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[Preprint]. 2026 Apr 19:2026.01.31.26345264. Originally published 2026 Feb 3. [Version 3] doi: 10.64898/2026.01.31.26345264

Table 1.

Causes of death classified in broad disease categories++ in Entity Axis and Record Axis, USA 2003–2023 (when there was more than one ICD code listed in the last line of Part I in the Entity Axis, we used the one listed last).

Entity Axis Record Axis
Disease Underlying (i.e. lowest line of Part I) (% change) Contributing Only Any Underlying Contributing Only+ Any#
Circulatory 17,793,268 13,582,667 7,521,247 31,375,935 17,796,602 (0%) 13,510,161 7,678,693 31,306,763
Cancer 11,214,012 2,817,512 5,476,807 14,031,524 12,576,466 (12%) 1,435,404 5,482,941 14,011,870
Other Natural 12,386,337 17,171,701 4,603,744 29,558,038 10,708,481 (−14%) 18,124,458 4,662,437 28,832,939
Respiratory 5,978,426 9,277,447 1,295,638 15,255,873 5,303,862 (−11%) 9,896,044 1,295,750 15,199,906
Endocrine * 2,209,113 7,136,922 124,334 9,346,035 2,560,585 (16%) 6,780,460 156,081 9,341,045
Digestive 1,675,880 2,692,069 346,111 4,367,949 1,731,012 (3%) 2,394,730 346,257 4,125,742
COVID-19 522,512 647,301 58,211 1,169,813 1,004,208 (92%) 165,605 58,208 1,169,813
Drug Poisoning 1,130,962 342,169 701,529 1,473,131 1,229,766 (9%) 241,136 701,531 1,470,902
Transport 637,778 296,760 852 934,538 915,055 (43%) 19,491 853 934,546
Suicide 609,437 155,860 662 765,297 762,109 (25%) 3,190 662 765,299
Alcohol-related 686,868 669,287 102,929 1,356,155 676,440 (−2%) 679,715 155,262 1,356,155
Other External 1,451,348 3,420,721 269,514 4,872,069 671,615 (−54%) 4,197,101 269,509 4,868,716
Falls 386,291 427,221 161 813,512 654,100 (69%) 159,415 161 813,515
Homicide 304,599 96,049 275 400,648 396,530 (30%) 4,118 275 400,648
Uncertain 0 0 0 0 0 518 0 518
Total 56,986,831 58,733,686 20,502,014 115,720,517 56,986,831 57,611,546 20,808,620 114,598,377
++

The mapping of the ICD-10 codes onto broad disease categories is given in Table S9.

+

Only means that there only one broad category cause of death for the particular axis. There are 309,574 death certificates with more than a single unique broad cause of disease for the record or the entity axis when the other axis has only a single cause. For the vast majority of certificates (308,090), it is the Entity Axis that has multiple causes.

#

Any means that we code all broad disease categories.

*

endocrine, nutritional and metabolic