ArticleArchives of public health = Archives belges de sante publique2021
Cause of death for patients with breast cancer: discordance between death certificates and medical files, and impact on survival estimates.
Article in Archives of public health = Archives belges de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Adjudication of cause of death in older adults: Learnings for death certification from the ASPirin in Reducing Events in the Elderly study.Clinical trials (London, England) · 2025Article
- The impact of cancer survivors' extra risk of noncancer mortality on net survival estimation.American journal of epidemiology · 2025Article
- Laboratory-confirmed respiratory syncytial virus (RSV) hospitalizations: a national all ages cross-section evaluation, 2020-2024.Israel journal of health policy research · 2025Article
- A scoping review on the errors in medical certification of the cause of death in India.The Indian journal of medical research · 2024Article
- Causes of death in women with breast cancer: a risks and rates study on a population-based cohort.Frontiers in oncology · 2023Article
- Ten-Year Probabilities of Death Due to Cancer and Cardiovascular Disease among Breast Cancer Patients Diagnosed in North-Eastern Spain.International journal of environmental research and public health · 2022Article
- Mortality among patients with low-grade follicular lymphoma: A binational retrospective analysis.Cancer · 2022Article
- Incidence-Based Breast Cancer Mortality Trends in Estonia Before and After the Introduction of Organized Mammography Screening: A Register-Based Study.Cancer control : journal of the Moffitt Cancer CenterArticle
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Authors and funding
17 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundRegistration and coding of cause of death is prone to error since determining the exact underlying condition leading directly to death is challenging. In this study, causes of death from the death certificates were compared to patients' medical files interpreted by experts at University Hospitals Leuven (UHL), to assess concordance between sources and its impact on cancer survival assessment.
methodsBreast cancer patients treated at UHL (2009-2014) (follow-up until December 31st 2016) were included in this study. Cause of death was obtained from death certificates and expert-reviewed medical files at UHL. Agreement was calculated using Cohen's kappa coefficient. Cause-specific survival (CSS) was calculated using the Kaplan-Meier method and the relative survival probability (RS) using the Ederer II and Pohar Perme method.
resultsA total of 2862 patients, of whom 354 died, were included. We found an agreement of 84.7% (kappa-value of 0.69 (95% C.I.: 0.62-0.77)) between death certificates and medical files. Death certificates had 10.7% false positive and 4.5% false negative rates. However, five-year CSS and RS measures were comparable for both sources.
conclusionFor breast cancer patients included in our study, fair agreement of cause of death was seen between death certificates and medical files with similar CSS and RS estimations.
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