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A divergence between underlying and final causes of death in selected conditions: An analysis of death registries in Peru

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dc.contributor.author Carrillo-Larco, Rodrigo M.
dc.contributor.author Bernabé-Ortiz, Antonio
dc.date.accessioned 2019-03-05T15:23:29Z
dc.date.available 2019-03-05T15:23:29Z
dc.date.issued 2018
dc.identifier.uri http://doi.org/10.7717/peerj.5948
dc.identifier.uri http://repositorio.upch.edu.pe/handle/upch/5892
dc.description.abstract Background: The underlying cause of death is used to study country and global mortality trends and profiles. The final cause of death could also inform the ultimately cause of death in individuals with underlying conditions. Whether there is a pattern between the underlying and final cause of death has not been explored using national death registries. We studied what final causes of death were most common among selected underlying causes using national death registries in Peru, 2015. Methods: Underlying and final causes of death were classified according to their ICD-10 codes. Underlying causes included chronic kidney disease (CKD), chronic obstructive pulmonary disease (COPD), hypertension (HTN), diabetes, and selected cancers (cervix, breast, stomach, prostate, and lung). Final causes were categorized as: communicable, cardiovascular, and cancers. Descriptive statistics were used. Results: A total of 77,065 death registries were analyzed; cases had a mean age of 69.4 (SD: 19.3) years at death and were mostly men (53.9%). When the underlying cause was HTN, the most frequent final cause was cardiovascular diseases (82.3%). For all the other underlying causes, the most frequent final cause was communicable diseases: COPD (86.4%), CKD (79.3%), cancer (76.5%), and diabetes (68.3%). Conclusions: In four selected underlying causes of death there was a divergence with respect to the final cause, suggesting there was a shift from non-communicable to communicable causes. Although efforts should be deployed to prevent underlying non-communicable diseases, potential communicable complications should not be neglected.
dc.language.iso eng
dc.publisher PeerJ
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject acute heart infarction
dc.subject aged
dc.subject all cause mortality
dc.subject Article
dc.subject breast cancer
dc.subject bronchopneumonia
dc.subject cancer mortality
dc.subject cardiovascular disease
dc.subject Cardiovascular diseases
dc.subject cardiovascular mortality
dc.subject cause of death
dc.subject Cause of death
dc.subject chronic obstructive lung disease
dc.subject communicable disease
dc.subject Communicable diseases
dc.subject death certificate
dc.subject death registry
dc.subject diabetes mellitus
dc.subject female
dc.subject global disease burden
dc.subject heart arrest
dc.subject heart failure
dc.subject human
dc.subject hypertension
dc.subject ICD-10
dc.subject lung cancer
dc.subject male
dc.subject malignant neoplasm
dc.subject Mortality
dc.subject mortality risk
dc.subject Non-communicable diseases
dc.subject pathology
dc.subject Peru
dc.subject pneumonia
dc.subject prostate cancer
dc.subject register
dc.subject sensitivity analysis
dc.subject sepsis
dc.subject stomach cancer
dc.subject time of death
dc.subject uterine cervix cancer
dc.title A divergence between underlying and final causes of death in selected conditions: An analysis of death registries in Peru
dc.type info:eu-repo/semantics/article
dc.identifier.journal PeerJ

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