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ANACONDA: a new tool to improve mortality and cause of death data.
BMC Medicine ( IF 7.0 ) Pub Date : 2020-03-09 , DOI: 10.1186/s12916-020-01521-0
Lene Mikkelsen 1 , Kim Moesgaard 2 , Michael Hegnauer 3 , Alan D Lopez 1
Affiliation  

The need to monitor the Sustainable Development Goals (SDGs) and to have access to reliable and timely mortality data has created a strong demand in countries for tools that can assist them in this. ANACONDA (Analysis of National Causes of Death for Action) is a new tool developed for this purpose which allows countries to assess how accurate their mortality and cause of death are. Applying ANACONDA will increase confidence and capacity among data custodians in countries about their mortality data and will give them insight into quality problems that will assist the improvement process. ANACONDA builds on established epidemiological and demographic concepts to operationalise a series of 10 steps and numerous sub-steps to perform data checks. Extensive use is made of comparators to assess the plausibility of national mortality and cause of death statistics. The tool calculates a composite Vital Statistics Performance Index for Quality (VSPI(Q)) to measure how fit for purpose the data are. Extracts from analyses of country data are presented to show the types of outputs. Each of the 10 steps provides insight into how well the current data is describing different aspects of the mortality situation in the country, e.g. who dies of what, the completeness of the reporting, and the amount and types of unusable cause of death codes. It further identifies the exact codes that should not be used by the certifying physicians and their frequency, which makes it possible to institute a focused correction procedure. Finally, the VSPI(Q) allows periodic monitoring of data quality improvements and identifies priorities for action to strengthen the Civil Registration and Vital Statistics (CRVS) system. ANACONDA has demonstrated the potential to dramatically improve knowledge about disease patterns as well as the functioning of CRVS systems and has served as a platform for galvanising wider CRVS reforms in countries.

中文翻译:


ANACONDA:改善死亡率和死因数据的新工具。



由于需要监测可持续发展目标 (SDG) 并获得可靠且及时的死亡率数据,各国对能够协助实现这一目标的工具产生了强烈需求。 ANACONDA(国家死因分析行动)是为此目的开发的新工具,使各国能够评估其死亡率和死因的准确程度。应用 ANACONDA 将增强各国数据保管人对其死亡率数据的信心和能力,并使他们深入了解有助于改进过程的质量问题。 ANACONDA 基于既定的流行病学和人口统计概念,实施一系列 10 个步骤和众多子步骤来执行数据检查。广泛使用比较器来评估国家死亡率和死因统计数据的合理性。该工具计算综合生命统计质量绩效指数 (VSPI(Q)),以衡量数据与目的的适合程度。国家数据分析的摘录显示了产出的类型。这 10 个步骤中的每一个都可以深入了解当前数据描述该国死亡率状况不同方面的程度,例如谁死于什么、报告的完整性以及不可用死因代码的数量和类型。它进一步确定了认证医生不应使用的确切代码及其频率,从而可以制定有针对性的纠正程序。最后,VSPI(Q) 允许定期监测数据质量的改进,并确定加强民事登记和人口动态统计 (CRVS) 系统的行动优先事项。 ANACONDA 已展示出极大提高有关疾病模式以及 CRVS 系统功能的知识的潜力,并已成为激励各国进行更广泛 CRVS 改革的平台。
更新日期:2020-04-22
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