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George A. Conway, MD, MPH; Brenda Colley-Niemeyer, MSPH; Claire Pursley, RNC, BSN, FNP; Carlota Cruz, MD; Sherin Burt; Pam Rion; Clark W. Heath, Jr, MD

JAMA. 1989;262(20):2859-2863.

Abstract
An evaluation of the completeness and accuracy of case reporting of the acquired immunodeficiency syndrome (AIDS) for the 18-month period from January 1, 1986, through June 30, 1987, was conducted for South Carolina. A total of 596 585 hospital discharge billing records were searched by computer for conditions defining AIDS. The resulting 1513 records were manually reviewed. Of these, 349 discharges for 163 individuals were classified as being definitely AIDS related, the clinical features of these cases meeting Centers for Disease Control criteria for AIDS diagnosis. Of these cases, 153 were reportable to the South Carolina AIDS registry at the time of their diagnosis. Comparison of this case list with registry records revealed that only 91 (59.5%) had been reported. Reporting was significantly poorer for cases among blacks (53.1%) than for cases among whites (71.6%). These findings may have important implications for the interpretation of AIDS surveillance data and for planning activities in which awareness of complete case counts may be critical.

(JAMA. 1989;262:2859-2863)

Author Affiliations
From the Bureau of Preventive Health Services (Drs Conway, Cruz, and Heath and Mss Pursley, Burt, and Rion) and Office of Vital Records and Public Health Statistics (Ms Colley-Niemeyer), South Carolina Department of Health and Environmental Control; and the University of South Carolina (Drs Conway and Cruz and Mss Pursley and Rion), Columbia. Dr Conway is now with the HIV Seroepidemiology Branch, Division of HIV/AIDS, Center for Infectious Disease, Centers for Disease Control, Atlanta, Ga.

Footnotes
Reprint requests to HIV Seroepidemiology Branch, Division of HIV/AIDS, Center for Infectious Disease, Centers for Disease Control, Mailstop G-29, 1600 Clifton Rd NE, Atlanta, GA 30333 (Dr Conway).

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