Table 3.
Rank | Cause of death | No. of deaths | Standard (physician assigned), 7% | Proportion, % (rank) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Standard (physician-assigned) | Mean algorithm estimated deaths | 2 or more algorithms agreed | Require training data | Do not require training data | ||||||||
Total | Both physicians initially agreed† | NBC | King-Lu | SmartVA | InSilicoVA | InSilicoVA-NT | InterVA-4 | |||||
Adult (12–69 years) | ||||||||||||
1 | Ischemic heart disease | 737 | 661 | 368 | 506 | 17.1 | 5.1 (5) | 8.3 (5) | 4.0 (8) | 13.0 (2) | 12.8 (2) | 8.0 (5) |
2 | Cancers* | 592 | 517 | 287 | 393 | 13.7 | 2.0 (12) | 1.6 (10) | 8.4 (3) | 4.4 (10) | 10.6 (4) | 12.9 (1) |
3 | Other noncommunicable diseases | 376 | 273 | 314 | 365 | 8.7 | 6.1 (4) | 0.2 (16) | 6.1 (5) | 6.6 (6) | 17.2 (1) | 7.5 (6) |
4 | Unspecified infections | 363 | 265 | 242 | 278 | 8.4 | 1.8 (13) | 0.7 (15) | 1.3 (14) | 8.5 (4) | 12.4 (3) | 9.0 (4) |
5 | Falls, bites, and other injuries* | 328 | 288 | 811 | 401 | 7.6 | 50.4 (1) | 32.7 (1) | 9.3 (2) | 4.6 (9) | 10.1 (6) | 5.8 (9) |
6 | Tuberculosis | 303 | 252 | 211 | 283 | 7.0 | 3.9 (7) | 1.9 (8) | 2.3 (10) | 0.2 (16) | 10.1 (5) | 10.9 (3) |
7 | Chronic respiratory diseases | 296 | 231 | 175 | 235 | 6.9 | 1.0 (15) | 0.9 (14) | 8.1 (4) | 3.8 (11) | 4.3 (9) | 6.2 (8) |
8 | Road and transport injuries* | 274 | 246 | 491 | 288 | 6.4 | 6.6 (2) | 14.9 (2) | 5.6 (6) | 27.8 (1) | 7.0 (7) | 6.4 (7) |
9 | Stroke | 232 | 196 | 160 | 197 | 5.4 | 2.2 (11) | 3.9 (7) | 5.2 (7) | 4.8 (8) | 0.7 (15) | 5.5 (10) |
10 | Suicide* | 208 | 185 | 200 | 109 | 4.8 | 3.9 (6) | 11.7 (3) | 1.8 (11) | 5.5 (7) | 1.9 (11) | 3.1 (13) |
11 | Liver and alcohol related diseases | 137 | 105 | 63 | 67 | 3.2 | 0.9 (16) | 1.5 (11) | 0.5 (16) | 2.8 (12) | 1.6 (12) | 1.4 (14) |
12 | Other cardiovascular diseases | 108 | 64 | 165 | 166 | 2.5 | 3.1 (8) | 1.2 (12) | 1.6 (12) | 8.5 (3) | 3.7 (10) | 4.8 (11) |
13 | Acute respiratory infections | 100 | 72 | 127 | 114 | 2.3 | 6.1 (3) | 1.1 (13) | 0.5 (17) | 0.5 (14) | 4.8 (8) | 4.7 (12) |
14 | Diarrheal diseases | 96 | 68 | 139 | 64 | 2.2 | 2.8 (10) | 6.3 (6) | 1.4 (13) | 7.9 (5) | 0.4 (17) | 0.5 (17) |
15 | Ill-defined | 69 | 59 | 366 | 194 | 1.6 | 0.0 (18) | 0.0 (18) | 39.7 (1) | 0.0 (18) | 0.0 (18) | 11.3 (2) |
16 | Diabetes mellitus | 63 | 49 | 64 | 35 | 1.5 | 1.3 (14) | 1.7 (9) | 3.6 (9) | 0.3 (15) | 0.9 (13) | 1.1 (15) |
17 | Maternal conditions | 25 | 21 | 121 | 29 | 0.6 | 3.0 (9) | 11.4 (4) | 0.8 (15) | 0.6 (13) | 0.6 (16) | 0.4 (18) |
18 | Nutritional deficiencies | 4 | 3 | 10 | 4 | 0.1 | 0.0 (17) | 0.0 (17) | 0.0 (18) | 0.0 (17) | 0.8 (14) | 0.6 (16) |
Concordance | 50 | 44 | 57 | 66 | 77 | 80 |
*More obvious diagnoses. The order of injuries in this category, from highest to lowest number of deaths, is falls, other injuries, and bites
†Percentage of agreement between both physicians at the initial stage of ICD coding, where both physicians assigned the same cause of death for the deceased record. The overall physician initial agreement for adult was 83%; while 18% required a third physician to arbitrate (adjudication)