A Case Study of the Impact of Inaccurate Cause-of-Death Reporting on Health Disparity Tracking: New York City Premature Cardiovascular Mortality

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A Case Study of the Impact of Inaccurate Cause-of-Death Reporting on Health Disparity Tracking: New York City Premature Cardiovascular Mortality

机译：死亡原因报告不正确对健康差异跟踪的影响的案例研究：纽约市早产儿心血管疾病死亡率

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Objectives. Heart disease death overreporting is problematic in New York City (NYC) and other US jurisdictions. We examined whether overreporting affects the premature (

机译：目标。在纽约市（NYC）和其他美国辖区，心脏病死亡报告过多是个问题。我们检查了过度报道是否会影响纽约市非西班牙裔黑人和非西班牙裔白人之间过早（<65岁）的心脏病死亡率差异。方法。我们确定了报告过多的医院，并使用了参考医院中过早的心脏病死亡计数来估计校正后的计数。然后，我们校正了黑人和白人在全市范围内按年龄调整的早产心脏病的死亡率以及白人与黑人的早产心脏病的死亡率差距。结果。在报告过多的医院中，有51％的死者是白人，而在参考医院中只有25％。白人医院纠正心脏病死亡计数后，按年龄调整的早产心脏病死亡率降低了10.1％（从每100000的41.5降低到37.3），而黑人则是4.2％（从每100000的66.2降低到63.4）。校正使白黑差异增加了6.1％（从每100 000中24.6增至26.1）。结论。 2008年，纽约市的白人与黑人过早心脏病死亡差距被低估了，原因是服务于白人的比例较高的医院的报告过多。减少过度报告的努力可能会增加观察到的差异，从而有可能掩盖任何由计划或政策驱动的进展。在纽约市和美国，心脏病仍然是男性和女性的头号杀手。 1,2 2003年，纽约市的年龄调整后的冠心病死亡率是全国的1.7倍;但是，平均而言，纽约市的心脏病风险状况要好于美国。 3,4纽约市卫生与心理卫生部门（DOHMH）和疾病控制与预防中心（CDC）进行了横断面验证研究，以调查这一悖论，将死亡证明书上的死亡原因与已确认的原因进行了比较盲人医疗队确定的死亡人数。在444例经复查的病例中，冠心病死亡总体被高估了91％，并且随着死者的年龄而增加：35岁至74岁的死者中51％，75岁至84岁的死者中94％，而死者中137％ 85岁或以上的后裔。 4在美国其他司法管辖区也发现了过度报道冠心病的报道。 5更普遍地说，心脏病的报告过多，包括风湿性，高血压和慢性缺血性心脏病;急性心肌梗塞;心肌病;和心力衰竭，在纽约市的医院之间差异很大。 6这可能存在问题，因为纽约市各医院之间的患者人口统计因居住区隔离，保险状况和所提供的医疗服务而异。 7,8结果，心脏病高发人群的患病率可能因死者的人口统计学特征（包括种族）而有所不同。在这种情况下，过度报告心脏病死亡人数可能会扭曲观察到的心脏病死亡率中的种族/种族差异。过早死亡（即<65岁）的死亡率特别令人关注，因为它们对心脏病所致的生命年的贡献不成比例。纽约市DOHMH广泛采用了这种差距措施，以指导卫生政策，设计公共卫生计划以及衡量地方和国家公共卫生干预措施的影响。此外，它们是《 2020年健康人群》国家健康目标和DOHMH纽约州《关爱纽约》全面健康政策目标的一部分。 9,10这项研究的目的是更好地了解在所有年龄段和所有种族中发生的过度报道心脏病对纽约市黑人和白人之间过早心脏病死亡差异的测量。我们评估了重要数据质量问题对健康差异跟踪的影响。我们的方法对于任何疾病类别中都面临类似的过度报告问题或其他死亡原因数据质量问题的其他司法管辖区将很有用，并且我们的结果可能暗示在其他城市环境中的结果。

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《American journal of public health 》 |2013年第4期| 共7页
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中图分类预防医学、卫生学 ;
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1. A Case Study of the Impact of Inaccurate Cause-of-Death Reporting on Health Disparity Tracking: New York City Premature Cardiovascular Mortality [J] . Lauren E. Johns, Ann M. Madsen, Gil Madura American journal of public health . 2013 ,第4期

机译：死亡原因报告不正确对健康差异追踪的影响的案例研究：纽约市早产儿心血管疾病死亡率
2. Effect of Cause-of-Death Training on Agreement Between Hospital Discharge Diagnoses and Cause of Death Reported, Inpatient Hospital Deaths, New York City, 2008 - 2010 [J] . Paulina Ong Preventing chronic disease . 2015 ,第5期

机译：死因培训对医院出院诊断和死亡原因之间的协议的影响，住院患者死亡报告，纽约市，2008-2010年
3. Effect of Cause-of-Death Training on Agreement Between Hospital Discharge Diagnoses and Cause of Death Reported, Inpatient Hospital Deaths, New York City, 2008 - 2010 [J] . Paulina Ong Preventing chronic disease . 2015 ,第4期

机译：死因培训对医院出院诊断和死亡原因之间的协议的影响，住院患者死亡报告，纽约市，2008-2010年
4. Modeling the Impact of Residential HVAC Filtration on Indoor PM_(2.5) of Outdoor Origin and Associated Long-term Health Impacts for Reducing Premature Mortality [C] . Dan Zhao, Parham Azimi, Brent Stephens International Conference on Indoor Air Quality and Climate . 2016

机译：建模住宅HVAC过滤对室外突发和相关的长期健康影响降低过早死亡率的影响
5. Evaluating the impact of the urban heat island on public health: Spatial and social determinants of heat-related mortality in New York City. [D] . Klein Rosenthal, Joyce. 2010

机译：评估城市热岛对公共卫生的影响：纽约市与热相关的死亡率的空间和社会决定因素。
6. A Case Study of the Impact of Inaccurate Cause-of-Death Reporting on Health Disparity Tracking: New York City Premature Cardiovascular Mortality [O] . Lauren E. Johns, Ann M. Madsen, Gil Maduro, 2013

机译：死亡原因报告不正确对健康差异追踪的影响的案例研究：纽约市早产儿心血管疾病死亡率
7. MODERATED EPOSTERS1385Longitudinal strain assessment in dilated cardiomyopathy patients using a novel accelerated DENSE sequence1407Simultaneous T1 and T2 cardiac quantification with CABIRIA: initial clinical experience1423Head-to-head comparison of acceleration algorithms in 4-dimensional flow CMR1502Left ventricular function and size evaluated by hybrid cardiac positron emission tomography-magnetic resonance: Intraindividual comparison of left ventricular ejection fraction and ventricular volumes derived by two modalities1510Left Atrium assessed by Cardiovascular Magnetic Resonance at 1.5 and 3 Tesla – age and gender effects1514Comparison of Free Breathing Cardiac MRI Radial technique to the Standard Multi breath-hold cine SSFP CMR technique for the assessment of LV Volumes and Function1536Self-navigated free-breathing isotropic 3D whole heart phase sensitive inversion recovery magnetic resonance without navigator for detection of myocardial infarction1547Assessment of Right Ventricular Strain Using Myocardial Deformation Recovery Semi Automated Technique: Initial Experience and Normal Values1586Tissue tracking myocardial deformation analysis and prediction of left ventricular remodeling in acute myocardial infarction1589Investigating strategies for optimal 31P MRS clinical cardiac at 3T: Initial Results1620Quantitative Criteria for the Diagnosis of the Congenital Absence of Pericardium by Cardiac Magnetic Resonance1632Widespread tissue injury during acute myocardial infarction: evidence from advanced CMR relaxometry1322Computed tomography coronary angiography verSus sTRess cArdiac magneTic rEsonance for the manaGement of sYmptomatic revascularized patients: a cost effectiveness study (STRATEGY study)1339Comparison of low- versus high-dose of gadobutrol for late gadolinium enhancement imaging at 1.5 Tesla: a clinical feasibility study1347Multi-parametric Cardiac Magnetic Resonance for Prediction of Cardiac Complications in Thalassemia Intermedia: a Prospective Multicenter Study1461Prognostic value of Cardiovascular Magnetic Resonance derived indexes of myocardial fibrosis in heart transplant recipients1523The role of CMR in the acute phase of hospitalization: changing paradigms1542Preoperative CMR-based score predict ventricular response after surgical left ventricular reconstruction in ischemic heart failure patients1555Excellent response rate to cardiac resynchronization therapy guided with magnetic resonance imaging1626The ECG as a predictor of arrhythmogenic substrate on Cardiac Magnetic Resonance Imaging in patients undergoing ablation for premature ventricular contractions1649Comparison of T1-mapping at 3.0T CMR and angiographic APPROACH score for area at risk assessment in ST-segment elevation myocardial infarction1340Pathological correlates of left bundle branch disease in patients with non-ischemic cardiomyopathy: a cardiovascular magnetic resonance study1342Myocardial remodelling and fibrosis in nonischaemic dilated cardiomyopathy: insights from cardiovascular magnetic resonance1411The association between fibrosis and contractile dysfunction in hypertrophic cardiomyopathy assessed by cardiovascular magnetic resonance1622Persistent myocardial inflammation due to intramyocardial haemorrhage in reperfused STEMI as a precursor to adverse LV remodelling - insights from multi-parametric mapping1566Semiquantitative analysis of low and high b value DWI for detecting myocardial edema in acute myocarditis1567Value of Cardiac MRI In Detecting Coronary Artery Disease In Newly Diagnosed Systolic Dysfunction1570Usefulness of cardiac magnetic resonance in tuberous sclerosis complex1578Papillary muscles offer further insight into hypertrophied hearts: a cardiovascular magnetic resonance study1627Diagnostic and clinical implications of CMR timing (early versus late) in patients with troponin positive acute coronary syndromes and unobstructed coronary arteries: Table 1. [O] . Upasana Tayal, Alexandros Kallifatidis, P. Garg, 2016

机译：在使用新的扩张型心肌病的患者缓和EPOSTERS1385Longitudinal应变评估加速DENSE sequence1407Simultaneous T1和T2与CABIRIA心脏定量：在4维流动的加速算法初始临床experience1423Head对头比较CMR1502Left心室功能和尺寸由混合心脏正电子发射断层摄影术评价 - 磁性共振：由两个modalities1510Left庭派生左室射血分数和心室体积的个体间的比较，在1.5和3特斯拉评估心血管磁共振 - 免费的年龄和性别effects1514Comparison呼吸心脏MRI径向技术标准的多屏气电影SSFP CMR技术的LV卷和Function1536Self-导航自由呼吸各向同性3D整个心脏相位敏感反转恢复磁共振导航仪没有检测右Ventricu心肌infarction1547Assessment的评估拉尔菌株使用心肌变形恢复半自动技术：初步经验和正常Values1586Tissue跟踪心肌变形分析和预测左室重构急性心肌infarction1589Investigating策略优化31P MRS临床心脏在3T：初始Results1620Quantitative标准的先天缺失的诊断心包心脏磁Resonance1632Widespread组织损伤急性心肌梗死时：证据先进CMR relaxometry1322Computed CT冠状动脉成像与压力心脏磁共振对症的管理吻合血管患者：成本效益研究（战略研究）1339Comparison低与高剂量钆布醇在1.5特斯拉晚钆增强成像的临床可行性，在中间型地贫心脏并发症的预测study1347Multi参数心脏核磁共振的前瞻性德穆尔心血管磁共振的ticenter Study1461Prognostic价值衍生心肌纤维化指标在住院的急性期CMR的心脏移植recipients1523The作用：改变基于CMR-paradigms1542Preoperative比分预测缺血性心脏衰竭patients1555Excellent响应速度外科左心室重建心脏再同步化后心室反应治疗与磁共振imaging1626The ECG导引作为心脏磁共振成像致心律失常性基板的在ST段抬高心肌infarction1340Pathological在风险评估经历在3.0T CMR T1映射的室性早搏contractions1649Comparison和血管造影APPROACH分数区域消融患者的预测左束支传导疾病的患者与非缺血性心肌病相关因素：心血管磁共振study1342Myocardial重塑和纤维化nonischaemic扩张型心肌病：在从在由心血管磁性resonance1622Persistent心肌炎症评估肥厚型心肌病的纤维化和收缩功能障碍之间心血管磁性resonance1411The协会由于心肌内出血景点在再灌注STEMI为先导，以不利的LV重塑 - 从低的多参数mapping1566Semiquantitative分析和高的b值DWI的见解为在心脏MRI检测冠状动脉疾病急性myocarditis1567Value在结节性硬化症complex1578Papillary肌肉初诊收缩期Dysfunction1570Usefulness心脏磁共振检测心肌水肿提供进一步的深入了解肥大心脏：心血管磁共振study1627Diagnostic和CMR定时的临床意义（早期与晚）患者肌钙蛋白阳性的急性冠脉综合征和通畅的冠状动脉：表1。

A Case Study of the Impact of Inaccurate Cause-of-Death Reporting on Health Disparity Tracking: New York City Premature Cardiovascular Mortality

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