Contemporary accuracy of death certificates for coding prostate cancer as a cause of death: Is reliance on death certification good enough? A comparison with blinded review by an independent cause of death evaluation committee

Background: Accurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality outcomes. Methods: We compared death certificate information with independent cause of death evaluation by an expert committee within a prostate cancer t...

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Published in:	British journal of cancer Vol. 115; no. 1; pp. 90 - 94
Main Authors:	Turner, Emma L, Metcalfe, Chris, Donovan, Jenny L, Noble, Sian, Sterne, Jonathan A C, Lane, J Athene, I Walsh, Eleanor, Hill, Elizabeth M, Down, Liz, Ben-Shlomo, Yoav, Oliver, Steven E, Evans, Simon, Brindle, Peter, Williams, Naomi J, Hughes, Laura J, Davies, Charlotte F, Ng, Siaw Yein, Neal, David E, Hamdy, Freddie C, Albertsen, Peter, Reid, Colette M, Oxley, Jon, McFarlane, John, Robinson, Mary C, Adolfsson, Jan, Zietman, Anthony, Baum, Michael, Koupparis, Anthony, Martin, Richard M
Format:	Journal Article
Language:	English
Published:	London Nature Publishing Group UK 28.06.2016 Nature Publishing Group
Subjects:	692/308/2779/777 692/699/67/2322 692/699/67/589/466 Aged Biomedical and Life Sciences Biomedicine Cancer Research Cause of Death Certification Committees Confidence intervals Death Certificates Drug Resistance Epidemiology Humans Male Medical diagnosis Medical records Medical research Molecular Medicine Mortality Oncology Prostate - pathology Prostate cancer Prostatic Neoplasms - mortality Prostatic Neoplasms - pathology Sensitivity and Specificity Short Communication United Kingdom > UK screening prostate cancer prostate cancer mortality specificity cause of death sensitivity cluster randomised controlled trial death certification
ISSN:	0007-0920, 1532-1827
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Abstract	Background: Accurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality outcomes. Methods: We compared death certificate information with independent cause of death evaluation by an expert committee within a prostate cancer trial (2002–2015). Results: Of 1236 deaths assessed, expert committee evaluation attributed 523 (42%) to prostate cancer, agreeing with death certificate cause of death in 1134 cases (92%, 95% CI: 90%, 93%). The sensitivity of death certificates in identifying prostate cancer deaths as classified by the committee was 91% (95% CI: 89%, 94%); specificity was 92% (95% CI: 90%, 94%). Sensitivity and specificity were lower where death occurred within 1 year of diagnosis, and where there was another primary cancer diagnosis. Conclusions: UK death certificates accurately identify cause of death in men with prostate cancer, supporting their use in routine statistics. Possible differential misattribution by trial arm supports independent evaluation in randomised trials.
AbstractList	BACKGROUNDAccurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality outcomes.METHODSWe compared death certificate information with independent cause of death evaluation by an expert committee within a prostate cancer trial (2002-2015).RESULTSOf 1236 deaths assessed, expert committee evaluation attributed 523 (42%) to prostate cancer, agreeing with death certificate cause of death in 1134 cases (92%, 95% CI: 90%, 93%). The sensitivity of death certificates in identifying prostate cancer deaths as classified by the committee was 91% (95% CI: 89%, 94%); specificity was 92% (95% CI: 90%, 94%). Sensitivity and specificity were lower where death occurred within 1 year of diagnosis, and where there was another primary cancer diagnosis.CONCLUSIONSUK death certificates accurately identify cause of death in men with prostate cancer, supporting their use in routine statistics. Possible differential misattribution by trial arm supports independent evaluation in randomised trials. Background:Accurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality outcomes.Methods:We compared death certificate information with independent cause of death evaluation by an expert committee within a prostate cancer trial (2002-2015).Results:Of 1236 deaths assessed, expert committee evaluation attributed 523 (42%) to prostate cancer, agreeing with death certificate cause of death in 1134 cases (92%, 95% CI: 90%, 93%). The sensitivity of death certificates in identifying prostate cancer deaths as classified by the committee was 91% (95% CI: 89%, 94%); specificity was 92% (95% CI: 90%, 94%). Sensitivity and specificity were lower where death occurred within 1 year of diagnosis, and where there was another primary cancer diagnosis.Conclusions:UK death certificates accurately identify cause of death in men with prostate cancer, supporting their use in routine statistics. Possible differential misattribution by trial arm supports independent evaluation in randomised trials. Background: Accurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality outcomes. Methods: We compared death certificate information with independent cause of death evaluation by an expert committee within a prostate cancer trial (2002–2015). Results: Of 1236 deaths assessed, expert committee evaluation attributed 523 (42%) to prostate cancer, agreeing with death certificate cause of death in 1134 cases (92%, 95% CI: 90%, 93%). The sensitivity of death certificates in identifying prostate cancer deaths as classified by the committee was 91% (95% CI: 89%, 94%); specificity was 92% (95% CI: 90%, 94%). Sensitivity and specificity were lower where death occurred within 1 year of diagnosis, and where there was another primary cancer diagnosis. Conclusions: UK death certificates accurately identify cause of death in men with prostate cancer, supporting their use in routine statistics. Possible differential misattribution by trial arm supports independent evaluation in randomised trials. Accurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality outcomes. We compared death certificate information with independent cause of death evaluation by an expert committee within a prostate cancer trial (2002-2015). Of 1236 deaths assessed, expert committee evaluation attributed 523 (42%) to prostate cancer, agreeing with death certificate cause of death in 1134 cases (92%, 95% CI: 90%, 93%). The sensitivity of death certificates in identifying prostate cancer deaths as classified by the committee was 91% (95% CI: 89%, 94%); specificity was 92% (95% CI: 90%, 94%). Sensitivity and specificity were lower where death occurred within 1 year of diagnosis, and where there was another primary cancer diagnosis. UK death certificates accurately identify cause of death in men with prostate cancer, supporting their use in routine statistics. Possible differential misattribution by trial arm supports independent evaluation in randomised trials.
Author	Down, Liz Brindle, Peter Sterne, Jonathan A C Lane, J Athene Metcalfe, Chris Reid, Colette M Koupparis, Anthony Evans, Simon Oxley, Jon I Walsh, Eleanor Davies, Charlotte F Albertsen, Peter Martin, Richard M Williams, Naomi J Oliver, Steven E Robinson, Mary C Baum, Michael Hill, Elizabeth M Turner, Emma L Neal, David E Zietman, Anthony Adolfsson, Jan Hughes, Laura J McFarlane, John Donovan, Jenny L Hamdy, Freddie C Ben-Shlomo, Yoav Noble, Sian Ng, Siaw Yein
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Keywords	screening prostate cancer prostate cancer mortality specificity cause of death sensitivity cluster randomised controlled trial death certification
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Snippet	Background: Accurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality outcomes.... Accurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality outcomes. We compared... Background:Accurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality... BACKGROUNDAccurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality... Background: Accurate cause of death assignment is crucial for prostate cancer epidemiology and trials reporting prostate cancer-specific mortality outcomes....
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SubjectTerms	692/308/2779/777 692/699/67/2322 692/699/67/589/466 Aged Biomedical and Life Sciences Biomedicine Cancer Research Cause of Death Certification Committees Confidence intervals Death Certificates Drug Resistance Epidemiology Humans Male Medical diagnosis Medical records Medical research Molecular Medicine Mortality Oncology Prostate - pathology Prostate cancer Prostatic Neoplasms - mortality Prostatic Neoplasms - pathology Sensitivity and Specificity Short Communication
Title	Contemporary accuracy of death certificates for coding prostate cancer as a cause of death: Is reliance on death certification good enough? A comparison with blinded review by an independent cause of death evaluation committee
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