The WHO 2016 verbal autopsy instrument: An international standard suitable for automated analysis by InterVA, InSilicoVA, and Tariff 2.0
Verbal autopsy (VA) is a practical method for determining probable causes of death at the population level in places where systems for medical certification of cause of death are weak. VA methods suitable for use in routine settings, such as civil registration and vital statistics (CRVS) systems, ha...
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description | Verbal autopsy (VA) is a practical method for determining probable causes of death at the population level in places where systems for medical certification of cause of death are weak. VA methods suitable for use in routine settings, such as civil registration and vital statistics (CRVS) systems, have developed rapidly in the last decade. These developments have been part of a growing global momentum to strengthen CRVS systems in low-income countries. With this momentum have come pressure for continued research and development of VA methods and the need for a single standard VA instrument on which multiple automated diagnostic methods can be developed.
In 2016, partners harmonized a WHO VA standard instrument that fully incorporates the indicators necessary to run currently available automated diagnostic algorithms. The WHO 2016 VA instrument, together with validated approaches to analyzing VA data, offers countries solutions to improving information about patterns of cause-specific mortality. This VA instrument offers the opportunity to harmonize the automated diagnostic algorithms in the future.
Despite all improvements in design and technology, VA is only recommended where medical certification of cause of death is not possible. The method can nevertheless provide sufficient information to guide public health priorities in communities in which physician certification of deaths is largely unavailable. The WHO 2016 VA instrument, together with validated approaches to analyzing VA data, offers countries solutions to improving information about patterns of cause-specific mortality. |
doi_str_mv | 10.1371/journal.pmed.1002486 |
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In 2016, partners harmonized a WHO VA standard instrument that fully incorporates the indicators necessary to run currently available automated diagnostic algorithms. The WHO 2016 VA instrument, together with validated approaches to analyzing VA data, offers countries solutions to improving information about patterns of cause-specific mortality. This VA instrument offers the opportunity to harmonize the automated diagnostic algorithms in the future.
Despite all improvements in design and technology, VA is only recommended where medical certification of cause of death is not possible. The method can nevertheless provide sufficient information to guide public health priorities in communities in which physician certification of deaths is largely unavailable. The WHO 2016 VA instrument, together with validated approaches to analyzing VA data, offers countries solutions to improving information about patterns of cause-specific mortality.</description><identifier>ISSN: 1549-1676</identifier><identifier>ISSN: 1549-1277</identifier><identifier>EISSN: 1549-1676</identifier><identifier>DOI: 10.1371/journal.pmed.1002486</identifier><identifier>PMID: 29320495</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Algorithms ; Automation ; Autopsies ; Autopsy ; Autopsy - methods ; Autopsy - standards ; Cause of Death ; Certification ; Computer and Information Sciences ; Data processing ; Death ; Engineering and Technology ; Epidemiology ; Guidelines and Guidance ; Health sciences ; Health surveillance ; Humans ; Hygiene ; Innovations ; Medical research ; Medical technology ; Medicine ; Medicine and Health Sciences ; Methods ; Mortality ; People and Places ; Physical Sciences ; Population ; Public health ; R&D ; Research & development ; Research and Analysis Methods ; Statistical analysis ; Studies ; Tariffs ; Technology application ; Vital Statistics ; Working groups ; World Health Organization</subject><ispartof>PLoS medicine, 2018-01, Vol.15 (1), p.e1002486-e1002486</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Public Library of Science. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Nichols EK, Byass P, Chandramohan D, Clark SJ, Flaxman AD, Jakob R, et al. (2018) The WHO 2016 verbal autopsy instrument: An international standard suitable for automated analysis by InterVA, InSilicoVA, and Tariff 2.0. PLoS Med 15(1): e1002486. https://doi.org/10.1371/journal.pmed.1002486</rights><rights>2018 World Health Organization 2018 World Health Organization</rights><rights>2018 Public Library of Science. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Nichols EK, Byass P, Chandramohan D, Clark SJ, Flaxman AD, Jakob R, et al. (2018) The WHO 2016 verbal autopsy instrument: An international standard suitable for automated analysis by InterVA, InSilicoVA, and Tariff 2.0. PLoS Med 15(1): e1002486. https://doi.org/10.1371/journal.pmed.1002486</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c868t-22972fbbaa5f95657e2697be8a6e70cb59a543ad8a64d5337bdfd5fcaab679923</citedby><cites>FETCH-LOGICAL-c868t-22972fbbaa5f95657e2697be8a6e70cb59a543ad8a64d5337bdfd5fcaab679923</cites><orcidid>0000-0002-4917-1412 ; 0000-0001-5474-4361 ; 0000-0002-1961-9343 ; 0000-0001-6033-4713</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5761828/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5761828/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,551,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29320495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-144955$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Nichols, Erin K</creatorcontrib><creatorcontrib>Byass, Peter</creatorcontrib><creatorcontrib>Chandramohan, Daniel</creatorcontrib><creatorcontrib>Clark, Samuel J</creatorcontrib><creatorcontrib>Flaxman, Abraham D</creatorcontrib><creatorcontrib>Jakob, Robert</creatorcontrib><creatorcontrib>Leitao, Jordana</creatorcontrib><creatorcontrib>Maire, Nicolas</creatorcontrib><creatorcontrib>Rao, Chalapati</creatorcontrib><creatorcontrib>Riley, Ian</creatorcontrib><creatorcontrib>Setel, Philip W</creatorcontrib><creatorcontrib>WHO Verbal Autopsy Working Group</creatorcontrib><creatorcontrib>on behalf of the WHO Verbal Autopsy Working Group</creatorcontrib><title>The WHO 2016 verbal autopsy instrument: An international standard suitable for automated analysis by InterVA, InSilicoVA, and Tariff 2.0</title><title>PLoS medicine</title><addtitle>PLoS Med</addtitle><description>Verbal autopsy (VA) is a practical method for determining probable causes of death at the population level in places where systems for medical certification of cause of death are weak. VA methods suitable for use in routine settings, such as civil registration and vital statistics (CRVS) systems, have developed rapidly in the last decade. These developments have been part of a growing global momentum to strengthen CRVS systems in low-income countries. With this momentum have come pressure for continued research and development of VA methods and the need for a single standard VA instrument on which multiple automated diagnostic methods can be developed.
In 2016, partners harmonized a WHO VA standard instrument that fully incorporates the indicators necessary to run currently available automated diagnostic algorithms. The WHO 2016 VA instrument, together with validated approaches to analyzing VA data, offers countries solutions to improving information about patterns of cause-specific mortality. This VA instrument offers the opportunity to harmonize the automated diagnostic algorithms in the future.
Despite all improvements in design and technology, VA is only recommended where medical certification of cause of death is not possible. The method can nevertheless provide sufficient information to guide public health priorities in communities in which physician certification of deaths is largely unavailable. The WHO 2016 VA instrument, together with validated approaches to analyzing VA data, offers countries solutions to improving information about patterns of cause-specific mortality.</description><subject>Algorithms</subject><subject>Automation</subject><subject>Autopsies</subject><subject>Autopsy</subject><subject>Autopsy - methods</subject><subject>Autopsy - standards</subject><subject>Cause of Death</subject><subject>Certification</subject><subject>Computer and Information Sciences</subject><subject>Data processing</subject><subject>Death</subject><subject>Engineering and Technology</subject><subject>Epidemiology</subject><subject>Guidelines and Guidance</subject><subject>Health sciences</subject><subject>Health surveillance</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Innovations</subject><subject>Medical research</subject><subject>Medical technology</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Mortality</subject><subject>People and Places</subject><subject>Physical Sciences</subject><subject>Population</subject><subject>Public health</subject><subject>R&D</subject><subject>Research & development</subject><subject>Research and Analysis Methods</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Tariffs</subject><subject>Technology application</subject><subject>Vital Statistics</subject><subject>Working groups</subject><subject>World Health 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WHO 2016 verbal autopsy instrument: An international standard suitable for automated analysis by InterVA, InSilicoVA, and Tariff 2.0</title><author>Nichols, Erin K ; Byass, Peter ; Chandramohan, Daniel ; Clark, Samuel J ; Flaxman, Abraham D ; Jakob, Robert ; Leitao, Jordana ; Maire, Nicolas ; Rao, Chalapati ; Riley, Ian ; Setel, Philip W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c868t-22972fbbaa5f95657e2697be8a6e70cb59a543ad8a64d5337bdfd5fcaab679923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Algorithms</topic><topic>Automation</topic><topic>Autopsies</topic><topic>Autopsy</topic><topic>Autopsy - methods</topic><topic>Autopsy - standards</topic><topic>Cause of Death</topic><topic>Certification</topic><topic>Computer and Information Sciences</topic><topic>Data processing</topic><topic>Death</topic><topic>Engineering and Technology</topic><topic>Epidemiology</topic><topic>Guidelines and Guidance</topic><topic>Health sciences</topic><topic>Health surveillance</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Innovations</topic><topic>Medical research</topic><topic>Medical technology</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Methods</topic><topic>Mortality</topic><topic>People and Places</topic><topic>Physical Sciences</topic><topic>Population</topic><topic>Public health</topic><topic>R&D</topic><topic>Research & development</topic><topic>Research and Analysis Methods</topic><topic>Statistical analysis</topic><topic>Studies</topic><topic>Tariffs</topic><topic>Technology application</topic><topic>Vital Statistics</topic><topic>Working groups</topic><topic>World Health Organization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nichols, Erin K</creatorcontrib><creatorcontrib>Byass, 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nichols, Erin K</au><au>Byass, Peter</au><au>Chandramohan, Daniel</au><au>Clark, Samuel J</au><au>Flaxman, Abraham D</au><au>Jakob, Robert</au><au>Leitao, Jordana</au><au>Maire, Nicolas</au><au>Rao, Chalapati</au><au>Riley, Ian</au><au>Setel, Philip W</au><aucorp>WHO Verbal Autopsy Working Group</aucorp><aucorp>on behalf of the WHO Verbal Autopsy Working Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The WHO 2016 verbal autopsy instrument: An international standard suitable for automated analysis by InterVA, InSilicoVA, and Tariff 2.0</atitle><jtitle>PLoS medicine</jtitle><addtitle>PLoS Med</addtitle><date>2018-01-10</date><risdate>2018</risdate><volume>15</volume><issue>1</issue><spage>e1002486</spage><epage>e1002486</epage><pages>e1002486-e1002486</pages><issn>1549-1676</issn><issn>1549-1277</issn><eissn>1549-1676</eissn><abstract>Verbal autopsy (VA) is a practical method for determining probable causes of death at the population level in places where systems for medical certification of cause of death are weak. VA methods suitable for use in routine settings, such as civil registration and vital statistics (CRVS) systems, have developed rapidly in the last decade. These developments have been part of a growing global momentum to strengthen CRVS systems in low-income countries. With this momentum have come pressure for continued research and development of VA methods and the need for a single standard VA instrument on which multiple automated diagnostic methods can be developed.
In 2016, partners harmonized a WHO VA standard instrument that fully incorporates the indicators necessary to run currently available automated diagnostic algorithms. The WHO 2016 VA instrument, together with validated approaches to analyzing VA data, offers countries solutions to improving information about patterns of cause-specific mortality. This VA instrument offers the opportunity to harmonize the automated diagnostic algorithms in the future.
Despite all improvements in design and technology, VA is only recommended where medical certification of cause of death is not possible. The method can nevertheless provide sufficient information to guide public health priorities in communities in which physician certification of deaths is largely unavailable. The WHO 2016 VA instrument, together with validated approaches to analyzing VA data, offers countries solutions to improving information about patterns of cause-specific mortality.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29320495</pmid><doi>10.1371/journal.pmed.1002486</doi><orcidid>https://orcid.org/0000-0002-4917-1412</orcidid><orcidid>https://orcid.org/0000-0001-5474-4361</orcidid><orcidid>https://orcid.org/0000-0002-1961-9343</orcidid><orcidid>https://orcid.org/0000-0001-6033-4713</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Algorithms Automation Autopsies Autopsy Autopsy - methods Autopsy - standards Cause of Death Certification Computer and Information Sciences Data processing Death Engineering and Technology Epidemiology Guidelines and Guidance Health sciences Health surveillance Humans Hygiene Innovations Medical research Medical technology Medicine Medicine and Health Sciences Methods Mortality People and Places Physical Sciences Population Public health R&D Research & development Research and Analysis Methods Statistical analysis Studies Tariffs Technology application Vital Statistics Working groups World Health Organization |
title | The WHO 2016 verbal autopsy instrument: An international standard suitable for automated analysis by InterVA, InSilicoVA, and Tariff 2.0 |
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