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Improving methods to measure comparable mortality cause (IMMCMC) gold standard verbal autopsy dataset
Riley H Hazard1, Hafizur Rahman Chowdhury2, Abraham D Flaxman3
1School of Population and Global Health, University of Melbourne, Parkville, VIC, Australia. riley.hazard@unimelb.edu.au.
Objectives:
Gold standard cause of death data is critically important to improve verbal autopsy (VA) methods in diagnosing cause of death where civil and vital registration systems are inadequate or poor. As part of a three-country research study-Improving Methods to Measure Comparable Mortality by Cause (IMMCMC) study-data were collected on clinicopathological criteria-based gold standard cause of death from hospital record reviews with matched VAs. The purpose of this data note is to make accessible a de-identified format of these gold standard VAs for interested researchers to improve the diagnostic accuracy of VA methods.
Data Description:
The study was conducted between 2011 and 2014 in the Philippines, Bangladesh, and Papua New Guinea. Gold standard diagnoses of underlying causes of death for deaths occurring in hospital were matched to VAs conducted using a standardized VA questionnaire developed by the Population Health Metrics Consortium. 3512 deaths were collected in total, comprised of 2491 adults (12 years and older), 320 children (28 days to 12 years), and 702 neonates (0-27 days).
Insights
This study provides crucial gold standard cause of death data from hospital records to enhance verbal autopsy (VA) methods. Researchers can use this de-identified data to improve the accuracy of diagnosing causes of death in areas with weak vital registration systems.
Area of Science:
- Public Health
- Epidemiology
- Medical Research
Background:
- Accurate cause of death data is essential for improving public health strategies.
- Verbal autopsy (VA) methods are vital for determining causes of death where civil registration systems are inadequate.
- The Improving Methods to Measure Comparable Mortality by Cause (IMMCMC) study aimed to address these data limitations.
Purpose of the Study:
- To provide researchers with de-identified, clinicopathological criteria-based gold standard cause of death data.
- To facilitate improvements in the diagnostic accuracy of verbal autopsy (VA) methods.
- To support research in areas with poor vital registration systems.
Main Methods:
- Data collected from a three-country study (Philippines, Bangladesh, Papua New Guinea) between 2011 and 2014.
- Matched verbal autopsies (VAs) with gold standard diagnoses derived from hospital record reviews.
- Standardized VA questionnaire developed by the Population Health Metrics Consortium used.
Main Results:
- A total of 3512 deaths were analyzed.
- Data included 2491 adult deaths (≥12 years), 320 child deaths (28 days–12 years), and 702 neonatal deaths (0–27 days).
- The dataset comprises gold standard cause of death information linked to VA data.
Conclusions:
- The released de-identified dataset serves as a valuable resource for the research community.
- This data can be instrumental in refining and validating verbal autopsy diagnostic algorithms.
- Enhancing VA accuracy is critical for reliable mortality surveillance globally.
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