{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:49:44Z","timestamp":1790704184270,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,11,18]],"date-time":"2016-11-18T00:00:00Z","timestamp":1479427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The 2003 revision of the U.S. Birth Certificate was restricted to birth defects readily identifiable at birth. Despite being the lone source of birth defects cases in some studies, we lack population\u2010based information on the quality of birth defects data from the most recent revision of the birth certificate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We linked birth certificate data to confirmed cases from the Florida Birth Defects Registry (<jats:styled-content style=\"fixed-case\">FBDR<\/jats:styled-content>) to assess the sensitivity and positive predictive value (<jats:styled-content style=\"fixed-case\">PPV<\/jats:styled-content>) of birth defects indicators on the birth certificate. Descriptive statistics and log\u2010binomial regression were used to examine variation in data quality measures by defect type and other characteristics. We also evaluated the contribution of birth certificates as a case ascertainment source for the <jats:styled-content style=\"fixed-case\">FBDR<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sensitivity of the birth certificate was poor (19.1%) with variation across defects ranging from 55% for anencephaly and 54% for gastroschisis, to &lt;10% for other defects. <jats:styled-content style=\"fixed-case\">PPV<\/jats:styled-content> was better (87.1%) and ranged from &gt;93% for orofacial clefts and gastroschisis to &lt;55% for anencephaly and limb reduction defects. We also observed variation in data quality across maternal, infant, and hospital characteristics. Of cases identified by the birth certificate and not any other <jats:styled-content style=\"fixed-case\">FBDR<\/jats:styled-content> data source, 54.9% were false\u2010positive diagnoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Efforts to restrict the 2003 revision of the birth certificate to defects identifiable at birth have not improved the likelihood that birth certificates will identify infants born with those defects. We do not recommend the use of birth certificates as a source of birth defects data without case verification strategies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12326","type":"journal-article","created":{"date-parts":[[2016,11,18]],"date-time":"2016-11-18T05:17:36Z","timestamp":1479446256000},"page":"67-75","source":"Crossref","is-referenced-by-count":35,"title":["Evaluation of the Sensitivity and Accuracy of Birth Defects Indicators on the 2003 Revision of the U.S. Birth Certificate: Has Data Quality Improved?"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0077-6023","authenticated-orcid":false,"given":"Jason L.","family":"Salemi","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine Baylor College of Medicine Houston TX"},{"name":"Birth Defects Surveillance Program Department of Community and Family Health College of Public Health University of South Florida Tampa FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Paul","family":"Tanner","sequence":"additional","affiliation":[{"name":"Birth Defects Surveillance Program Department of Community and Family Health College of Public Health University of South Florida Tampa FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana P.","family":"Sampat","sequence":"additional","affiliation":[{"name":"Birth Defects Surveillance Program Department of Community and Family Health College of Public Health University of South Florida Tampa FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E.","family":"Rutkowski","sequence":"additional","affiliation":[{"name":"Birth Defects Surveillance Program Department of Community and Family Health College of Public Health University of South Florida Tampa FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne B.","family":"Anjohrin","sequence":"additional","affiliation":[{"name":"Birth Defects Surveillance Program Department of Community and Family Health College of Public Health University of South Florida Tampa FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Marshall","sequence":"additional","affiliation":[{"name":"Birth Defects Surveillance Program Department of Community and Family Health College of Public Health University of South Florida Tampa FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell S.","family":"Kirby","sequence":"additional","affiliation":[{"name":"Birth Defects Surveillance Program Department of Community and Family Health College of Public Health University of South Florida Tampa FL"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,18]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Centers for Disease Control and National Birth Defects Prevention Network (NBDPN).Birth defects awareness public service announcement (PSA) [Internet]; Available from:http:\/\/www.nbdpn.org\/pwg\/psa_downloads.php[last accessed June 6 2016]."},{"key":"e_1_2_6_3_1","unstructured":"Centers for Disease Control and National Birth Defect Prevention Network (NBDPN).Facts about birth defects [Internet]; Available from:https:\/\/www.cdc.gov\/ncbddd\/birthdefects\/facts.html[last accessed June 8 2016]."},{"key":"e_1_2_6_4_1","unstructured":"World Health Organization.Congenital anomalies fact sheet [Internet]; Available from:http:\/\/www.who.int\/mediacentre\/factsheets\/fs370\/en\/[last accessed September 29 2016]."},{"key":"e_1_2_6_5_1","first-page":"1","volume-title":"Guidelines for Conducting Birth Defects Surveillance","author":"National Birth Defects Prevention Network (NBDPN)","year":"2004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-2223-2"},{"key":"e_1_2_6_7_1","first-page":"48","article-title":"Evaluating difficult decisions in public health surveillance: striking the right balance between timeliness and completeness","volume":"42","author":"Salemi JL","year":"2015","journal-title":"Journal of Registry Management"},{"key":"e_1_2_6_8_1","first-page":"30","article-title":"The relative contribution of data sources to a birth defects registry utilizing passive multisource ascertainment methods: does a smaller birth defects case ascertainment net lead to overall or disproportionate loss?","volume":"38","author":"Salemi JL","year":"2011","journal-title":"Journal of Registry Management"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0000000000000291"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0b013e3181b0b8a7"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20208"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335491212700407"},{"key":"e_1_2_6_13_1","first-page":"1","article-title":"The 1989 revision of the U.S. standard certificates and reports","volume":"4","author":"Tolson GC","year":"1991","journal-title":"Vital and Health Statistics, Series 4"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335491112600209"},{"key":"e_1_2_6_15_1","first-page":"65","article-title":"Reporting birth defects surveillance data 1968\u20102003","volume":"79","author":"Correa A","year":"2007","journal-title":"Birth Defects Research Part A: Clinical and Molecular Teratology"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.74.5.505"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/tera.1420440205"},{"key":"e_1_2_6_18_1","first-page":"296","article-title":"Evaluation of the hospital discharge diagnoses index and the birth certificate as sources of information on birth defects","volume":"105","author":"Hexter AC","year":"1990","journal-title":"Public Health Reports"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.2307\/4594425"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a116736"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.86.5.731"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.2.301"},{"key":"e_1_2_6_23_1","unstructured":"National Center for Health Statistics.2003 Revisions of the U.S. standard certificates of live birth and death and the fetal death report [Internet]; Available from:http:\/\/www.cdc.gov\/nchs\/nvss\/vital_certificate_revisions.htm[last accessed May 10 2016]."},{"key":"e_1_2_6_24_1","unstructured":"National Center for Health Statistics.Report of the panel to evaluate the U.S. standard certificates. 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