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Analysing Multiple Causes of Death: Which Methods For Which Data? An Application to the Cancer-Related Mortality in France and Italy
[Analyse des causes multiples de décès: quelles méthodes pour quelles données? L’exemple de la mortalité par cancer en France et en Italie]

Author

Listed:
  • Aline F. Désesquelles

    (Institut National d’Etudes Démographiques (INED))

  • Michele Antonio Salvatore

    (Istituto Nazionale di Statistica (Istat))

  • Marilena Pappagallo

    (Istituto Nazionale di Statistica (Istat))

  • Luisa Frova

    (Istituto Nazionale di Statistica (Istat))

  • Monica Pace

    (Istituto Nazionale di Statistica (Istat))

  • France Meslé

    (Institut National d’Etudes Démographiques (INED))

  • Viviana Egidi

    (Sapienza Università di Roma (SUR))

Abstract

Multiple cause of death (MCOD) data have been used to recalculate mortality levels attributed to a given condition, and to determine the most frequent associations of causes involving this condition. In this article, we begin with a description of how the MCOD data is collected, and we discuss data quality. After presenting the main indicators specifically developed to analyse these data, we provide a concrete illustration of the method based on a comparison of cancer-related mortality in Italy and France. The results for the two countries are strikingly similar. The change in mortality levels is modest for most anatomic sites: cancer is often selected as the underlying cause of death (UCD). The most notable exception (cancer of the prostate) potentially exemplifies future trends, with more effective treatments and increased incidence of this disease among elderly people due to population ageing, cancers may more often play a contributing role in mortality. For all anatomic sites, the reporting of a neoplasm as both underlying and contributing cause of death is a feature of cancer-related mortality. We then categorize all other associations into five patterns (‘degeneration of the contributing cause’, ‘risk factor for the UCD’, ‘common cause’, ‘consequence/complication of the UCD’ and ‘symptom of the UCD’) that reflect current medical knowledge.

Suggested Citation

  • Aline F. Désesquelles & Michele Antonio Salvatore & Marilena Pappagallo & Luisa Frova & Monica Pace & France Meslé & Viviana Egidi, 2012. "Analysing Multiple Causes of Death: Which Methods For Which Data? An Application to the Cancer-Related Mortality in France and Italy [Analyse des causes multiples de décès: quelles méthodes pour qu," European Journal of Population, Springer;European Association for Population Studies, vol. 28(4), pages 467-498, November.
    • Handle: RePEc:spr:eurpop:v:28:y:2012:i:4:d:10.1007_s10680-012-9272-3
    DOI: 10.1007/s10680-012-9272-3
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    References listed on IDEAS

    as
    1. Aline Désesquelles & Michele Antonio Salvatore & Luisa Frova & Monica Pace & Marilena Pappagallo & France Meslé & Viviana Egidi, 2010. "Revisiting the mortality of France and Italy with the multiple-cause-of-death approach," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 23(28), pages 771-806.
    2. Speizer, F.E. & Trey, C. & Parker, P., 1977. "The uses of multiple causes of death data to clarify changing patterns of cirrhosis mortality in Massachusetts," American Journal of Public Health, American Public Health Association, vol. 67(4), pages 333-336.
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    4. Eric Stallard, 2002. "Underlying and Multiple Case Mortality Advanced Ages: United States 1980-1998," North American Actuarial Journal, Taylor & Francis Journals, vol. 6(3), pages 64-87.
    5. Wing, S. & Manton, K.G., 1981. "A multiple cause of death analysis of hypertension-related mortality in North Carolina, 1968-1977," American Journal of Public Health, American Public Health Association, vol. 71(8), pages 823-830.
    6. Kenneth Manton & H. Tolley & Sharon Poss, 1976. "Life table techniques for multiple-cause mortality," Demography, Springer;Population Association of America (PAA), vol. 13(4), pages 541-564, November.
    7. repec:cai:popine:popu_p1993_48n3_0607 is not listed on IDEAS
    8. Kenneth Manton & Sharon Poss, 1979. "Effects of dependency among causes of death for cause elimination life table strategies," Demography, Springer;Population Association of America (PAA), vol. 16(2), pages 313-327, May.
    9. Kenneth Manton & Eric Stallard, 1982. "Temporal trends in U. S. multiple cause of death mortality data: 1968 to 1977," Demography, Springer;Population Association of America (PAA), vol. 19(4), pages 527-547, November.
    10. Wise, M.E. & Sorvillo, F., 2005. "Hepatitis A-related mortality in California, 1989-2000: Analysis of multiple cause - Coded death data," American Journal of Public Health, American Public Health Association, vol. 95(5), pages 900-905.
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    Cited by:

    1. Aline Désesquelles & Elena Demuru & Marilena Pappagallo & Luisa Frova & France Meslé & Viviana Egidi, 2015. "After the epidemiologic transition: a reassessment of mortality from infectious diseases among over-65s in France and Italy," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(8), pages 961-967, December.
    2. Viviana Egidi & Michele Antonio Salvatore & Giulia Rivellini & Silvia D'Angelo, 2018. "A network approach to studying cause-of-death interrelations," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(16), pages 373-400.
    3. Magali Barbieri & Aline Désesquelles & Viviana Egidi & Elena Demuru & Luisa Frova & France Meslé & Marilena Pappagallo, 2017. "Obesity-related mortality in France, Italy, and the United States: a comparison using multiple cause-of-death analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(6), pages 623-629, July.

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