4084.0: Tuesday, November 14, 2000: 8:30 AM-10:00 AM

Death Rates: Statistical Implications of Implementing ICD-10 and the New Standard for Age Adjustment

Two major changes are being implemented in mortality statistics effective with 1999 data: (1) after about 20 years, a new system for classifying causes of death,the Tenth Revision of the International Classification of Diseases (ICD-10), will replace ICD-9, and (2) after about 50 years, a new population standard for age-adjusting death rates the projected population of 2000 will replace the estimated population of 1940. Both of these changes introduce discontinuities into mortality trends and patterns. This session describes these changes, and their statistical and analytic implications. A number of additional changes in the near future that will affect mortality statistics will be alluded to including the following: introduction of the new race classification in the census (2000), introduction of adjustment for net census undercount in population counts and estimates (2000), introduction of revised certificates of death (2003), and introduction of electronic death certificates (next five to ten years) A study showing the effect of changing to the 2000 age standard on age-adjusted death rates for Boston communities will be presented by the Boston Public Health Commission
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: Refer to the individual abstracts for learning objectives
Presider(s):Harry M. Rosenberg, Dr
Organizer(s):Harry M. Rosenberg, PhD
8:30 AMMajor changes in mortality statistics: An overview and introduction to ICD-10
Kenneth D. Kochanek
8:45 AMComparability of cause of death between ICD-9 and ICD-10: Preliminary results and analytic issues
Robert N. Anderson, PhD
9:05 AMApplication of comparability ratios for statistical comparison of death rates across ICD revisions
Arialdi M. Minino, MA, Van L. Parsons, Jeffrey D. Maurer
9:25 AMChange in the population standard for age-adjusting death rates
Donna L. Hoyert, PhD
9:45 AMImplications of Revising the Standard Population for Age-adjusted Rates on Small Areas: Boston and its Neighborhoods
Jean Slosek, MS, May R. Yamate, MS, Phyllis D. Sims, JS, Molly T. Beinfeld, MPH

The 128th Annual Meeting of APHA