Diminishing Trend in Alcohol Poisoning Mortality in Estonia: Reality or Coding Peculiarity?
Abstract
AIMS: To examine whether the changes in coding practice could reduce alcohol poisoning mortality rates in Estonia. METHODS: Individual death records in 1983-2009 (age at death 25-64) were used to calculate the 3-year moving averages of age-standardized mortality rates. From 2000 onwards, there was a sharp increase in mortality from mental disorders due to alcohol, and at the same time a remarkable decrease in alcohol poisoning mortality. We calculated expected alcohol poisoning mortality rates for 2000-2009, assuming that mortality rate ratio of alcohol poisoning and mental disorders due to alcohol remained stable. RESULTS: Alcohol poisoning mortality rates fluctuated considerably, being the lowest in 1988 and the highest in 1994-1995. A sharp decline started in 2000. Expected alcohol poisoning mortality rates continued their growth from 2000 onwards with a small decrease in 2006-2009. Mortality rates of mental disorders due to alcohol followed the same curve as alcohol poisoning rates up to 1999, being roughly 10 times lower than alcohol poisoning rates in both genders. From 2000 onwards, mortality from mental disorders due to alcohol increased rapidly, exceeding alcohol poisoning mortality in 2006. CONCLUSION: This study demonstrates an obvious misclassification in coding of alcohol poisoning and mental disorders due to alcohol as underlying causes of death in the Estonian Causes of Death Registry.
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Similar misclassifications were found in other regions of Russia and surrounding countries.
“Similar misclassifications were found in other regions of Russia and surrounding countries 49.”
From The relationship between different dimensions of alcohol use and the burden of disease—an update (2017) · cites this paper as [49]
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The relationship between different dimensions of alcohol use and the burden of disease—an update
Rehm, J., Gmel, G. E., Gmel, G., Hasan, O. S. M., Imtiaz, S., Popova, S., Probst, C., Roerecke, M., Room, R., Samokhvalov, A. V., et al. (2017) · Addiction · doi:10.1111/add.13757 · Cited by 1,204 · see citing works
- Authors
- Rahu, K., Palo, E., & Rahu, M.
- Affiliations
- Statistics Estonia (EE)
- Venue
- Alcohol and Alcoholism
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-05-18
- Volume
- 46
- Issue
- 4
- Pages
- 485-489
- ISSN
- 0735-0414 (ISSN-L)
- 1464-3502
- OpenAlex
- W2012681086
- Cited by
- 15
- References
- 30
- Citations by year
- 2023: 2 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 1 · 2015: 1 · 2013: 1
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Alcohol and Alcoholism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- World Health Organization
- Economic Research Institute
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- death certification, mortality trends, Estonia, age-standardized mortality rates
- MeSH terms
- Adult, Alcohol Drinking, Ethanol, Alcoholic Intoxication, Mental Disorders, Central Nervous System Depressants, Death Certificates, Estonia, Female, Humans, Male, Middle Aged, Mortality, International Classification of Diseases, Clinical Coding
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