A possible artefactual component in specific cause mortality gradients. Social class variations in the clinical accuracy of death certificates
This paper investigates one possible avenue of artefactual influence on the production and/or concealment of social class gradients in specific cause mortality rates, namely, the possibility of social class biases in the accuracy of diagnosis of cause of death and the systematic misallocation of cer...
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| Veröffentlicht in: | Journal of epidemiology and community health (1979) 1988-06, Vol.42 (2), p.138-143 |
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| container_title | Journal of epidemiology and community health (1979) |
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| creator | Samphier, M L Robertson, C Bloor, M J |
| description | This paper investigates one possible avenue of artefactual influence on the production and/or concealment of social class gradients in specific cause mortality rates, namely, the possibility of social class biases in the accuracy of diagnosis of cause of death and the systematic misallocation of certain social groups to particular diagnoses. Information on this topic was obtained by matching occupational data gathered at death registration with data on the accuracy of diagnosis of cause of death (measured by diagnostic agreement between clinician and pathologist) collected in a prospective study of 1152 hospital necropsies. Extrapolation from these data to national mortality rates should be cautious, but it appears that in the majority of the most common causes of death grouped by ICD chapter (neoplasms, cerebrovascular and digestive) social class gradients would be steeper if mortality data were based on pathologists' rather than clinicians' diagnoses. Only in the respiratory chapter would the gradient be reduced, with the gradient in cardiovascular deaths unaffected. |
| doi_str_mv | 10.1136/jech.42.2.138 |
| format | Article |
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Social class variations in the clinical accuracy of death certificates</title><source>MEDLINE</source><source>JSTOR Archive Collection A-Z Listing</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Samphier, M L ; Robertson, C ; Bloor, M J</creator><creatorcontrib>Samphier, M L ; Robertson, C ; Bloor, M J</creatorcontrib><description>This paper investigates one possible avenue of artefactual influence on the production and/or concealment of social class gradients in specific cause mortality rates, namely, the possibility of social class biases in the accuracy of diagnosis of cause of death and the systematic misallocation of certain social groups to particular diagnoses. Information on this topic was obtained by matching occupational data gathered at death registration with data on the accuracy of diagnosis of cause of death (measured by diagnostic agreement between clinician and pathologist) collected in a prospective study of 1152 hospital necropsies. Extrapolation from these data to national mortality rates should be cautious, but it appears that in the majority of the most common causes of death grouped by ICD chapter (neoplasms, cerebrovascular and digestive) social class gradients would be steeper if mortality data were based on pathologists' rather than clinicians' diagnoses. 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Social class variations in the clinical accuracy of death certificates</title><title>Journal of epidemiology and community health (1979)</title><addtitle>J Epidemiol Community Health</addtitle><description>This paper investigates one possible avenue of artefactual influence on the production and/or concealment of social class gradients in specific cause mortality rates, namely, the possibility of social class biases in the accuracy of diagnosis of cause of death and the systematic misallocation of certain social groups to particular diagnoses. Information on this topic was obtained by matching occupational data gathered at death registration with data on the accuracy of diagnosis of cause of death (measured by diagnostic agreement between clinician and pathologist) collected in a prospective study of 1152 hospital necropsies. Extrapolation from these data to national mortality rates should be cautious, but it appears that in the majority of the most common causes of death grouped by ICD chapter (neoplasms, cerebrovascular and digestive) social class gradients would be steeper if mortality data were based on pathologists' rather than clinicians' diagnoses. Only in the respiratory chapter would the gradient be reduced, with the gradient in cardiovascular deaths unaffected.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Cause of Death</subject><subject>Causes of death</subject><subject>Death</subject><subject>Death Certificates</subject><subject>Diagnostic Errors</subject><subject>Epidemiologic Methods</subject><subject>Humans</subject><subject>International Statistical Classification of Diseases</subject><subject>Length of stay</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Neoplasia</subject><subject>Occupations</subject><subject>Pathology</subject><subject>Scotland</subject><subject>Social biases</subject><subject>Social Class</subject><subject>Social classes</subject><subject>Statistics as Topic</subject><issn>0143-005X</issn><issn>1470-2738</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkV-L1DAUxYso67j66KMQEGRfOuZfm_ZFWAZ3V1gUXJV9C7fp7U7GthmTdHG-hJ_ZlBlm1RefEnJ-9-RcTpa9ZHTJmCjfbtCsl5Iv-ZKJ6lG2YFLRnCtRPc4WlEmRU1rcPs2ehbCh6ap4fZKdCM4ZK_ki-3VOti4E2_RIwEfswMQJemLcsHUjjpHYkYQtGttZQwxMAcngfITexh2589DaBIUluXHGznM9hEDuwVuI1o1hHo9rTO92tCYBYMzkweyI60iLENfEoI-zO0QMz7MnHfQBXxzO0-zrxfsvq6v8-tPlh9X5dd4UVMS8LnjJO15JNJVsZcdRUqEYV60ChorVdd1UojOSlqrpEoh12wGtk16XbcvEafZu77udmgFbk3bw0OuttwP4nXZg9d_KaNf6zt1rRguuqEoGbw4G3v2YMEQ92GCw72FENwWtqrIoi3oGX_8Dbtzkx7ScZkrJouJKVonK95TxqQ2P3TEKo3quWc81a8k116nmxL_6M_-RPvT6oG9CdP4o86Ioy4qLh_9siPjzqIP_rkslVKE_flvpy6v6RnzmXN8m_mzPN8PmP9F-A2v_zLM</recordid><startdate>19880601</startdate><enddate>19880601</enddate><creator>Samphier, M L</creator><creator>Robertson, C</creator><creator>Bloor, M J</creator><general>BMJ Publishing Group Ltd</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19880601</creationdate><title>A possible artefactual component in specific cause mortality gradients. Social class variations in the clinical accuracy of death certificates</title><author>Samphier, M L ; Robertson, C ; Bloor, M J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b503t-95262f284ec84d4f2e4037127d7a1e71999b83fc4067bff28e9dfa097d796dd13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Cause of Death</topic><topic>Causes of death</topic><topic>Death</topic><topic>Death Certificates</topic><topic>Diagnostic Errors</topic><topic>Epidemiologic Methods</topic><topic>Humans</topic><topic>International Statistical Classification of Diseases</topic><topic>Length of stay</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Neoplasia</topic><topic>Occupations</topic><topic>Pathology</topic><topic>Scotland</topic><topic>Social biases</topic><topic>Social Class</topic><topic>Social classes</topic><topic>Statistics as Topic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Samphier, M L</creatorcontrib><creatorcontrib>Robertson, C</creatorcontrib><creatorcontrib>Bloor, M J</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of epidemiology and community health (1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Samphier, M L</au><au>Robertson, C</au><au>Bloor, M J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A possible artefactual component in specific cause mortality gradients. Social class variations in the clinical accuracy of death certificates</atitle><jtitle>Journal of epidemiology and community health (1979)</jtitle><addtitle>J Epidemiol Community Health</addtitle><date>1988-06-01</date><risdate>1988</risdate><volume>42</volume><issue>2</issue><spage>138</spage><epage>143</epage><pages>138-143</pages><issn>0143-005X</issn><eissn>1470-2738</eissn><coden>JECHDR</coden><abstract>This paper investigates one possible avenue of artefactual influence on the production and/or concealment of social class gradients in specific cause mortality rates, namely, the possibility of social class biases in the accuracy of diagnosis of cause of death and the systematic misallocation of certain social groups to particular diagnoses. Information on this topic was obtained by matching occupational data gathered at death registration with data on the accuracy of diagnosis of cause of death (measured by diagnostic agreement between clinician and pathologist) collected in a prospective study of 1152 hospital necropsies. Extrapolation from these data to national mortality rates should be cautious, but it appears that in the majority of the most common causes of death grouped by ICD chapter (neoplasms, cerebrovascular and digestive) social class gradients would be steeper if mortality data were based on pathologists' rather than clinicians' diagnoses. Only in the respiratory chapter would the gradient be reduced, with the gradient in cardiovascular deaths unaffected.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>3221162</pmid><doi>10.1136/jech.42.2.138</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Age Factors Aged Cause of Death Causes of death Death Death Certificates Diagnostic Errors Epidemiologic Methods Humans International Statistical Classification of Diseases Length of stay Middle Aged Mortality Neoplasia Occupations Pathology Scotland Social biases Social Class Social classes Statistics as Topic |
| title | A possible artefactual component in specific cause mortality gradients. Social class variations in the clinical accuracy of death certificates |
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