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Use of death certificates in epidemiological studies, including occupational hazards: Discordance with clinical and autopsy findings
Author(s) -
Selikoff Irving J.
Publication year - 1992
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.4700220402
Subject(s) - medicine , death certificate , autopsy , epidemiology , cause of death , disease , occupational safety and health , environmental health , emergency medicine , intensive care medicine , medical emergency , pathology
There has long been evidence of frequent inaccuracy of death certificates, with significant discordance between such designations and clinical and autopsy data. This exists for occupational diseases as well. The use of statistical rates based on death certificates has been seriously questioned despite their utility for total mortality. Programs to supplement death certificate data, particularly in occupational disease studies, may be helpful, and are reviewed.