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Accuracy of cancer death certificates and its effect on cancer mortality statistics.
Open accessAbstract
A study to determine the accuracy of cancer mortality data was done using cancer deaths occurring during 1970 and 1971 in eight of the nine areas included in the Third National Cancer Survey (TNCS). Death certificates with an underlying cause of death of cancer were compared to the hospital diagnosis for 48,826 resident cases of single primary cancers. The underlying cause of death as coded on the death certificate was found to be accurate for about 65 per cent of the cancer deaths in this study. Misclassification problems occurred for colorectal cancer, the second leading cause of death from cancer. Colon cancer was overreported and rectal cancer was under-reported on death certificates. Other misclassification problems were found for cancers of the uterus, brain, and buccal cavity including most of its sub-sites. Physicians tended to report a non-specific site of cancer on the death certificate rather than the specific site identified by the hospital diagnosis.
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Cited by
Cancer burden in the year 2000. The global picture
Parkin, D. M., Bray, F. I., & Devesa, S. S. (2001) · European Journal of Cancer · doi:10.1016/s0959-8049(01)00267-2 · Cited by 2,169
Interpreting trends in cancer patient survival
DICKMAN, P. W., & ADAMI, H. ‐. (2006) · Journal of Internal Medicine · doi:10.1111/j.1365-2796.2006.01677.x · Cited by 508
Accuracy of Death Certificates for Coding Coronary Heart Disease as the Cause of Death
Lloyd-Jones, D. M., Martin, D. O., Larson, M. G., & Levy, D. (1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-129-12-199812150-00005 · Cited by 480
The global burden of urinary bladder cancer
Parkin, D. M. (2008) · Scandinavian Journal of Urology and Nephrology · doi:10.1080/03008880802285032 · Cited by 357
Lahti, R. A., & Penttilä, A. (2001) · Forensic Science International · doi:10.1016/s0379-0738(00)00300-5 · Cited by 253
Metadata
- Authors
- Percy, C., Stanek, E., & Gloeckler, L.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 1981-03
- Volume
- 71
- Issue
- 3
- Pages
- 242-250
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W2035919991
- Cited by
- 704
- References
- 0
- FWCI
- 9.09
- Type
- journal article
- Language
- en
- Open access
- bronze
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- CoChat. (2026). Citation check: Accuracy of cancer death certificates and its effect on cancer mortality statistics. https://app.cochat.ai/papers/10.2105/ajph.71.3.242
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- Percy, C., Stanek, E., & Gloeckler, L. (1981). Accuracy of cancer death certificates and its effect on cancer mortality statistics. American Journal of Public Health. https://doi.org/10.2105/ajph.71.3.242
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.