Evidence map›Paper›PMID 35266426›Full record

ArticleJournal of health and social behavior2022

Postmortem Diagnostic Overshadowing: Reporting Cerebral Palsy on Death Certificates.

Scott D Landes, J Dalton Stevens, Margaret A Turk

Open access · greenAbstract read
In one paragraph

Article in Journal of health and social behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 33% of its field
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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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

3 authors at 2 institutions in 1 country.

Scott D LandesSyracuse University, Syracuse, NY, USA.
J Dalton StevensSyracuse University, Syracuse, NY, USA.
Margaret A TurkSUNY Upstate Medical University, Syracuse, NY, USA.
Syracuse University · USSUNY Upstate Medical University · US

Funding

Center for Aging and Policy Studies (CAPS) Core D: External Research Resources Support and Dissemination CoreP30AG066583 · NIA · SYRACUSE UNIVERSITY · PI WILMOTH, JANET M · 2020 to 2024
$2.1M
Erroneous Coding of Developmental Disabilities as Underlying Cause of DeathR03AG065638 · NIA · SYRACUSE UNIVERSITY · PI LANDES, SCOTT D · 2020 to 2021
$141k
NIA NIH HHS P30 AG066583NIA NIH HHS R03 AG065638
6 · The paper itself

Abstract

Postmortem diagnostic overshadowing-defined as inaccurately reporting a disability as the underlying cause of death-occurs for over half of adults with cerebral palsy. This practice obscures cause of death trends, reducing the effectiveness of efforts to reduce premature mortality among this marginalized health population. Using data from the National Vital Statistics System 2005 to 2017 U.S. Multiple Cause of Death files (N = 29,996), we identify factors (sociodemographic characteristics, aspects of the context and processing of death, and comorbidities) associated with the inaccurate reporting of cerebral palsy as the underlying cause of death. Results suggest that inaccurate reporting is associated with heightened contexts of clinical uncertainty, the false equivalence of disability and health, and potential racial-ethnic bias. Ending postmortem diagnostic overshadowing will require training on disability and health for those certifying death certificates and efforts to redress ableist death certification policies.

Indexed as

Cerebral PalsyDeath CertificatesAdultCause of DeathClinical Decision-MakingHumansUncertaintyableismcerebral palsydeath certificationdiagnostic overshadowing

Identifiers

PMID35266426
PMCPMC9989907
OpenAlexW4220953249

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.