Factors associated with physician agreement and coding choices of cause of death using verbal autopsies for 1130 maternal deaths in India.

<h4>Background</h4>The Indian Sample Registration System (SRS) with verbal autopsy methods provides estimations of cause specific mortality for maternal deaths, where the majority of deaths occur at home, unregistered. We aim to examine factors that influence physician agreement and codi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ann L Montgomery, Shaun K Morris, Diego G Bassani, Rajesh Kumar, Raju Jotkar, Prabhat Jha
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b8d2f7783807491ba7135e10a06c6e4c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b8d2f7783807491ba7135e10a06c6e4c
record_format	dspace
spelling	oai:doaj.org-article:b8d2f7783807491ba7135e10a06c6e4c2021-11-18T07:24:06ZFactors associated with physician agreement and coding choices of cause of death using verbal autopsies for 1130 maternal deaths in India.1932-620310.1371/journal.pone.0033075https://doaj.org/article/b8d2f7783807491ba7135e10a06c6e4c2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22470436/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The Indian Sample Registration System (SRS) with verbal autopsy methods provides estimations of cause specific mortality for maternal deaths, where the majority of deaths occur at home, unregistered. We aim to examine factors that influence physician agreement and coding choices in assigning causes of death from verbal autopsies.<h4>Methodology/principal findings</h4>Among adult deaths identified in the SRS, pregnancy-related deaths recorded in 2001-2003 were assigned ICD-10 codes by two independent physicians. Inter-rater reliability was estimated using Landis Koch Kappa classification ≤0.4--poor to fair agreement; >0.4 ≤0.6--moderate agreement; >0.6 ≤0.8--substantial agreement; >8--high agreement. We identified factors associated with physician agreement using multivariate logistic regression. A central consensus panel reviewed cases for errors and reclassified as needed based on 2011 ICD-10 coding guidelines. Of 1130 pregnancy-related deaths, 1040 were assigned ICD-10 codes by two physicians. We found substantial agreement regardless of the woman's residence, whether the death was registered, religion, respondent's or deceased's education, age, hospital admission or gestational age. Physician agreement was not influenced by the above variables, with the exception of greater agreement in cases where the respondent did not live with the deceased, or early gestational age at the time of death. A central consensus panel reviewed all cases and recoded 10% of cases due to insufficient use of information in the verbal autopsy by the coding physicians and rationale for this reclassification are discussed.<h4>Conclusion</h4>In the absence of complete vital registration and universal healthcare services, physician coded verbal autopsies continues to be heavily relied upon to ascertain pregnancy-related death. From this study, two independent physicians had good inter-rater reliability for assigning pregnancy-related causes of death in a nationally-represented sample, and physician coding does not appear to be heavily influenced by case characteristics or demographics.Ann L MontgomeryShaun K MorrisDiego G BassaniRajesh KumarRaju JotkarPrabhat JhaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 3, p e33075 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ann L Montgomery Shaun K Morris Diego G Bassani Rajesh Kumar Raju Jotkar Prabhat Jha Factors associated with physician agreement and coding choices of cause of death using verbal autopsies for 1130 maternal deaths in India.
description	<h4>Background</h4>The Indian Sample Registration System (SRS) with verbal autopsy methods provides estimations of cause specific mortality for maternal deaths, where the majority of deaths occur at home, unregistered. We aim to examine factors that influence physician agreement and coding choices in assigning causes of death from verbal autopsies.<h4>Methodology/principal findings</h4>Among adult deaths identified in the SRS, pregnancy-related deaths recorded in 2001-2003 were assigned ICD-10 codes by two independent physicians. Inter-rater reliability was estimated using Landis Koch Kappa classification ≤0.4--poor to fair agreement; >0.4 ≤0.6--moderate agreement; >0.6 ≤0.8--substantial agreement; >8--high agreement. We identified factors associated with physician agreement using multivariate logistic regression. A central consensus panel reviewed cases for errors and reclassified as needed based on 2011 ICD-10 coding guidelines. Of 1130 pregnancy-related deaths, 1040 were assigned ICD-10 codes by two physicians. We found substantial agreement regardless of the woman's residence, whether the death was registered, religion, respondent's or deceased's education, age, hospital admission or gestational age. Physician agreement was not influenced by the above variables, with the exception of greater agreement in cases where the respondent did not live with the deceased, or early gestational age at the time of death. A central consensus panel reviewed all cases and recoded 10% of cases due to insufficient use of information in the verbal autopsy by the coding physicians and rationale for this reclassification are discussed.<h4>Conclusion</h4>In the absence of complete vital registration and universal healthcare services, physician coded verbal autopsies continues to be heavily relied upon to ascertain pregnancy-related death. From this study, two independent physicians had good inter-rater reliability for assigning pregnancy-related causes of death in a nationally-represented sample, and physician coding does not appear to be heavily influenced by case characteristics or demographics.
format	article
author	Ann L Montgomery Shaun K Morris Diego G Bassani Rajesh Kumar Raju Jotkar Prabhat Jha
author_facet	Ann L Montgomery Shaun K Morris Diego G Bassani Rajesh Kumar Raju Jotkar Prabhat Jha
author_sort	Ann L Montgomery
title	Factors associated with physician agreement and coding choices of cause of death using verbal autopsies for 1130 maternal deaths in India.
title_short	Factors associated with physician agreement and coding choices of cause of death using verbal autopsies for 1130 maternal deaths in India.
title_full	Factors associated with physician agreement and coding choices of cause of death using verbal autopsies for 1130 maternal deaths in India.
title_fullStr	Factors associated with physician agreement and coding choices of cause of death using verbal autopsies for 1130 maternal deaths in India.
title_full_unstemmed	Factors associated with physician agreement and coding choices of cause of death using verbal autopsies for 1130 maternal deaths in India.
title_sort	factors associated with physician agreement and coding choices of cause of death using verbal autopsies for 1130 maternal deaths in india.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/b8d2f7783807491ba7135e10a06c6e4c
work_keys_str_mv	AT annlmontgomery factorsassociatedwithphysicianagreementandcodingchoicesofcauseofdeathusingverbalautopsiesfor1130maternaldeathsinindia AT shaunkmorris factorsassociatedwithphysicianagreementandcodingchoicesofcauseofdeathusingverbalautopsiesfor1130maternaldeathsinindia AT diegogbassani factorsassociatedwithphysicianagreementandcodingchoicesofcauseofdeathusingverbalautopsiesfor1130maternaldeathsinindia AT rajeshkumar factorsassociatedwithphysicianagreementandcodingchoicesofcauseofdeathusingverbalautopsiesfor1130maternaldeathsinindia AT rajujotkar factorsassociatedwithphysicianagreementandcodingchoicesofcauseofdeathusingverbalautopsiesfor1130maternaldeathsinindia AT prabhatjha factorsassociatedwithphysicianagreementandcodingchoicesofcauseofdeathusingverbalautopsiesfor1130maternaldeathsinindia
_version_	1718423495849803776

Factors associated with physician agreement and coding choices of cause of death using verbal autopsies for 1130 maternal deaths in India.

Ejemplares similares