Quality of death certificates in Valencia, Spain

Am J Public Health. 1989 Oct;79(10):1352-4. doi: 10.2105/ajph.79.10.1352.


Certificates of 1,454 deaths occurring over 11 months were retrieved from the Civil Register in Valencia, Spain. Relevant medical information was systematically gathered from hospital records, questionnaires, and Coroner reports. We compared the underlying cause of death (UCD) from the original death certificate, and a reference cause of death (RCD) determined by a panel of experts based on all available information. Overall, 80.2 percent of the certificates were concordant for disease category, but there was a great disparity among some specific disease categories.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cause of Death*
  • Death Certificates*
  • Humans
  • Medical Records
  • Quality Control
  • Spain
  • Surveys and Questionnaires