Validating the diagnostic accuracy of medical certification: a population-level comparison between verbal autopsy and Saudi medical records causes of death of deceased with type 2 diabetes
Background In contexts where certifying causes of death (COD) is inadequate – either in industrialized or non-industrialized countries – verbal autopsy (VA) serves as a practical method for determining probable COD, helping to address gaps in vital data. Objective This study aimed to validate the di...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2448382 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832096658474663936 |
|---|---|
| author | Faleh Alyazidi Deler Shakely Fawaz R. Alyazidi Max Petzold Laith Hussain-Alkhateeb |
| author_facet | Faleh Alyazidi Deler Shakely Fawaz R. Alyazidi Max Petzold Laith Hussain-Alkhateeb |
| author_sort | Faleh Alyazidi |
| collection | DOAJ |
| description | Background In contexts where certifying causes of death (COD) is inadequate – either in industrialized or non-industrialized countries – verbal autopsy (VA) serves as a practical method for determining probable COD, helping to address gaps in vital data. Objective This study aimed to validate the diagnostic accuracy of medical certifications at a population level by comparing COD obtained from medical records against those derived from VA in Saudi Arabia. Method Death records from 2018 to 2021 were collected from a type 2 diabetes mellitus register at a major specialist hospital in Makkah. Three hundred and two VA interviews were completed with deceased patients’ relatives, and the probable COD was determined using InterVA-5 software. Lin’s concordance correlation coefficient was applied to examine similarities of the cause-specific mortality fractions (CSMFs) based on International Classification of Diseases chapters from both verbal autopsy causes of death (VACOD) and the physician review causes of death (PRCOD). Results Overall, the findings demonstrated a moderate level of concordance of COD at the population between VACOD and PRCOD. However, the CSMFs for various COD categories derived from both sources showed a broad spectrum of absolute differences, with the largest disparities observed among the most prevalent COD categories. Conclusion PRCOD was found to overestimate population-level endocrine/metabolic and respiratory disease COD while underestimating circulatory disease, demonstrating medical certification challenges. Conversely, affirming previous literature on prevalent COD in Saudi Arabia, VA appears to deliver a plausible assessment, further strengthening its potential to integrate within the Saudi health system towards an augmented medical certification process. |
| format | Article |
| id | doaj-art-3f2c238ffc554a8a996b683b74bf8526 |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-3f2c238ffc554a8a996b683b74bf85262025-02-05T12:46:15ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24483822448382Validating the diagnostic accuracy of medical certification: a population-level comparison between verbal autopsy and Saudi medical records causes of death of deceased with type 2 diabetesFaleh Alyazidi0Deler Shakely1Fawaz R. Alyazidi2Max Petzold3Laith Hussain-Alkhateeb4University of GothenburgUniversity of GothenburgMakkah Healthcare ClusterUniversity of GothenburgUniversity of GothenburgBackground In contexts where certifying causes of death (COD) is inadequate – either in industrialized or non-industrialized countries – verbal autopsy (VA) serves as a practical method for determining probable COD, helping to address gaps in vital data. Objective This study aimed to validate the diagnostic accuracy of medical certifications at a population level by comparing COD obtained from medical records against those derived from VA in Saudi Arabia. Method Death records from 2018 to 2021 were collected from a type 2 diabetes mellitus register at a major specialist hospital in Makkah. Three hundred and two VA interviews were completed with deceased patients’ relatives, and the probable COD was determined using InterVA-5 software. Lin’s concordance correlation coefficient was applied to examine similarities of the cause-specific mortality fractions (CSMFs) based on International Classification of Diseases chapters from both verbal autopsy causes of death (VACOD) and the physician review causes of death (PRCOD). Results Overall, the findings demonstrated a moderate level of concordance of COD at the population between VACOD and PRCOD. However, the CSMFs for various COD categories derived from both sources showed a broad spectrum of absolute differences, with the largest disparities observed among the most prevalent COD categories. Conclusion PRCOD was found to overestimate population-level endocrine/metabolic and respiratory disease COD while underestimating circulatory disease, demonstrating medical certification challenges. Conversely, affirming previous literature on prevalent COD in Saudi Arabia, VA appears to deliver a plausible assessment, further strengthening its potential to integrate within the Saudi health system towards an augmented medical certification process.http://dx.doi.org/10.1080/16549716.2024.2448382causes of deathmedical certificationhealth systemverbal autopsysaudi arabiamortality statisticshealth policy |
| spellingShingle | Faleh Alyazidi Deler Shakely Fawaz R. Alyazidi Max Petzold Laith Hussain-Alkhateeb Validating the diagnostic accuracy of medical certification: a population-level comparison between verbal autopsy and Saudi medical records causes of death of deceased with type 2 diabetes Global Health Action causes of death medical certification health system verbal autopsy saudi arabia mortality statistics health policy |
| title | Validating the diagnostic accuracy of medical certification: a population-level comparison between verbal autopsy and Saudi medical records causes of death of deceased with type 2 diabetes |
| title_full | Validating the diagnostic accuracy of medical certification: a population-level comparison between verbal autopsy and Saudi medical records causes of death of deceased with type 2 diabetes |
| title_fullStr | Validating the diagnostic accuracy of medical certification: a population-level comparison between verbal autopsy and Saudi medical records causes of death of deceased with type 2 diabetes |
| title_full_unstemmed | Validating the diagnostic accuracy of medical certification: a population-level comparison between verbal autopsy and Saudi medical records causes of death of deceased with type 2 diabetes |
| title_short | Validating the diagnostic accuracy of medical certification: a population-level comparison between verbal autopsy and Saudi medical records causes of death of deceased with type 2 diabetes |
| title_sort | validating the diagnostic accuracy of medical certification a population level comparison between verbal autopsy and saudi medical records causes of death of deceased with type 2 diabetes |
| topic | causes of death medical certification health system verbal autopsy saudi arabia mortality statistics health policy |
| url | http://dx.doi.org/10.1080/16549716.2024.2448382 |
| work_keys_str_mv | AT falehalyazidi validatingthediagnosticaccuracyofmedicalcertificationapopulationlevelcomparisonbetweenverbalautopsyandsaudimedicalrecordscausesofdeathofdeceasedwithtype2diabetes AT delershakely validatingthediagnosticaccuracyofmedicalcertificationapopulationlevelcomparisonbetweenverbalautopsyandsaudimedicalrecordscausesofdeathofdeceasedwithtype2diabetes AT fawazralyazidi validatingthediagnosticaccuracyofmedicalcertificationapopulationlevelcomparisonbetweenverbalautopsyandsaudimedicalrecordscausesofdeathofdeceasedwithtype2diabetes AT maxpetzold validatingthediagnosticaccuracyofmedicalcertificationapopulationlevelcomparisonbetweenverbalautopsyandsaudimedicalrecordscausesofdeathofdeceasedwithtype2diabetes AT laithhussainalkhateeb validatingthediagnosticaccuracyofmedicalcertificationapopulationlevelcomparisonbetweenverbalautopsyandsaudimedicalrecordscausesofdeathofdeceasedwithtype2diabetes |