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Related Experiment Video

Updated: Jun 4, 2026

A Novel Experimental and Analytical Approach to the Multimodal Neural Decoding of Intent During Social Interaction in Freely-behaving Human Infants
11:14

A Novel Experimental and Analytical Approach to the Multimodal Neural Decoding of Intent During Social Interaction in Freely-behaving Human Infants

Published on: October 4, 2015

An alternative strategy for perinatal verbal autopsy coding: single versus multiple coders.

C Engmann1, I Jehan, J Ditekemena

  • 1Department of Pediatrics, University of North Carolina, School of Medicine, Chapel Hill, NC 27599-7596, USA. USA. cengmann@med.unc.edu

Tropical Medicine & International Health : TM & IH
|March 5, 2011
PubMed
Summary
This summary is machine-generated.

A single physician coder demonstrated comparable accuracy to a two-physician panel for determining cause of death (COD) via verbal autopsy. This suggests a single coder may be an effective and economical alternative for verbal autopsy programs.

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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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A Novel Experimental and Analytical Approach to the Multimodal Neural Decoding of Intent During Social Interaction in Freely-behaving Human Infants
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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
07:56

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure

Published on: September 19, 2019

Area of Science:

  • Medical research
  • Public health
  • Epidemiology

Background:

  • Accurate determination of cause of death (COD) is crucial for public health surveillance and resource allocation.
  • Verbal autopsy (VA) is a key method for assigning COD in settings lacking vital registration systems.
  • Current VA practices often involve multiple physician coders, raising questions about efficiency and cost-effectiveness.

Purpose of the Study:

  • To compare the comparability of cause of death (COD) assigned by a single physician coder versus a two-physician panel using verbal autopsy.
  • To evaluate the reliability and agreement between coders in determining COD for perinatal deaths.

Main Methods:

  • The study involved verbal autopsy questionnaires completed within a week of perinatal deaths in rural communities across Guatemala, the Democratic Republic of Congo, Zambia, and Pakistan.
  • Two independent physicians, blinded to each other's assessments, assigned the underlying COD according to the International Classification of Diseases, 10th revision (ICD-10).
  • Cohen's kappa statistic was employed to quantify the level of agreement between the two physician coders.

Main Results:

  • The study analyzed 252 perinatal deaths. A single physician coder achieved agreement with a two-physician panel for 75% of stillbirths (kappa = 0.69) and 82% of early neonatal deaths (kappa = 0.75).
  • The patterns, proportions, and rank order of the top five causes of stillbirths and early neonatal deaths were highly similar between the individual physician coders.
  • These findings indicate substantial concordance in COD assignment between single and dual coder approaches.

Conclusions:

  • The study suggests that a single physician coder may provide comparable accuracy to a two-physician panel for assigning cause of death (COD) through verbal autopsy.
  • This raises questions about the necessity of multiple coders in current VA programs.
  • A single physician coder could represent a more economical and efficient alternative for verbal autopsy programs.