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Gastroenterol Hepatol Bed Bench. 2016;9(4):295-300.

Years of life lost due to gastric cancer is increased after Bayesian correcting for misclassification in Iranian population.

Gastroenterology and hepatology from bed to bench

Nastaran Hajizadeh, Mohamad Amin Pourhoseingholi, Ahmad Reza Baghestani, Alireza Abadi, Behnaz Ghoreshi

Affiliations

  1. Department of Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  2. Gastroenterology and Liver diseases Research Center, Research Institute for Gastroenterology and Liver diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  3. Faculty of Medicine, Islamic Azad University, Tehran, Iran.

PMID: 27895855 PMCID: PMC5118854

Abstract

AIM: To estimate the change in years of life lost (YLL) due to gastric cancer mortality after correcting for misclassification in registering causes of death using the Bayesian method.

BACKGROUND: For evaluating the health status of a country and determining priority of risk factors, some epidemiologic indicators are needed. Due to premature death, YLL is one of the most widely used indicators. To have an exact estimate of YLL, an accurate death registry data is needed, but the Iranian death registry is subject to misclassification error.

MATERIAL AND METHODS: Gastric cancer mortality data from 2006 to 2010 for Iran were extracted from national death statistics. The rate of misclassification in registered causes of deaths was estimated, using Bayesian method for each year. Then YLL of gastric cancer is estimated for different age-sex categories before and after implementing Bayesian method.

RESULTS: Using Bayesian method, the estimated misclassification rate for gastric cancer in cancer without label group were 5%, 3%, 3%, 7% and 7% respectively from 2006 to 2010. Estimated Years of life lost due to gastric cancer before correcting misclassification were respectively 111684.93, 114957.31, 112391.93, 112250.53 and 113300.92 person-years for years 2006 to 2010. After correcting misclassification, the total YLL of gastric cancer increased to 1535.19, 921.11, 908.39, 2566.39 and 2507.00 person-years, respectively from 2006 to 2010.

CONCLUSION: If health policy makers ignore the existence of misclassification in registered causes of death, they may underestimate the burden of some causes of death and overestimate some others.

Keywords: Bayesian method; Gastric cancer; Iran; Misclassification; Years of life lost

References

  1. Bull World Health Organ. 2008 Sep;86(9):688-96 - PubMed
  2. Popul Health Metr. 2010 May 10;8:9 - PubMed
  3. Am J Public Health. 1987 Feb;77(2):137-9 - PubMed
  4. Epidemiology. 1990 Jul;1(4):322-9 - PubMed
  5. Bull World Health Organ. 2005 Mar;83(3):171-7 - PubMed
  6. Br J Cancer. 2005 Jan 31;92(2):241-5 - PubMed
  7. BMC Public Health. 2008 Apr 10;8:116 - PubMed
  8. Indian J Med Res. 2009 Mar;129(3):262-7 - PubMed
  9. Stat Med. 2004 Apr 15;23(7):1095-109 - PubMed
  10. Asian Pac J Cancer Prev. 2009 Jan-Mar;10(1):107-10 - PubMed
  11. Asian Pac J Cancer Prev. 2011;12(9):2271-4 - PubMed
  12. J Am Med Inform Assoc. 2002 Nov-Dec;9(6):600-11 - PubMed
  13. J Clin Epidemiol. 2006 Feb;59(2):125-31 - PubMed
  14. J Health Econ. 1997 Dec;16(6):703-30 - PubMed
  15. Biometrics. 2002 Dec;58(4):1034-6; discussion 1036-7 - PubMed
  16. Asian Pac J Cancer Prev. 2009 Oct-Dec;10(4):691-4 - PubMed
  17. World Health Stat Q. 1990;43(4):249-58 - PubMed

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