1. Repositório Institucional da UFMG
  2. Publicações Científicas e Culturais
  3. Artigo de Periódico
Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/61598
Full metadata record
DC FieldValueLanguage
dc.creatorCarmen Diva Saldivade Andrépt_BR
dc.creatorLeonardo Tadashi Kamaurapt_BR
dc.creatorJoão Eduardo Ferreirapt_BR
dc.creatorRiley h. Hazardpt_BR
dc.creatorDeirdre Mclaughlinpt_BR
dc.creatorIan Rileypt_BR
dc.creatorAlan D. Lopezpt_BR
dc.creatorAna Maria de Oliveira Ramospt_BR
dc.creatorMaria de Fatima Marinho de Souzapt_BR
dc.creatorElisabeth Barboza Françapt_BR
dc.creatorPaulo Hilário Nascimento Saldivapt_BR
dc.creatorAna Luiza Bierrenbachpt_BR
dc.creatorLuiz Fernando Ferraz da Silvapt_BR
dc.creatorLucia Pereira Barrosopt_BR
dc.creatorPaulo Afonso de Andrépt_BR
dc.creatorLisie Tocci Justopt_BR
dc.creatorLuiz Alberto Amador Pereirapt_BR
dc.creatorMauro T. Taniguchipt_BR
dc.creatorCátia Martinez Mintopt_BR
dc.creatorPedro Losco Takecianpt_BR
dc.date.accessioned2023-11-30T20:38:30Z-
dc.date.available2023-11-30T20:38:30Z-
dc.date.issued2022-04-14-
dc.citation.volume22pt_BR
dc.citation.issue1pt_BR
dc.citation.spage748pt_BR
dc.citation.epage11pt_BR
dc.identifier.doihttps://doi.org/10.1186/s12889-022-13081-4pt_BR
dc.identifier.issn1471-2458pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/61598-
dc.description.resumoBackground Reliable mortality data are essential for the development of public health policies. In Brazil, although there is a well-consolidated universal system for mortality data, the quality of information on causes of death (CoD) is not even among Brazilian regions, with a high proportion of ill-defined CoD. Verbal autopsy (VA) is an alternative to improve mortality data. This study aimed to evaluate the performance of an adapted and reduced version of VA in identifying the underlying causes of non-forensic deaths, in São Paulo, Brazil. This is the first time that a version of the questionnaire has been validated considering the autopsy as the gold standard. Methods The performance of a physician-certified verbal autopsy (PCVA) was evaluated considering conventional autopsy (macroscopy plus microscopy) as gold standard, based on a sample of 2060 decedents that were sent to the Post-Mortem Verification Service (SVOC-USP). All CoD, from the underlying to the immediate, were listed by both parties, and ICD-10 attributed by a senior coder. For each cause, sensitivity and chance corrected concordance (CCC) were computed considering first the underlying causes attributed by the pathologist and PCVA, and then any CoD listed in the death certificate given by PCVA. Cause specific mortality fraction accuracy (CSMF-accuracy) and chance corrected CSMF-accuracy were computed to evaluate the PCVA performance at the populational level. Results There was substantial variability of the sensitivities and CCC across the causes. Well-known chronic diseases with accurate diagnoses that had been informed by physicians to family members, such as various cancers, had sensitivities above 40% or 50%. However, PCVA was not effective in attributing Pneumonia, Cardiomyopathy and Leukemia/Lymphoma as underlying CoD. At populational level, the PCVA estimated cause specific mortality fractions (CSMF) may be considered close to the fractions pointed by the gold standard. The CSMF-accuracy was 0.81 and the chance corrected CSMF-accuracy was 0.49. Conclusions The PCVA was efficient in attributing some causes individually and proved effective in estimating the CSMF, which indicates that the method is useful to establish public health priorities.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIALpt_BR
dc.publisher.departmentMEDICINA - FACULDADE DE MEDICINApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofBMC Public Healthpt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectVerbal autopsypt_BR
dc.subjectMortality surveillancept_BR
dc.subjectNatural deathpt_BR
dc.subjectDeath certifcationpt_BR
dc.subjectUnderlying cause of deathpt_BR
dc.subjectVital statisticspt_BR
dc.subject.otherAutopsiapt_BR
dc.subject.otherMortalidadept_BR
dc.subject.otherMortept_BR
dc.subject.otherCausas de Mortept_BR
dc.subject.otherEstatísticas Vitaispt_BR
dc.titleValidation of physician certified verbal autopsy using conventional autopsy: a large study of adult non-external causes of death in a metropolitan area in Brazilpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-13081-4pt_BR
dc.identifier.orcidhttp://orcid.org/0000-0002-0181-6357pt_BR
Appears in Collections:Artigo de Periódico

Files in This Item:
File Description SizeFormat 
Validation of physician certified verbal autopsy using conventional autopsy_ a large study of adult non-external causes of death in a metropolitan area in Brazil.pdf194.02 kBAdobe PDFView/Open
Show simple item record


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.