) from the cancer registry in 1981-1999. This is lower than both the previously published 55% figure, derived from UK mesothelioma register data 1986-1991, which is based on any mention of mesothelioma on death certificates, cross-referenced to cancer registry data, and the 44% figure derived from Scottish mortality data 1981-1999, which captured any mention of mesothelioma on the death certificate. Detection from cancer registry data increased to 75% under ICD-10 in Scotland, confirming earlier predictions of the benefit of ICD-10's more specific mesothelioma codes. Including the accidental poisoning codes E866.4 (ICD-9) and X49 (ICD-10), covering poisoning by 'unspecified' and 'other' causes, which appear to have been used as coding surrogates for mesothelioma when asbestos exposure was explicitly mentioned in deaths suggestive of a mesothelioma, and which are recorded as the underlying cause of death in 4-7% of mesotheliomas, may improve the mesothelioma detection rate in future epidemiological studies.
国际疾病分类第九版（ICD - 9）编码163（胸膜恶性肿瘤）作为潜在死因，在1981 - 1999年苏格兰癌症登记处登记的间皮瘤病例（所有身体部位）中仅查出40%。这一比例低于之前公布的两个数字，一个是1986 - 1991年英国间皮瘤登记数据得出的55%，该数据基于死亡证明上任何提及间皮瘤的信息，并与癌症登记数据交叉比对；另一个是1981 - 1999年苏格兰死亡率数据得出的44%，该数据涵盖了死亡证明上任何提及间皮瘤的信息。在苏格兰，根据国际疾病分类第十版（ICD - 10），从癌症登记数据中查出的比例增至75%，证实了之前关于ICD - 10更具体的间皮瘤编码有益处的预测。纳入意外中毒编码E866.4（ICD - 9）和X49（ICD - 10），它们涵盖“未指明的”和“其他”原因导致的中毒，在死亡证明中明确提及石棉暴露疑似间皮瘤时，这些编码似乎被用作间皮瘤的编码替代，并且在4% - 7%的间皮瘤病例中被记录为潜在死因，这可能会提高未来流行病学研究中间皮瘤的检出率。
