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JNCI Journal of the National Cancer Institute 2002 94(14):1044-1045; doi:10.1093/jnci/94.14.1044
© 2002 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 94, No. 14, 1044-1045, July 17, 2002
© 2002 Oxford University Press

EDITORIAL

Attribution of Deaths Following Cancer Treatment

Colin B. Begg, Deborah Schrag

Affiliation of authors: Health Outcomes Group, Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY.

Correspondence to: Colin B. Begg, Ph.D., Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., New York, NY 10021 (e-mail: beggc@mskcc.org).

The first 150 words of the full text of this article appear below.

Government agencies provide regular reports on progress in the fight against cancer, and these reports are viewed with great interest by researchers and by the media (1). The primary measures of the cancer burden are cancer incidence rates and cancer mortality rates. The latter are derived from state death certificates, which are completed by physicians, medical examiners, coroners, and funeral directors, and collated by the National Center for Health Statistics (NCHS) (2). The data from death certificates are compiled using the World Health Organization schema to determine the underlying cause of death. The classification rules are changed periodically; most recently in 1999 with the adoption of the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD) (3). This general approach leads to the designation of a unitary "underlying" cause for each death. In practice, a death . . . [Full Text of this Article]


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