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Changes in HIV-Related Deaths as a Function of Coding
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To the Editor: In their Research Letter, Dr Grigg and colleagues1 found that changes in the rules for selecting the underlying cause of death in Florida, which resulted from implementation of the International Classification of Diseases, 10th Revision (ICD-10), were responsible for a 14% increase in the number of deaths attributed to human immunodeficiency virus (HIV) disease between 1998 and 1999. This figure is in contrast with a 6% increase due to these rule changes reported by the National Center for Health Statistics (NCHS), which was based on analysis of a large sample of national mortality data from 1996.2 Grigg et al concluded that application of the original NCHS estimate may result in an inaccurate adjustment to the number of deaths caused by HIV disease in 1998 for comparison with deaths in 1999. At the NCHS, we also came to this conclusion. As a result, with the release of . . . [Full Text of this Article]
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