ArticleProceedings of the National Academy of Sciences of the United States of America2026
Reclassification and weighting of multiple causes of death: US death certificates 2003-2023.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Post-pandemic mortality patterns and COVID-19 burden considering multiple death causes.European journal of epidemiology · 2026Article
- Reclassification and weighting of multiple causes of death: US death certificates 2003-2023.Proceedings of the National Academy of Sciences of the United States of America · 2026Article
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Abstract
Death certificates record causes of death as reported by certifiers (Entity Axis) and as standardized by mortality coding rules (Record Axis). Conventional statistics reduce these to a single underlying cause, ignoring other contributing conditions; weighting schemes can instead distribute the burden across all listed causes. We evaluated reclassification from Entity to Record axis and weighting across all 56,986,831 US death certificates from 2003 to 2023, mapping International Classification of Diseases (ICD)-10 codes to 14 broad disease categories and testing three weighting schemes: W1 (50% to the underlying cause, 50% shared equally among contributing causes), W2 (equal weighting across all causes), and W2A (equal weighting at the ICD-10 code level). Entity and Record Axes agreed on underlying cause in 48,313,403 deaths (84.8%) by broad category and 39,260,709 deaths (68.9%) by ICD-10 code (
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