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Table 2 Agreement of principal hospital discharge diagnosis with cause of death statistics

From: Cause of death coding in Switzerland: evaluation based on a nationwide individual linkage of mortality and hospital in-patient records

Principal diagnosis found as ...

“Definitive” cause of death

In any cause of death

Disease Category

N

%

N

%

Kappa

Chapter 1: A00-B99 Certain infectious and parasitic diseases

 Diarrhoea / gastro-enteritis of presumed infectious origin

90

20%

31

34%

0.18

 Septicaemia

4330

7%

2108

49%

0.41

 Human immunodeficiency virus [HIV] disease

30

87%

27

90%

0.41

 Mycoses

95

15%

45

47%

0.25

Chapter 2: C00-D49 Neoplasms

 Malignant neoplasm of lip, oral cavity / pharynx

462

92%

434

94%

0.65

 Malignant neoplasm of oesophagus

524

90%

483

92%

0.68

 Malignant neoplasm of stomach

657

88%

587

89%

0.71

 Malignant neoplasm of colon, rectum / anus

1820

93%

1722

95%

0.67

  Malignant neoplasm of colon

1187

90%

1084

91%

0.64

  Malignant neoplasm of rectosigmoid junction, rectum, anus / anal canal

634

82%

534

84%

0.61

 Malignant neoplasm of liver / intrahepatic bile ducts

820

87%

726

89%

0.67

 Malignant neoplasm of pancreas

1474

93%

1384

94%

0.77

 Malignant neoplasm of larynx

85

82%

71

84%

0.49

 Malignant neoplasm of trachea, bronchus / lung

3793

95%

3644

96%

0.72

 Malignant neoplasm of bone / articular cartilage

46

59%

27

59%

0.49

 Malignant melanoma of skin

235

95%

225

96%

0.56

 Malignant neoplasms of mesothelial / soft tissue

387

84%

330

85%

0.64

 Malignant neoplasm of breast

1165

97%

1143

98%

0.59

 Malignant neoplasm of cervix uteri / uterus

289

89%

261

90%

0.63

  Malignant neoplasm of cervix uteri

85

89%

76

89%

0.66

  Malignant neoplasm of other / unspecified parts of uterus

204

85%

177

87%

0.59

 Malignant neoplasm of ovary

444

93%

421

95%

0.66

 Malignant neoplasm of prostate

879

94%

849

97%

0.47

 Malignant neoplasm of bladder

529

83%

455

86%

0.56

 Malignant neoplasm of brain

543

93%

504

93%

0.82

 Hodgkin’s disease

35

74%

26

74%

0.43

 Non-Hodgkin’s lymphoma

589

89%

539

92%

0.62

 Multiple myeloma / malignant plasma cell neoplasms

337

95%

327

97%

0.65

 Leukaemia

710

88%

650

92%

0.62

Chapter 3:D50-D89 Diseases of the blood and blood-forming organs / certain disorders involving the immune mechanism

 Anaemias

202

24%

101

50%

0.08

 Haemorrhagic conditions / other diseases of blood (−forming organs)

279

9%

72

26%

0.14

Chapter 4: E00-E89 Endocrine, nutritional and metabolic diseases

 Diabetes mellitus

180

46%

132

73%

0.04

 Malnutrition

60

10%

20

33%

0.07

 Volume depletion

113

4%

28

25%

0.08

Chapter 5: F01-F99 Mental, Behavioral and Neurodevelopmental disorders

 Mental / behavioural disorders due to psychoactive substance use

65

20%

31

48%

0.04

  Mental / behavioural disorders due to use of alcohol

45

29%

21

47%

0.05

  Mental / behavioural disorders due to other psychoactive substance use

20

0%

9

45%

0.03

 Schizophrenia, schizotypal / delusional disorders

122

19%

68

56%

0.36

 Mood [affective] disorders

180

7%

93

52%

0.22

 Neurotic, stress-related and somatoform disorders

55

2%

5

9%

0.05

Chapter 6: G00-G99 Diseases of the nervous system

 Inflammatory diseases of the central nervous system

88

40%

57

65%

0.46

 Parkinson’s disease

73

78%

66

90%

0.15

 Dementia / Alzheimer’s disease

465

54%

365

78%

0.20

  Dementia

229

34%

146

64%

0.10

  Alzheimer’s disease

236

42%

118

50%

0.28

 Epilepsy

296

19%

159

54%

0.30

 Transient cerebral ischaemic attacks and related syndromes

34

0%

3

9%

0.07

 Cerebral palsy / other paralytic syndromes

78

9%

20

26%

0.09

Chapter 9: I00-I99 Diseases of the circulatory system

 Chronic rheumatic heart disease

88

17%

17

19%

0.10

 Hypertensive diseases

272

31%

174

64%

0.02

  Essential (primary) hypertension

6

0%

2

33%

0.00

  Other hypertensive diseases

266

32%

161

61%

0.03

 Ischaemic heart diseases

3144

85%

2890

92%

0.30

  Acute myocardial infarction

2692

68%

1980

74%

0.62

  Other ischaemic heart diseases

452

61%

365

81%

0.05

 Pulmonary embolism

648

36%

521

80%

0.34

 Conduction disorders / cardiac arrhythmias

1864

16%

1087

58%

0.13

 Heart failure

3842

14%

2043

53%

0.39

 Cerebrovascular diseases

4829

74%

4476

93%

0.69

  Intracranial haemorrhage

2181

66%

1929

88%

0.76

  Cerebral infarction

2081

40%

991

48%

0.52

  Stroke, not specified as haemorrhage or infarction

460

53%

312

68%

0.23

  Other cerebrovascular diseases

141

16%

54

38%

0.05

 Atherosclerosis

448

29%

276

62%

0.22

 Arterial embolism / thrombosis

282

33%

136

48%

0.41

 Phlebitis, thrombophlebitis, venous embolism / thrombosis

70

21%

35

50%

0.08

Chapter 10: J00-J99 Diseases of the respiratory system

 Pneumonia

2926

22%

2027

69%

0.32

 Chronic lower respiratory diseases

892

78%

801

90%

0.20

  Bronchitis, emphysema / other chronic obstructive pulmonary diseases

868

78%

773

89%

0.21

  Asthma

20

60%

13

65%

0.07

  Bronchiectasis

5

40%

2

40%

0.10

Chapter 11: K00-K95 Diseases of the digestive system

 Gastric / duodenal ulcer

376

47%

216

57%

0.51

 Gastritis and duodenitis

31

16%

9

29%

0.15

 Diseases of appendix

33

70%

24

73%

0.62

 Inguinal hernia

56

39%

27

48%

0.45

 Paralytic ileus / intestinal obstruction without hernia

1092

35%

746

68%

0.45

 Diverticular disease of intestine

429

60%

300

70%

0.53

 Diseases of the liver

1161

64%

1040

90%

0.40

  Alcoholic liver disease

560

79%

477

85%

0.49

  Other diseases of liver

612

25%

406

66%

0.23

 Cholelithiasis / cholecystitis

199

56%

130

65%

0.44

 Acute pancreatitis / other diseases of the pancreas

179

71%

158

88%

0.54

Chapter 12: L00-L99 Diseases of the skin and subcutaneous tissue

 Infections of the skin / subcutaneous tissue

71

23%

23

32%

0.19

Chapter 13: M00-M99 Diseases of the musculoskeletal system / connective tissue

 Arthrosis

112

28%

47

42%

0.21

 Systemic connective tissue disorders

65

63%

50

77%

0.21

 Soft tissue disorders

122

16%

37

30%

0.19

 Disorders of bone density / structure

94

13%

33

35%

0.08

 Osteomyelitis

35

14%

18

51%

0.29

Chapter 14: N00-N99 Diseases of the genitourinary system

 Renal tubulo-interstitial diseases

87

16%

36

41%

0.20

 Renal failure

1206

23%

826

68%

0.13

Total Cases (sum of 69 master categories)

47,311

57%

36,442

77%