International Journal of Epidemiology, Vol 18, S169-S173, Copyright © 1989 by International Epidemiological Association
H Tunstall-Pedoe
Surveillance, monitoring, or registration of coronary heart disease (CHD)
in populations large enough to follow trends involve the collection and
coding of data provided by routine medical and and medico-legal sources.
The data may be inadequate, missing from file, or in conflict, but because
of the need for completeness, all cases must be used. Registration of a
chronic disease in the form of episodes causes some logical problems, as
does the need to allocate an underlying cause of death in fatal cases. The
problems of extracting and coding the relevant information are discussed
with reference to specific items and the results of an international
quality control exercise are used to demonstrate how items differ in their
consistency of coding. Possible causes of spurious trends are discussed,
including inaccurate population data.
ARTICLES
Diagnosis, measurement and surveillance of coronary events
Cardiovascular Epidemiology Unit, Ninewells Hospital and Medical School, Dundee, Scotland, UK.
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