Harteloh P P M
Centraal Bureau voor de Statistiek, Taakgroep Gezondheid en Welzijn, Den Haag.
Ned Tijdschr Geneeskd. 2017;161:D1767.
In 2013, Statistics Netherlands (CBS) has switched to an automated system for coding causes of death (IRIS). This change of method breaks with the tradition of manual coding of death certificates by medical coders that has lasted for over one hundred years. This article covers the major changes in the frequency of causes of death. It describes an increase of dementia (23%), CVA (11%), infectious diseases (43%) and risk factors (48%) as the underlying cause of death. Researchers, policy makers and medical doctors should take into account the differences between manual and automated coding when interpreting trends or comparing countries.
2013年，荷兰统计局（CBS）已切换至用于死因编码的自动化系统（IRIS）。这种方法的改变打破了医学编码员对死亡证明进行长达一百多年的手动编码传统。本文涵盖了死因频率的主要变化。它描述了痴呆症（23%）、脑血管意外（11%）、传染病（43%）和风险因素（48%）作为潜在死因的增加情况。研究人员、政策制定者和医生在解释趋势或比较各国情况时应考虑手动编码和自动编码之间的差异。
