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Comparability of ICD-10 and ICD-9 for Mortality Statistics in Canada
Abstract
This report describes the design, methodology, and results of the first study
undertaken by Statistics Canada to measure the impact on Canadian cause of death
trends of a new revision of the World Health Organization's International Classification
of Diseases (ICD).
Using 1999 Canadian mortality data, Statistics Canada carried out a comparability,
or "bridge-coding", study by dual-coding deaths to both the Ninth
and Tenth Revisions of the International Classification of Diseases (ICD-9 and
ICD-10). The preliminary results of this exercise were used to generate comparability
ratios; these ratios measure the net effect of the new revision, with ratios
above 1.00 indicating a net increase in deaths classified to a cause of death,
and ratios below 1.00 indicating a net decrease.
The comparability ratios derived from dual-coding medical certificates of cause
of death presented in this report estimate the size and direction of the disruption
to cause of death trends due to the implementation of ICD-10. Researchers and
analysts using Canadian mortality data should use these summary measures to
calculate comparability-modified death counts and mortality rates to bridge
the gap between ICD-9 and ICD-10.
Comparability of ICD-10 and ICD-9 for Mortality Statistics in Canada
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