anamort questionnaire: part ii - european...

ANAMORT questionnaire: Part II

© EuroGeographics Association 2001, for the administrative boundaries, on behalf of national organizations responsible for official mapping of the displayed countries.

ANAMORT questionnaire / 2007 version of 24

The ANAMORT Steering committee

PARTNERS OF THE PROJECT

* Belanger, François Head of the ANAMORT Project InVS-Institut de Veille Sanitaire Unité Traumatismes - DMCT 14 rue du Val d'Osne 94415 Saint Maurice Cedex – France email: [email protected]

* Bene, Monika Hungarian Central Statistical Office H-1024 Budapest Population, Health and Welfare Statistics Department Keleti Károly u. 5-7 - Hungary email: [email protected]

* Bruzzone, Sylvia Direzione centrale per le statistiche e le indagini sulle istituzioni sociali (Italy) Servizio Sanita e Assistenza Via Liegi 13 00198 Roma - Italy email: [email protected]

* Denissov, Gleb The Statistical Office of Estonia Endla 15 EE-15174 Tallinn - Estonia email: [email protected]

* England, Kathleen Department of Health Information 95 Guardamangia Hill Guardamangia MSD 08 - Malta email: [email protected]

* Falzon, Aygul ANAMORT Project InVS-Institut de Veille Sanitaire Unité Traumatismes - DMCT 14 rue du Val d'Osne 94415 Saint Maurice Cedex – France email: [email protected]

* Frimodt-Møller, Birthe National Institute of Public Health 25 Svanemøllevej DK-2100 Copenhagen Ø - Denmark email: [email protected]

*Gjertsen, Finn Norwegian Institute of Public Health Division of Epidemiology Marcus Thranes gate6 P.O. Box 4404 Nydalen NO-0403 Oslo - Norway email: [email protected]

* Jougla, Eric Inserm-CépiDc, Institut National de la Santé et de la Recherche Médicale 44 chemin de ronde 78116 Le Vesinet, - France email: [email protected]

* Nectoux, Marc Psytel - Université Paris 5 Direction des sytèmes d'information (SGIR) 45 rue des Saints Pères 75270 PARIS Cedex 06 - France email: [email protected]

* Steiner Monica Kuratorium für Verkehrssicherheit Bereich Heim, Freizeit & Sport Schleiergasse 18 A-1100 Vienna - Austria email : [email protected]

* Thélot, BertrandChief of the Trauma Unit InVS-Institut de Veille Sanitaire Unité Traumatismes - DMCT 14 rue du Val d'Osne 94415 Saint Maurice Cedex – France email: [email protected]

* Ung, Aymeric B. ANAMORT Project InVS-Institut de Veille Sanitaire Unité Traumatismes - DMCT 14 rue du Val d'Osne 94415 Saint Maurice Cedex – France email: [email protected]


Chapter H.A: Death certificates practices for “unknown and unspecified” cause of death As your answers to this section will strongly condition the interpretation of the statistics on injury related mortality, please try to agree upon a common reply with the specialists on the subject in your country.

The attached map presents the results of “unknown and unspecified” related deaths in European countries at regional level (Eurostat, nuts2). Results are presented in terms of 3 years average mortality rates (age standardised). Reminder: these causes of death (Eurostat shortlist subgroup 57) include ICD10 codes R96 to R99, ICD9 codes 798.1-9 and 799, ICD8 codes 795.2 and 796. Data source: Eurostat, most recent 3 years period available.

HA1 “Potential false negative”: Do you think that some deaths truly due to “unknown and unspecified” cause of death could have been coded in other Eurostat shortlist subgroups (ESS)?Note: in this case, they would be “false negative” and would therefore underestimate the importance of “unknown and unspecified” cause of death.

Yes, due to certification process Yes, due to coding process Yes, due to both certification and coding process Yes for other reason (specify) No

Specify if needed: .................................................................................................... If “Yes”, specify in which categories: ....................................................................................................

HA2 “Potential false positive”: Do you think that some deaths coded as “unknown and unspecified” should be coded in other Eurostat shortlist subgroups (ESS) which would better correspond to the true cause of death? Note: in this case, they would be “false positive” and would therefore overestimate the importance of “unknown and unspecified” cause of death.




HA3 Considering the combined effect of the above mentioned “false negative” and “false positive”, what would be the net effect of these misclassifications on the estimated number of deaths for “unknown and unspecified” cause of death? (What would be the resulting bias?)

Under estimation Over estimation No net effect Unknown

If the net effect has been previously studied/estimated describe briefly the results No previous study/estimation Unknown There were previous studies/estimations. Could you please send us a copy by email or by post (see our

contact details on page 2) or describe briefly the results: ....................................................................................................

HA4 Do you think that age influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HA5 Do you think that sex influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HA6 Do you think that region (nuts2 or any other administrative division) where the death is recorded influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HA7 Do you think that inclusion/non inclusion/removal of non residents dying in your country from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HA8 Do you think that inclusion/non inclusion/removal of residents dying abroad from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HA9 Do you think that other factors could influence your national statistics?

Yes No Unknown

If Yes: Which ones and how? ....................................................................................................

HA10 This question was deleted.


HA11 Which correction process would you recommend to correct this?

....................................................................................................

HA12 Do you think that correction of these biases could change markedly the rank of your country in Europe (see the map)?

Yes No Unknown

If Yes: Specify ....................................................................................................

HA13 What is the basis of your previous answers?

Personal opinion Collective opinion Specific study

If you know any specific studies on this topic, please specify references and, if possible, send us the corresponding articles or reports (see our contact details on page 2).

....................................................................................................

Comments on chapter H.A ....................................................................................................


Chapter H.B: Death certificates practices for “transport accident” cause of deathAs your answers to this section will strongly condition the interpretation of the statistics on injury related mortality, please try to agree upon a common reply with the specialists on the subject in your country.

The attached maps present the results of “transport accident” related deaths in European countries at regional level (Eurostat, nuts2). Results are presented in terms of 3 years average mortality rates (age standardised for women on the left and men on the right). Reminder: these causes of death (Eurostat shortlist subgroup 60) include ICD10 codes V01 to V99, ICD9 codes E800-E848, ICD8 codes E800-E845.Data source: Eurostat, most recent 3 years period available.

HB1 “Potential false negative”: Do you think that some deaths truly due to “transport accident” cause of death could have been coded in other Eurostat shortlist subgroups (ESS)?Note: in this case, they would be “false negative” and would therefore underestimate the importance of “transport accident” cause of death.



HB2 “Potential false positive”: Do you think that some deaths coded as “transport accident” should be coded in other Eurostat shortlist subgroups (ESS) which would better correspond to the true cause of death? Note: in this case, they would be “false positive” and would therefore overestimate the importance of “transport accident” cause of death.




HB3 Considering the combined effect of the above mentioned “false negative” and “false positive”, what would be the net effect of these misclassifications on the estimated number of deaths for “transport accident” cause of death? (What would be the resulting bias?)




HB4 Do you think that age influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HB5 Do you think that sex influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HB6 Do you think that region (nuts2 or any other administrative division) where the death is recorded influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HB7 Do you think that inclusion/non inclusion/removal of non residents dying in your country from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HB8 Do you think that inclusion/non inclusion/removal of residents dying abroad from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HB9 Do you think that other factors could influence your national statistics?

Yes No Unknown


HB10 This question was deleted.


HB11 Which correction process would you recommend to correct this?

....................................................................................................

HB12 Do you think that correction of these biases could change markedly the rank of your country in Europe (see the map)?

Yes No Unknown

If Yes: Specify ....................................................................................................

HB13 What is the basis of your previous answers?



....................................................................................................

Comments on chapter H.B ....................................................................................................


Chapter H.C: Death certificates practices for “fall” cause of death As your answers to this section will strongly condition the interpretation of the statistics on injury related mortality, please try to agree upon a common reply with the specialists on the subject in your country.

The attached maps present the results of “fall” related deaths in European countries at regional level (Eurostat, nuts2). Results are presented in terms of 3 years average mortality rates (age standardised for women on the left and men on the right). Reminder: these causes of death (Eurostat shortlist subgroup 61) include ICD10 codes W00 to W19, ICD9 codes E880-E888, ICD8 codes E880-E887. Data source: Eurostat, most recent 3 years period available.

HC1 “Potential false negative”: Do you think that some deaths truly due to “fall” cause of death could have been coded in other Eurostat shortlist subgroups (ESS)?Note: in this case, they would be “false negative” and would therefore underestimate the importance of “fall” cause of death.



HC2 “Potential false positive”: Do you think that some deaths coded as “fall” should be coded in other Eurostat shortlist subgroups (ESS) which would better correspond to the true cause of death? Note: in this case, they would be “false positive” and would therefore overestimate the importance of “fall” cause of death.




HC3 Considering the combined effect of the above mentioned “false negative” and “false positive”, what would be the net effect of these misclassifications on the estimated number of deaths for “fall” cause of death? (What would be the resulting bias?)




HC4 Do you think that age influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HC5 Do you think that sex influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HC6 Do you think that region (nuts2 or any other administrative division) where the death is recorded influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HC7 Do you think that inclusion/non inclusion/removal of non residents dying in your country from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HC8 Do you think that inclusion/non inclusion/removal of residents dying abroad from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HC9 Do you think that other factors could influence your national statistics?

Yes No Unknown


HC10 This question was deleted.


HC11 Which correction process would you recommend to correct this?

....................................................................................................

HC12 Do you think that correction of these biases could change markedly the rank of your country in Europe (see the map)?

Yes No Unknown

If Yes: Specify ....................................................................................................

HC13 What is the basis of your previous answers?



....................................................................................................

Comments on chapter H.C ....................................................................................................


Chapter H.D: Death certificates practices for “accidental poisoning” cause of death As your answers to this section will strongly condition the interpretation of the statistics on injury related mortality, please try to agree upon a common reply with the specialists on the subject in your country.

The attached maps present the results of “accidental poisoning” related deaths in European countries at regional level (Eurostat, nuts2). Results are presented in terms of 3 years average mortality rates (age standardised for women on the left and men on the right). Reminder: these causes of death (Eurostat shortlist subgroup 62) include ICD10 codes X40 to X49, ICD9 codes E850-E869, ICD8 codes E850-E877. Data source: Eurostat, most recent 3 years period available

HD1 “Potential false negative”: Do you think that some deaths truly due to “accidental poisoning” cause of death could have been coded in other Eurostat shortlist subgroups (ESS)?Note: in this case, they would be “false negative” and would therefore underestimate the importance of “accidental poisoning” cause of death.



HD2 “Potential false positive”: Do you think that some deaths coded as “accidental poisoning” should be coded in other Eurostat shortlist subgroups (ESS) which would better correspond to the true cause of death? Note: in this case, they would be “false positive” and would therefore overestimate the importance of “accidental poisoning” cause of death.




HD3 Considering the combined effect of the above mentioned “false negative” and “false positive”, what would be the net effect of these misclassifications on the estimated number of deaths for “accidental poisoning” cause of death? (What would be the resulting bias?)




HD4 Do you think that age influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HD5 Do you think that sex influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HD6 Do you think that region (nuts2 or any other administrative division) where the death is recorded influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HD7 Do you think that inclusion/non inclusion/removal of non residents dying in your country from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HD8 Do you think that inclusion/non inclusion/removal of residents dying abroad from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HD9 Do you think that other factors could influence your national statistics?

Yes No Unknown


HD10 This question was deleted.


HD11 Which correction process would you recommend to correct this?

....................................................................................................

HD12 Do you think that correction of these biases could change markedly the rank of your country in Europe (see the map)?

Yes No Unknown

If Yes: Specify ....................................................................................................

HD13 What is the basis of your previous answers?



....................................................................................................

Comments on chapter H.D ....................................................................................................


Chapter H.E: Death certificates practices for “suicide” cause of death As your answers to this section will strongly condition the interpretation of the statistics on injury related mortality, please try to agree upon a common reply with the specialists on the subject in your country.

The attached map presents the results of “suicide” related deaths in European countries at regional level (Eurostat, nuts2). Results are presented in terms of 3 years average mortality rates (age standardised). Reminder: these causes of death (Eurostat shortlist subgroup 63) include ICD10 codes X60 to X84, ICD9 codes E950-E958, ICD8 codes E950-E958. Data source : Eurostat, most recent 3 years period available.

HE1 “Potential false negative”: Do you think that some deaths truly due to “suicide” cause of death could have been coded in other Eurostat shortlist subgroups (ESS)?Note: in this case, they would be “false negative” and would therefore underestimate the importance of “suicide” cause of death.



HE2 “Potential false positive”: Do you think that some deaths coded as “suicide” should be coded in other Eurostat shortlist subgroups (ESS) which would better correspond to the true cause of death? Note: in this case, they would be “false positive” and would therefore overestimate the importance of “suicide” cause of death.




HE3 Considering the combined effect of the above mentioned “false negative” and “false positive”, what would be the net effect of these misclassifications on the estimated number of deaths for “suicide” cause of death? (What would be the resulting bias?)




HE4 Do you think that age influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HE5 Do you think that sex influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HE6 Do you think that region (nuts2 or any other administrative division) where the death is recorded influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HE7 Do you think that inclusion/non inclusion/removal of non residents dying in your country from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HE8 Do you think that inclusion/non inclusion/removal of residents dying abroad from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HE9 Do you think that other factors could influence your national statistics?

Yes No Unknown


HE10 This question was deleted.


HE11 Which correction process would you recommend to correct this?

....................................................................................................

HE12 Do you think that correction of these biases could change markedly the rank of your country in Europe (see the map)?

Yes No Unknown

If Yes: Specify ....................................................................................................

HE13 What is the basis of your previous answers?



....................................................................................................

Comments on chapter H.E ....................................................................................................


Chapter H.F: Death certificates practices for “homicide” cause of death As your answers to this section will strongly condition the interpretation of the statistics on injury related mortality, please try to agree upon a common reply with the specialists on the subject in your country.

The attached map presents the results of “homicide” related deaths in European countries at regional level (Eurostat, nuts2). Results are presented in terms of 3 years average mortality rates (age standardised). Reminder: these causes of death (Eurostat shortlist subgroup 64) include ICD10 codes X85 to Y09, ICD9 codes E960-E968, ICD8 codes E960-E968. Data source: Eurostat, most recent 3 years period available

HF1 “Potential false negative”: Do you think that some deaths truly due to “homicide” cause of death could have been coded in other Eurostat shortlist subgroups (ESS)?Note: in this case, they would be “false negative” and would therefore underestimate the importance of “homicide” cause of death.



HF2 “Potential false positive”: Do you think that some deaths coded as “homicide” should be coded in other Eurostat shortlist subgroups (ESS) which would better correspond to the true cause of death? Note: in this case, they would be “false positive” and would therefore overestimate the importance of “homicide” cause of death.




HF3 Considering the combined effect of the above mentioned “false negative” and “false positive”, what would be the net effect of these misclassifications on the estimated number of deaths for “homicide” cause of death? (What would be the resulting bias?)




HF4 Do you think that age influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HF5 Do you think that sex influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HF6 Do you think that region (nuts2 or any other administrative division) where the death is recorded influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HF7 Do you think that inclusion/non inclusion/removal of non residents dying in your country from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HF8 Do you think that inclusion/non inclusion/removal of residents dying abroad from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HF9 Do you think that other factors could influence your national statistics?

Yes No Unknown


HF10 This question was deleted.


HF11 Which correction process would you recommend to correct this?

....................................................................................................

HF12 Do you think that correction of these biases could change markedly the rank of your country in Europe (see the map)?

Yes No Unknown

If Yes: Specify ....................................................................................................

HF13 What is the basis of your previous answers?



....................................................................................................

Comments on chapter H.F ....................................................................................................


Chapter H.G: Death certificates practices for “undetermined intent” cause of death As your answers to this section will strongly condition the interpretation of the statistics on injury related mortality, please try to agree upon a common reply with the specialists on the subject in your country.

The attached map presents the results of “undetermined intent” related deaths in European countries at regional level (Eurostat, nuts2). Results are presented in terms of 3 years average mortality rates (age standardised). Reminder: these causes of death (Eurostat shortlist subgroup 65) include ICD10 codes Y10 to Y34, ICD9 codes E980-E988, ICD8 codes E980-E988. Data source: Eurostat, most recent 3 years period available

HG1 “Potential false negative”: Do you think that some deaths truly due to “undetermined intent” cause of death could have been coded in other Eurostat shortlist subgroups (ESS)?Note: in this case, they would be “false negative” and would therefore underestimate the importance of “undetermined intent” cause of death.



HG2 “Potential false positive”: Do you think that some deaths coded as “undetermined intent” should be coded in other Eurostat shortlist subgroups (ESS) which would better correspond to the true cause of death? Note: in this case, they would be “false positive” and would therefore overestimate the importance of “undetermined intent” cause of death.




HG3 Considering the combined effect of the above mentioned “false negative” and “false positive”, what would be the net effect of these misclassifications on the estimated number of deaths for “undetermined intent” cause of death? (What would be the resulting bias?)




HG4 Do you think that age influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HG5 Do you think that sex influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HG6 Do you think that region (nuts2 or any other administrative division) where the death is recorded influences this bias?

Yes No Unknown

If Yes: How? ....................................................................................................

HG7 Do you think that inclusion/non inclusion/removal of non residents dying in your country from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HG8 Do you think that inclusion/non inclusion/removal of residents dying abroad from this cause of death could “significantly” change your national or regional death statistics for this cause of death?

Yes No Unknown

If Yes: How? ....................................................................................................

HG9 Do you think that other factors could influence your national statistics?

Yes No Unknown


HG10 This question was deleted.


HG11 Which correction process would you recommend to correct this?

....................................................................................................

HG12 Do you think that correction of these biases could change markedly the rank of your country in Europe (see the map)?

Yes No Unknown

If Yes: Specify ....................................................................................................

HG13 What is the basis of your previous answers?



....................................................................................................

Comments on chapter H.G ....................................................................................................


Chapter K: Conclusion We would appreciate if you could give us the name of the persons who may have contributed with you to this work.

Name Responsibility Institution Address Email .................................................. ................................................... ................................................... ............................................... ..................................................

.................................................. ................................................... ................................................... ............................................... ..................................................

.................................................. ................................................... ................................................... ............................................... ..................................................

Can you give us a rough estimate of the time spent to complete this questionnaire? ....................................................................................................

We thank you again for the time you have spent to fill in this questionnaire that will help us greatly to define the best strategy of comparison of injury related mortality data in Europe. We hope to meet very soon in order to share these results with you.

Please do not hesitate to contact me for any comments on this project.

François Belanger MD, MPh Anamort project Coordinator

InVS

This report was produced by a contractor for Health & Consumer Protection Directorate General and represents the views of thecontractor or author. These views have not been adopted or in any way approved by the Commission and do not necessarilyrepresent the view of the Commission or the Directorate General for Health and Consumer Protection. The EuropeanCommission does not guarantee the accuracy of the data included in this study, nor does it accept responsibility for any use madethereof.

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