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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 Martín
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 https://hdl.handle.net/20.500.12866/5892
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. en_US
dc.language.iso eng
dc.publisher PeerJ
dc.relation.ispartofseries 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 en_US
dc.subject aged en_US
dc.subject all cause mortality en_US
dc.subject Article en_US
dc.subject breast cancer en_US
dc.subject bronchopneumonia en_US
dc.subject cancer mortality en_US
dc.subject cardiovascular disease en_US
dc.subject Cardiovascular diseases en_US
dc.subject cardiovascular mortality en_US
dc.subject cause of death en_US
dc.subject Cause of death en_US
dc.subject chronic obstructive lung disease en_US
dc.subject communicable disease en_US
dc.subject Communicable diseases en_US
dc.subject death certificate en_US
dc.subject death registry en_US
dc.subject diabetes mellitus en_US
dc.subject female en_US
dc.subject global disease burden en_US
dc.subject heart arrest en_US
dc.subject heart failure en_US
dc.subject human en_US
dc.subject hypertension en_US
dc.subject ICD-10 en_US
dc.subject lung cancer en_US
dc.subject male en_US
dc.subject malignant neoplasm en_US
dc.subject Mortality en_US
dc.subject mortality risk en_US
dc.subject Non-communicable diseases en_US
dc.subject pathology en_US
dc.subject Peru en_US
dc.subject pneumonia en_US
dc.subject prostate cancer en_US
dc.subject register en_US
dc.subject sensitivity analysis en_US
dc.subject sepsis en_US
dc.subject stomach cancer en_US
dc.subject time of death en_US
dc.subject uterine cervix cancer en_US
dc.title A divergence between underlying and final causes of death in selected conditions: An analysis of death registries in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.7717/peerj.5948
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#4.01.00
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.03
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.01.04
dc.relation.issn 2167-8359


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