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Mesothelioma in occupational cohort studies: methodological considerations
- Source :
- Journal of occupational and environmental medicine. 56(1)
- Publication Year :
- 2013
-
Abstract
- This article describes effective strategies for the identification and valid assessment of mortality due to mesothelioma.We manually reviewed all death certificates for mention of mesothelioma for all International Classification of Diseases (ICD) revisions. We tested the accuracy of our ascertainment method by comparing New Jersey death certificate data from our health status registry with histologically confirmed cases from the New Jersey State Cancer Registry.We found reasonably good agreement between death certificate diagnoses and histologically confirmed cases, κ coefficient 0.86 (95% confidence interval, 0.76 to 0.95). Most mesothelioma deaths in our test and North American cohorts were coded to unspecified anatomical sites.Limiting ascertainment to pleura and peritoneum ICD codes underestimates mesothelioma deaths. Reviewing all ICD codes that could contain mesothelioma is the only effective method for complete capture of mesothelioma diagnoses.
- Subjects :
- Male
Mesothelioma
medicine.medical_specialty
Pleural Neoplasms
MEDLINE
Death Certificates
Cohort Studies
Occupational Cohort
International Classification of Diseases
medicine
Humans
Registries
neoplasms
Peritoneal Neoplasms
Aged
New Jersey
business.industry
Public Health, Environmental and Occupational Health
respiratory system
Middle Aged
medicine.disease
respiratory tract diseases
Occupational Diseases
Family medicine
Identification (biology)
business
Epidemiologic Methods
Cohort study
Subjects
Details
- ISSN :
- 15365948
- Volume :
- 56
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of occupational and environmental medicine
- Accession number :
- edsair.doi.dedup.....1fa643ba6d43865a26d32e48a946b7a1