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Overview and Development of the Child Health and Mortality Prevention Surveillance Determination of Cause of Death (DeCoDe) Process and DeCoDe Diagnosis Standards
Mortality surveillance and cause of death data are instrumental in improving health, identifying diseases and conditions that cause a high burden of preventable deaths, and allocating resources to prevent these deaths. The Child Health and Mortality Prevention Surveillance (CHAMPS) network uses a st...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785670/ https://www.ncbi.nlm.nih.gov/pubmed/31598661 http://dx.doi.org/10.1093/cid/ciz572 |
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author | Blau, Dianna M Caneer, J Patrick Philipsborn, Rebecca P Madhi, Shabir A Bassat, Quique Varo, Rosauro Mandomando, Inácio Igunza, Kitiezo Aggrey Kotloff, Karen L Tapia, Milagritos D Johnstone, Siobhan Chawana, Richard Rahman, Afruna El Arifeen, Shams Onyango, Dickens Kaiser, Reinhard Seale, Anna C Assefa, Nega Morris, Timothy Raghunathan, Pratima L Breiman, Robert F |
author_facet | Blau, Dianna M Caneer, J Patrick Philipsborn, Rebecca P Madhi, Shabir A Bassat, Quique Varo, Rosauro Mandomando, Inácio Igunza, Kitiezo Aggrey Kotloff, Karen L Tapia, Milagritos D Johnstone, Siobhan Chawana, Richard Rahman, Afruna El Arifeen, Shams Onyango, Dickens Kaiser, Reinhard Seale, Anna C Assefa, Nega Morris, Timothy Raghunathan, Pratima L Breiman, Robert F |
author_sort | Blau, Dianna M |
collection | PubMed |
description | Mortality surveillance and cause of death data are instrumental in improving health, identifying diseases and conditions that cause a high burden of preventable deaths, and allocating resources to prevent these deaths. The Child Health and Mortality Prevention Surveillance (CHAMPS) network uses a standardized process to define, assign, and code causes of stillbirth and child death (<5 years of age) across the CHAMPS network. A Determination of Cause of Death (DeCoDe) panel composed of experts from a local CHAMPS site analyzes all available individual information, including laboratory, histopathology, abstracted clinical records, and verbal autopsy findings for each case and, if applicable, also for the mother. Using this information, the site panel ascertains the underlying cause (event that precipitated the fatal sequence of events) and other antecedent, immediate, and maternal causes of death in accordance with the International Classification of Diseases, Tenth Revision and the World Health Organization death certificate. Development and use of the CHAMPS diagnosis standards—a framework of required evidence to support cause of death determination—assures a homogenized procedure leading to a more consistent interpretation of complex data across the CHAMPS network. This and other standardizations ensures future comparability with other sources of mortality data produced externally to this project. Early lessons learned from implementation of DeCoDe in 5 CHAMPS sites in sub-Saharan Africa and Bangladesh have been incorporated into the DeCoDe process, and the implementation of DeCoDe has the potential to spur health systems improvements and local public health action. |
format | Online Article Text |
id | pubmed-6785670 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-67856702019-10-15 Overview and Development of the Child Health and Mortality Prevention Surveillance Determination of Cause of Death (DeCoDe) Process and DeCoDe Diagnosis Standards Blau, Dianna M Caneer, J Patrick Philipsborn, Rebecca P Madhi, Shabir A Bassat, Quique Varo, Rosauro Mandomando, Inácio Igunza, Kitiezo Aggrey Kotloff, Karen L Tapia, Milagritos D Johnstone, Siobhan Chawana, Richard Rahman, Afruna El Arifeen, Shams Onyango, Dickens Kaiser, Reinhard Seale, Anna C Assefa, Nega Morris, Timothy Raghunathan, Pratima L Breiman, Robert F Clin Infect Dis Supplement Articles Mortality surveillance and cause of death data are instrumental in improving health, identifying diseases and conditions that cause a high burden of preventable deaths, and allocating resources to prevent these deaths. The Child Health and Mortality Prevention Surveillance (CHAMPS) network uses a standardized process to define, assign, and code causes of stillbirth and child death (<5 years of age) across the CHAMPS network. A Determination of Cause of Death (DeCoDe) panel composed of experts from a local CHAMPS site analyzes all available individual information, including laboratory, histopathology, abstracted clinical records, and verbal autopsy findings for each case and, if applicable, also for the mother. Using this information, the site panel ascertains the underlying cause (event that precipitated the fatal sequence of events) and other antecedent, immediate, and maternal causes of death in accordance with the International Classification of Diseases, Tenth Revision and the World Health Organization death certificate. Development and use of the CHAMPS diagnosis standards—a framework of required evidence to support cause of death determination—assures a homogenized procedure leading to a more consistent interpretation of complex data across the CHAMPS network. This and other standardizations ensures future comparability with other sources of mortality data produced externally to this project. Early lessons learned from implementation of DeCoDe in 5 CHAMPS sites in sub-Saharan Africa and Bangladesh have been incorporated into the DeCoDe process, and the implementation of DeCoDe has the potential to spur health systems improvements and local public health action. Oxford University Press 2019-10-15 2019-10-09 /pmc/articles/PMC6785670/ /pubmed/31598661 http://dx.doi.org/10.1093/cid/ciz572 Text en © The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Supplement Articles Blau, Dianna M Caneer, J Patrick Philipsborn, Rebecca P Madhi, Shabir A Bassat, Quique Varo, Rosauro Mandomando, Inácio Igunza, Kitiezo Aggrey Kotloff, Karen L Tapia, Milagritos D Johnstone, Siobhan Chawana, Richard Rahman, Afruna El Arifeen, Shams Onyango, Dickens Kaiser, Reinhard Seale, Anna C Assefa, Nega Morris, Timothy Raghunathan, Pratima L Breiman, Robert F Overview and Development of the Child Health and Mortality Prevention Surveillance Determination of Cause of Death (DeCoDe) Process and DeCoDe Diagnosis Standards |
title | Overview and Development of the Child Health and Mortality Prevention Surveillance Determination of Cause of Death (DeCoDe) Process and DeCoDe Diagnosis Standards |
title_full | Overview and Development of the Child Health and Mortality Prevention Surveillance Determination of Cause of Death (DeCoDe) Process and DeCoDe Diagnosis Standards |
title_fullStr | Overview and Development of the Child Health and Mortality Prevention Surveillance Determination of Cause of Death (DeCoDe) Process and DeCoDe Diagnosis Standards |
title_full_unstemmed | Overview and Development of the Child Health and Mortality Prevention Surveillance Determination of Cause of Death (DeCoDe) Process and DeCoDe Diagnosis Standards |
title_short | Overview and Development of the Child Health and Mortality Prevention Surveillance Determination of Cause of Death (DeCoDe) Process and DeCoDe Diagnosis Standards |
title_sort | overview and development of the child health and mortality prevention surveillance determination of cause of death (decode) process and decode diagnosis standards |
topic | Supplement Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785670/ https://www.ncbi.nlm.nih.gov/pubmed/31598661 http://dx.doi.org/10.1093/cid/ciz572 |
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