| Abstract: | We intend to study the reliability of the mortality statistics in Galicia (1987), comparing the basic cause of death, with that we obtain by the Autopsy Report (AR). After independently studying 90 AR, three physicians selected the basic cause of death, subsequently coded by the same team. All this persons were blind in relation with the previous certification. 41.1% of the causes of death agreed in 4 digit, 45.6% agreed in 3 digit and the 63.3% remained in the same ICD-9 group. Taking into account all the mistakes found, the 13.3% took place due to an incomplete definition, but the classification remained correct. The 10.0% due to an error in the logic sequence, the 15.6% by an error in the selection of the cause of death and, in the 20.0% there was no relationship between causes. For cardiovascular diseases, the Predictive Positive Value (PPV) was 76.9%, the Sensibility (S) was 83.0% and the Specificity (Sp) 90.9%. For the tumors, the value of the PPV and the S was 73.7% and the Sp was 92.9%. In spite of selection bias because of the method used, we think that the information produced is useful for evaluating the quality of mortality statistics in Galicia. When comparing our results with similar studies, we find an acceptable level. |
