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Utility of death certificate data in predicting cancer incidence
Journal article   Peer reviewed

Utility of death certificate data in predicting cancer incidence

Ronald L Bedford, Spencer G Lourens, Charles F Lynch, Brian J Smith and R William Field
American journal of industrial medicine, Vol.57(2), pp.153-162
02/2014
DOI: 10.1002/ajim.22242
PMCID: PMC3951491
PMID: 24037961
url
http://doi.org/10.1002/ajim.22242View
Open Access

Abstract

Studies often rely on death certificates to identify cancer occurrence. This research assessed the death certificate's ability to reflect cancer incidence and factors that influence agreement with cancer registry data. This study compared death certificates to cancer incidence data for an occupational cohort of 1,795 deceased workers who were registered by the Iowa Cancer Registry (ICR) between 1973 and 2005. Logistic regression models examined the effects of factors such as survival time, age at diagnosis, and gender on the odds of agreement between death certificate and incidence data. Death certificates under-reported cancer incidence by 10-100%, depending on site. A 1-year increase in survival decreased the odds of agreement between death certificate and ICR data by 18%. Younger and female workers had increased odds of agreement. Death certificates can be useful predictors of cancer incidence, particularly for diseases with shorter survival and among subjects diagnosed earlier in life.
 Age Factors Humans Middle Aged Neoplasms - mortality Male Survival Rate Death Certificates Cause of Death Incidence Young Adult Occupational Diseases - mortality Time Factors Weapons Registries - statistics & numerical data Sex Factors Aged, 80 and over Adult Female Iowa - epidemiology Aged Occupational Diseases - epidemiology Neoplasms - epidemiology

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