TY - JOUR PY - 2015// TI - Methods for ensuring high quality of coding of cause of death. The mortality register to follow Southern Urals populations exposed to radiation JO - Methods of information in medicine A1 - Startsev, N. A1 - Dimov, P. A1 - Grosche, B. A1 - Tretyakov, F. A1 - Schüz, J. A1 - Akleyev, A. SP - ePub EP - ePub VL - 54 IS - 3 N2 - BACKGROUND: To follow up populations exposed to several radiation accidents in the Southern Urals, a cause-of-death registry was established at the Urals Center capturing deaths in the Chelyabinsk, Kurgan and Sverdlovsk region since 1950.

OBJECTIVES: When registering deaths over such a long time period, quality measures need to be in place to maintain quality and reduce the impact of individual coders as well as quality changes in death certificates.

METHODS: To ensure the uniformity of coding, a method for semi-automatic coding was developed, which is described here. Briefly, the method is based on a dynamic thesaurus, database-supported coding and parallel coding by two different individuals.

RESULTS: A comparison of the proposed method for organizing the coding process with the common procedure of coding showed good agreement, with, at the end of the coding process, 70  - 90% agreement for the three-digit ICD -9 rubrics.

CONCLUSIONS: The semi-automatic method ensures a sufficiently high quality of coding by at the same time providing an opportunity to reduce the labor intensity inherent in the creation of large-volume cause-of-death registries.

Language: en

LA - en SN - 0026-1270 UR - http://dx.doi.org/10.3414/ME14-01-0101 ID - ref1 ER -