RELIABILITY OF THE DATA ON MORBIDITY AND MORTALITY FROM MUSCULOSKELETAL SYSTEM DISEASES IN RESIDENTS OF THE TULA REGION

Diseases of the musculoskeletal system (DMSS) are a topical social, medical, and economic problem. They are widespread and account for about 10% of the overall morbidity and primary disability of population, about 5% of primary morbidity, and about 0.1% of mortality. The reliable statistics are important to analyze the situation and make necessary adjustments to the organization of medical care.
Objective. To examine the accuracy of the data on morbidity and mortality from DMSS in the Tula region.
Materials and Methods. Data from statistical reports, reference documents, and databases of Tula region residents (including those who died in 2000–2011) were used.
Results. The inequality in growth rates of general and primary morbidity were revealed, which is indicative of incorrect coding and underestimation of DMSS in medical organizations of the Tula region.A comprehensive phased statistical study was carried out to assess validity of the mortality data, including the following: verification of databases for errors using an automated system; control of postmortal diagnosis quality using the four-digit subcategory code in accordance with the WHO recommendations; analysis according to the initial and multiple causes of death. Underestimation of mortality from rheumatoid arthritis by about 25% was revealed. Attention was paid to the implementation and use of automated systems.

1. <div><p>Улучшение качества и использования информации о рождении, смерти и причинах смерти: руководство для стандартизованного анализа ситуации в странах. Европейское региональное бюро ВОЗ; 2012, 78 с. [Uluchshenie kachestva i ispol'zovaniya informatsii o rozhdenii, smerti i prichinakh smerti: rukovodstvo dlya standartizovannogo analiza situatsii v stranakh. Evropeiskoe regional'noe byuro VOZ; 2012, 78 p.]</p><p>Вайсман ДШ. Использование международной классификации болезней в практике врача. Тула: Гриф и К; 2007. 152 с. [Vaisman DSh. Ispol'zovanie mezhdunarodnoi klassifikatsii boleznei v praktike</p><p>vracha. Tula: Grif i K; 2007. 152 p.]</p><p>Международная статистическая классификация болезней и проблем, связанных со здоровьем; 10-й пересмотр: В 3-х т. Женева: ВОЗ; 1995–1998. [Mezhdunarodnaya statisticheskaya klassifikatsiya boleznei i problem, svyazannykh so zdorov'em; 10-i peresmotr: V 3-kh t. Zheneva: VOZ; 1995–1998.]</p><p>Сороцкая ВН, Вайсман ДШ. Принципы кодирования ревматологических заболеваний и правила заполнения «Медицинского свидетельства о смерти»: Методическое пособие. Тула; 2005. 96 с. [Sorotskaya VN, Vaisman DSh. Printsipy kodirovaniya revmatologicheskikh zabolevanii i pravila zapolneniya «Meditsinskogo svidetel'stva o smerti»: Metodicheskoe posobie. Tula; 2005. 96 p.]</p><p>Демина АБ, Раденска-Лоповок СГ, Фоломеева ОМ, Эрдес Ш. Причины смерти больных с ревматическими заболеваниями в Москве. Терапевтический архив. 2005;77(4);77–82. [Demina АВ, Radaneska-Lopovok SG, Folomeeva OM, Erdes Sh. Causes of death in patients with rheumatic diseases in Moscow. Terapevticheskii arkhiv. 2005;77(4);77–82.]</p><p>Демина АБ, Раденска-Лоповок СГ, Фоломеева ОМ, Эрдес Ш. Причины смерти больных с ревматическими заболеваниями в Москве. Клиническая медицина. 2005;1:34–43. [Dyomina АВ, Radenska-Lopovok SG, Folomeyeva OМ, Erdes Sh. The causes of death of patients with rheumatic diseases in Moscow. Klinicheskaya meditsina. 2005;1:34–43.]</p><p>Демина АБ, Раденска-Лоповок СГ, Фоломеева ОМ, Эрдес ШФ. Анализ структуры летальных исходов и причин смерти при ревматических заболеваниях в г. Москве. Научно-практическая ревматология. 2004;(2):25–31. [Demina AB, Radenska-Lopovok SG, Folomeeva OM, Erdes ShF. Analisis of lethal outcomes structure and</p><p>mortality causes in rheumatic diseases in Moscow. Rheumatology</p><p>Science and Practice. 2004;(2):25–31.]</p></div><br />