Authors: Sanjay Maitra Nigar Sekercioglu Saaed Baloch Wendy L Cook Sarbjit V Jassal
Publish Date: 2007/03/01
Volume: 39, Issue: 1, Pages: 345-350
Abstract
Despite significant improvements in renal management the mortality associated with dialysis care remains high Many renal registries report mortality statistics on an annual basis The objectives of this study were 1 to establish the accuracy of the registered cause of death CoD against that determined by a panel of physicians and 2 to test the feasibility of using the HEMO study CoD classification system in patients on peritoneal dialysis PDA total of 51 patient charts were reviewed The agreement between the registered and extracted CoD was poor for all causes of death except malignancy Kappa scores ranged from 055 to 10 for different causes PPV were poor for all except malignancy Comparison of the CoD was highly dependent on the classification method used eg death secondary to infection was 4 and 25 for CORR and HEMO respectivelyThe registered CoD for patients who die while on PD is often inaccurate Different policies for classifying deaths can have a significant effect on the final reports which show the proportion of deaths attributed to different diseases Standardization across registries is required
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