To determine the reason for the different mortality trends of ischemic heart disease (IHD) for China between Global Burden of Disease (GBD) 2010 and GBD2013, and to improve garbage code (GC) redistribution. All ...To determine the reason for the different mortality trends of ischemic heart disease (IHD) for China between Global Burden of Disease (GBD) 2010 and GBD2013, and to improve garbage code (GC) redistribution. All data were obtained from the disease surveillance points system, and two proportions for assigning chronic pulmonary heart disease (PHD) as GC to IHD were from GBD2010 and GBD2013,展开更多
Objective: To demonstrate the impact of inadequate standardization and population coverage on the ability to measure and improve maternal mortality in the United States. Data Sources: The CDC Wonder system for the yea...Objective: To demonstrate the impact of inadequate standardization and population coverage on the ability to measure and improve maternal mortality in the United States. Data Sources: The CDC Wonder system for the years 2000-2015 using the following definitions of maternal mortality and associated ICD-CM-10 codes: 1) Maternal deaths up to 42 days after delivery (A34, O00-O99, except O96-O97);2) Maternal deaths within one year after delivery (A34, O00-O99, except O97);3) All maternal deaths (A34, O00-O99). Study Design: For each year between 2000-2015, we provided maternal deaths, live births, and calculated maternal mortality ratios (MDR). For deaths within 42 days, we also calculated adjusted mortality ratios (ADR). Principal Findings: Maternal mortality comparisons which utilize inconsistent definitions and apply non-validated statistical adjustments produce specious results. Conclusions: Variation and inconsistency in definitions, coding, and other reporting anomalies render the current aggregated vital statistics on maternal mortality inadequate for accurate trending and service impact studies. The definition of maternal mortality must be expanded to all outcomes of pregnancy: births, induced abortions, and natural fetal losses.展开更多
The National Central Cancer Registry of China(NCCRC)updated their nationwide statistics of cancer incidence and mortality in China according to 2013 population-based cancer registration data(due to the time required f...The National Central Cancer Registry of China(NCCRC)updated their nationwide statistics of cancer incidence and mortality in China according to 2013 population-based cancer registration data(due to the time required for data collection,quality control and analysis,the latest cancer statistics available in China have a 3-year lag behind the current year).In this report,the NCCRC provides a comprehensive review of cancer incidence and mortality rates,as well as the statistics overall and by geographical area,cancer sites or age groups(Chen et al.,2017a).It shows that the burden of cancer展开更多
基金supported by the China Medical Board(grant No.12-107,15-208)China Medical Board Faculty Development Award(grant No.G16917561)China Scholarship Council(grant No.201408110083)
文摘To determine the reason for the different mortality trends of ischemic heart disease (IHD) for China between Global Burden of Disease (GBD) 2010 and GBD2013, and to improve garbage code (GC) redistribution. All data were obtained from the disease surveillance points system, and two proportions for assigning chronic pulmonary heart disease (PHD) as GC to IHD were from GBD2010 and GBD2013,
文摘Objective: To demonstrate the impact of inadequate standardization and population coverage on the ability to measure and improve maternal mortality in the United States. Data Sources: The CDC Wonder system for the years 2000-2015 using the following definitions of maternal mortality and associated ICD-CM-10 codes: 1) Maternal deaths up to 42 days after delivery (A34, O00-O99, except O96-O97);2) Maternal deaths within one year after delivery (A34, O00-O99, except O97);3) All maternal deaths (A34, O00-O99). Study Design: For each year between 2000-2015, we provided maternal deaths, live births, and calculated maternal mortality ratios (MDR). For deaths within 42 days, we also calculated adjusted mortality ratios (ADR). Principal Findings: Maternal mortality comparisons which utilize inconsistent definitions and apply non-validated statistical adjustments produce specious results. Conclusions: Variation and inconsistency in definitions, coding, and other reporting anomalies render the current aggregated vital statistics on maternal mortality inadequate for accurate trending and service impact studies. The definition of maternal mortality must be expanded to all outcomes of pregnancy: births, induced abortions, and natural fetal losses.
基金supported by the National Natural Science Foundation of China (813 72907, 81472531, 81472595, 81672683, 81672688, 81772928)the Natural Science Foundation ofHunan Province (2015JJ1022, 2016JC2035)the Fundamental Research Funds of the Central South University (2014zzts066)
文摘The National Central Cancer Registry of China(NCCRC)updated their nationwide statistics of cancer incidence and mortality in China according to 2013 population-based cancer registration data(due to the time required for data collection,quality control and analysis,the latest cancer statistics available in China have a 3-year lag behind the current year).In this report,the NCCRC provides a comprehensive review of cancer incidence and mortality rates,as well as the statistics overall and by geographical area,cancer sites or age groups(Chen et al.,2017a).It shows that the burden of cancer