Evidence map›Paper›PMID 32146907›Full record

ArticleBMC medicine2020

ANACONDA: a new tool to improve mortality and cause of death data.

Lene Mikkelsen, Kim Moesgaard, Michael Hegnauer, Alan D Lopez

Abstract read
In one paragraph

Article in BMC medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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  11. Road traffic death coding quality in the WHO Mortality Database.Bulletin of the World Health Organization · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Lene MikkelsenMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, 3053, Australia. lene.mikkelsen@unimelb.edu.au.
Kim MoesgaardInstitute of Public Health, Aarhus University, Aarhus, Denmark.
Michael HegnauerSwiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland.
Alan D LopezMelbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, 3053, Australia.

Funding

Bloomberg Family Foundation N/A
6 · The paper itself

Abstract

backgroundThe need to monitor the Sustainable Development Goals (SDGs) and to have access to reliable and timely mortality data has created a strong demand in countries for tools that can assist them in this. ANACONDA (Analysis of National Causes of Death for Action) is a new tool developed for this purpose which allows countries to assess how accurate their mortality and cause of death are. Applying ANACONDA will increase confidence and capacity among data custodians in countries about their mortality data and will give them insight into quality problems that will assist the improvement process.

methodsANACONDA builds on established epidemiological and demographic concepts to operationalise a series of 10 steps and numerous sub-steps to perform data checks. Extensive use is made of comparators to assess the plausibility of national mortality and cause of death statistics. The tool calculates a composite Vital Statistics Performance Index for Quality (VSPI(Q)) to measure how fit for purpose the data are. Extracts from analyses of country data are presented to show the types of outputs.

resultsEach of the 10 steps provides insight into how well the current data is describing different aspects of the mortality situation in the country, e.g. who dies of what, the completeness of the reporting, and the amount and types of unusable cause of death codes. It further identifies the exact codes that should not be used by the certifying physicians and their frequency, which makes it possible to institute a focused correction procedure. Finally, the VSPI(Q) allows periodic monitoring of data quality improvements and identifies priorities for action to strengthen the Civil Registration and Vital Statistics (CRVS) system.

conclusionsANACONDA has demonstrated the potential to dramatically improve knowledge about disease patterns as well as the functioning of CRVS systems and has served as a platform for galvanising wider CRVS reforms in countries.

Indexed as

Cause of DeathData AccuracySoftwareVital StatisticsAgingFemaleHumansMaleSex FactorsSustainable DevelopmentANACONDACause of deathDataMortalityPolicyQualityStatistics

Identifiers

PMID32146907
PMCPMC7061487

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.