Codificación de mortalidad con CIE-11 en Chile: principales resultados y perspectivas para su implementación.
Objective. To evaluate the usability of the International Classification of Diseases, 11th Revision (ICD-11) and its concordance and comparability with ICD-10, the version in use. ICD-11 introduces greater granularity than ICD-10, is designed for digital environments, and offers improvements over th...
| Published in: | Pan American Journal of Public Health Vol. 49; pp. 1 - 9 |
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| Main Authors: | , , , , , , , , , |
| Format: | Article |
| Published: |
World Health Organization
2025
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=194015751&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 194015751 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10204989 55OA jtl: Pan American Journal of Public Health issn: 10204989 maglogo: N pubinfo: dt: 2025 vid: 49 pid: 437 pub: World Health Organization artinfo: ui: 194015751 10.26633/RPSP.2025.50 ppf: 1 ppct: 8 formats: tig: atl: Codificación de mortalidad con CIE-11 en Chile: principales resultados y perspectivas para su implementación. aug: au: Montecinos, Paulina Vera Pacheco, Jorge Guinez-Molinos, Sergio Piedra, Daily Velozo, Lorena Fuentes, Andrés Carmona, Marcela Landabur, Alejandra Suárez, Pamela Leighton, Paulina affil: Servicio de Salud del Maule, Talca, Chile Departamento de Estadísticas e Información de Salud, División de Planificación Sanitaria, Subsecretaría de Salud Pública, Ministerio de Salud, Santiago, Chile Laboratorio de Simulación e Informática Biomédica, Facultad de Medicina, Universidad de Talca, Talca, Chile su: Chile Causes of death International Statistical Classification of Diseases & Related Health Problems User-centered system design Application software Chileans Nosology Statistical reliability sug: subj: Causes of death Chile Software Publishers Software publishers (except video game publishers) Custom Computer Programming Services International Statistical Classification of Diseases & Related Health Problems User-centered system design Application software Chileans Nosology Statistical reliability keyword: ICD-11 International Classification of Diseases mortality Chile CIE-11 Clasificación internacional de enfermedades mortalidad CID-11 Classificação Internacional de Doenças mortalidade ICD-11 International Classification of Diseases mortality Chile CIE-11 Clasificación internacional de enfermedades mortalidad CID-11 Classificação Internacional de Doenças mortalidade ab: Objective. To evaluate the usability of the International Classification of Diseases, 11th Revision (ICD-11) and its concordance and comparability with ICD-10, the version in use. ICD-11 introduces greater granularity than ICD-10, is designed for digital environments, and offers improvements over the previous version. Methods. Two thousand medical death certificates for year 2020 were selected by proportional stratified sampling. Two expert coders and a gold standard team coded the records using the official ICD-11 tool. Concordance between gold standard and expert coders was assessed for immediate, underlying, and principal cause of death. Distribution by chapter was compared for ICD-11, ICD-10 in the original database, and ICD-10 mapped from ICD-11. Results. Concordance with clinical accuracy ranged from 37% for principal cause of death to 76% for immediate cause. Agreement on base codes ranged from 73% for principal cause to 86% for immediate and underlying causes. Cohen's kappa for principal cause was 0.68 (95% CI: 0.64 - 0.72) for coder 1 and 0.76 (95%CI: 0.73 - 0.80) for coder 2, which is considered significant concordance. The distribution of principal cause for ICD-10 and for ICD-10 mapped from ICD-11 was similar. Conclusions. There is adequate concordance and comparability between ICD-11 and ICD-10. The tool has high usability, which confirms the feasibility of ICD-11 implementation in Chile, and underlines the need for continuous training and technological improvement. pubtype: Academic Journal doctype: Article src: R language: Spanish refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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