Factors affecting the mesothelioma detection rate within national and international epidemiological studies: insights from Scottish linked cancer registry-mortality data

ICD-9 code 163 (malignant neoplasm of pleura) listed as underlying cause of death detected only 40% of Scottish mesothelioma cases (all body sites) from the cancer registry in 1981-1999. This is lower than both the previously published 55% figure, derived from UK mesothelioma register data 1986-1991...

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Bibliographic Details
Published inBritish journal of cancer Vol. 95; no. 5; pp. 649 - 652
Main Authors CAMIDGE, D. R, STOCKTON, D. L, BAIN, M
Format Journal Article
LanguageEnglish
Published Basingstoke Nature Publishing Group 04.09.2006
Subjects
Biological and medical sciences
Cancer research
Epidemiology
Female
Humans
Male
Medical research
Medical sciences
Mesothelioma
Mesothelioma - classification
Mesothelioma - diagnosis
Mesothelioma - epidemiology
Mesothelioma - mortality
Mortality
Patients
Poisoning
Registries
Reproducibility of Results
Scotland
Sex Characteristics
Survival Analysis
Tumors
Scotland
United Kingdom > UK
ICD-10
Mortality
Mesothelioma
Malignant tumor
Epidemiology
ICD-9
Cancerology
Register
Poisoning
Diagnosis
International
Cancer
accidental poisoning
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Summary:ICD-9 code 163 (malignant neoplasm of pleura) listed as underlying cause of death detected only 40% of Scottish mesothelioma cases (all body sites) from the cancer registry in 1981-1999. This is lower than both the previously published 55% figure, derived from UK mesothelioma register data 1986-1991, which is based on any mention of mesothelioma on death certificates, cross-referenced to cancer registry data, and the 44% figure derived from Scottish mortality data 1981-1999, which captured any mention of mesothelioma on the death certificate. Detection from cancer registry data increased to 75% under ICD-10 in Scotland, confirming earlier predictions of the benefit of ICD-10's more specific mesothelioma codes. Including the accidental poisoning codes E866.4 (ICD-9) and X49 (ICD-10), covering poisoning by 'unspecified' and 'other' causes, which appear to have been used as coding surrogates for mesothelioma when asbestos exposure was explicitly mentioned in deaths suggestive of a mesothelioma, and which are recorded as the underlying cause of death in 4-7% of mesotheliomas, may improve the mesothelioma detection rate in future epidemiological studies.
ISSN:0007-0920
1532-1827
DOI:10.1038/sj.bjc.6603293