Reliability of death certificates in prostate cancer patients
2008 (English)In: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, Vol. 42, no 4, 352-357 p.Article in journal (Refereed) Published
Objective. To evaluate the reliability of cause-of-death diagnoses among prostate cancer patients. Material and methods. Information from death certificates obtained from the Swedish Death Register was compared with systematically reviewed medical records from the population-based Swedish Regional Prostate Cancer Register, South-East Region. In total, 5675 patients were included who had been diagnosed with prostate cancer between 1987 and 1999 and who had died before 1 January 2003. Results. The proportion of prostate cancer cases classified as having died from prostate cancer was 3% higher in the official death certificates than in the reviewed records [0.03, 95% confidence interval (CI) 0.02 to 0.04]. Overall agreement between the official cause of death and the reviewed data was 86% (95% CI 85 to 87%). A higher accuracy was observed among men with localized disease (88%, 95% CI 87 to 89%), aged 60 years or younger at death (96%, 95% CI 93 to 100%), or who had undergone curative treatment (91%, 95% CI 88 to 95%). This study indicates a relatively high reliability of official cause-of-death statistics of prostate cancer patients in Sweden. Conclusion. Mortality data obtained from death certificates may be useful in the evaluation of large-scale prostate cancer intervention programmes, especially among younger patients with localized disease. © 2008 Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS).
Place, publisher, year, edition, pages
2008. Vol. 42, no 4, 352-357 p.
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-44453DOI: 10.1080/00365590802078583Local ID: 76658OAI: oai:DiVA.org:liu-44453DiVA: diva2:265315