RT Journal Article
SR Electronic
T1 Fetal death certificate data quality: A tale of two US counties
JF bioRxiv
FD Cold Spring Harbor Laboratory
SP 136432
DO 10.1101/136432
A1 Lauren Christiansen-Lindquist
A1 Robert M. Silver
A1 Corette B. Parker
A1 Donald J. Dudley
A1 Matthew A. Koch
A1 Uma M. Reddy
A1 George R. Saade
A1 Robert L. Goldenberg
A1 Carol J. R. Hogue
YR 2017
UL http://biorxiv.org/content/early/2017/05/30/136432.abstract
AB Purpose Describe the relative frequency and joint effect of missing and misreported fetal death certificate (FDC) data and identify variations by key characteristics.Methods Stillbirths were prospectively identified during 2006-2008 for a multi-site population-based case-control study. For this study, eligible mothers of stillbirths were not incarcerated residents of DeKalb County, Georgia, or Salt Lake County, Utah, aged > 13 years, with an identifiable FDC. We identified the frequency of missing and misreported (any departure from the study value) FDC data by county, race/ethnicity, gestational age, and whether the stillbirth was antepartum or intrapartum.Results Data quality varied by item, and was highest in Salt Lake County. Reporting was generally not associated with maternal or delivery characteristics. Reasons for poor data quality varied by item in DeKalb County: some items were frequently missing and misreported; however, others were of poor quality due to either missing or misreported data.Conclusions FDC data suffer from missing and inaccurate data, with variations by item and county. Salt Lake County data illustrate that high quality reporting is attainable. The overall quality of reporting must be improved to support consequential epidemiologic analyses for stillbirth, and improvement efforts should be tailored to the needs of each jurisdiction.CCCconcordance correlation coefficientCDCCenters for Disease Control and PreventionFDCFetal death certificateNCHSNational Center for Health StatisticsSCRNStillbirth Collaborative Research Network