Comparison of the coding of death certificates related to cancer in seven countries.

作者：C Percy, ALICE DOLMAN · 发表于：PubMed · 年份：1978 · 被引用次数：72 · 研究领域：Medical Coding and Health Information、Global Cancer Incidence and Screening

INTERNATIONAL MORTALITY STATISTICS have been derived for many years from information recorded in the medical certification portion of death certificates that have been coded in accordance with the International Classification of Diseases (ICD). The ICD, which was initially published in 1900 and has undergone decennial revisions, includes not only a detailed classification of diseases, injuries, and external causes of death but also international coding rules for selecting the underlying cause of death. Good mortality data depend on accurate and consistent coding of death certificates. Such accuracy means that all diagnostic statements about the same disease or condition, no matter how imprecise or poorly expressed, are given the same code number by different coders. There is no advantage in having an international classification for coding the causes of mortality if the rules for coding are applied so differently that the resulting statistics are not comparable. During the previous decennial revisions of the ICD, the World Health Organization (WHO) attempted to evaluate the application of the ICD coding rules (1). When WHO planned for the ninth revision-ICD-9 (2), a subcommittee on oncology was constituted to prepare a special supplement on cancer-ICD-O, the International Classification of Diseases for Oncology (3). In addition to preparing ICD-O, this subcommittee studied the actual interpretations given to the coding rules pertaining to cancer and the resulting effect on ca...