伊朗（2015 年至 2019 年）民事登记死因数据发布——期望与疑虑！
Release of Civil Registry Causes of Death Data in Iran (2015 to 2019) - Expectations and Doubts!
机构信息
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.
Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Arch Iran Med. 2021 Oct 1;24(10):741-746. doi: 10.34172/aim.2021.109.
BACKGROUND
The National Organization for Civil Registration (NOCR) of Iran has reported causes of death data by ICD-10 chapters for the first time in 2020.
METHODS
We used this report to review the share of ICD chapters among all deaths in each province and compare them with the Global Burden of Disease (GBD) study.
RESULTS
There are major changes in the distribution of causes of death between 2017 and 2018, especially in D50-D89 (Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism) from 0.76% to 38.94%, and I00-I99 (Diseases of the circulatory system) from 39.27% to 7.09%. Such dramatic changes are probably the results of changes in coding practices or definitions or issues in analysis.
CONCLUSION
Causes of death reports should be timely, clear, and robust on methods. They should contain a minimum level of details, at least 3-digit ICD codes to be useful for public health and medical professionals.
背景
伊朗国家民事登记组织（NOCR）首次于 2020 年按照 ICD-10 章节报告了死亡原因数据。
方法
我们使用该报告审查了每个省份所有死亡病例中 ICD 章节的份额，并将其与全球疾病负担（GBD）研究进行了比较。
结果
2017 年至 2018 年期间，死亡原因的分布发生了重大变化，尤其是 D50-D89（血液和造血器官疾病及某些涉及免疫机制的疾病）从 0.76%增加到 38.94%，I00-I99（循环系统疾病）从 39.27%减少到 7.09%。这种显著变化可能是编码实践或定义变化或分析问题的结果。
结论
死亡原因报告在方法上应及时、明确和稳健。它们应包含最低限度的详细信息，至少为 3 位 ICD 编码，以便对公共卫生和医疗专业人员有用。
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