{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:42:53Z","timestamp":1777898573861,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T00:00:00Z","timestamp":1531440000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Death certificates are an important source of information for understanding life expectancy and mortality trends; however, misclassification and incompleteness are common. Although deaths caused by Legionnaires\u2019 disease might be identified through routine surveillance, it is unclear whether Legionnaires\u2019 disease is accurately recorded on death certificates. We evaluated the sensitivity and positive predictive value of death certificates for identifying deaths from confirmed or suspected Legionnaires\u2019 disease among adults in New York City.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We deterministically matched death certificate data from January 1, 2008, through December 31, 2013, on New York City residents aged \u226518 years to surveillance data on confirmed and suspected cases of Legionnaires\u2019 disease from January 1, 2008, through October 31, 2013. We estimated sensitivity and positive predictive value by using surveillance data as the reference standard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 294\u2009755 deaths, 27 (&lt;0.01%) had an underlying cause of death of Legionnaires\u2019 disease and 33 (0.01%) had any mention of Legionnaires\u2019 disease on the death certificate. Of 1211 confirmed or suspected cases of Legionnaires\u2019 disease, 267 (22.0%) matched to a record in the death certificate data set. The sensitivity of death certificates that listed Legionnaires\u2019 disease as the underlying cause of death was 17.3% and of death certificates with any mention of Legionnaires\u2019 disease was 20.9%. The positive predictive value of death certificates that listed Legionnaires\u2019 disease as the underlying cause of death was 70.4% and of death certificates with any mention of Legionnaires\u2019 disease was 69.7%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Death certificates had limited ability to identify confirmed or suspected deaths with Legionnaires\u2019 disease. Provider trainings on the diagnosis of Legionnaires\u2019 disease, particularly hospital settings, and proper completion of death certificates might improve the sensitivity of death certificates for people who die of Legionnaires\u2019 disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354918782494","type":"journal-article","created":{"date-parts":[[2018,7,13]],"date-time":"2018-07-13T19:00:14Z","timestamp":1531508414000},"page":"578-583","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Sensitivity and Positive Predictive Value of Death Certificate Data Among Deaths Caused by Legionnaires\u2019 Disease in New York City, 2008-2013"],"prefix":"10.1177","volume":"133","author":[{"given":"Olivia C.","family":"Tran","sequence":"first","affiliation":[{"name":"Division of Disease Control, New York City Department of Health and Mental Hygiene, Queens, NY, USA"},{"name":"Clinical Research and Development, Evolent Health, Arlington, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E.","family":"Lucero","sequence":"additional","affiliation":[{"name":"Division of Disease Control, New York City Department of Health and Mental Hygiene, Queens, NY, USA"},{"name":"Mailman School of Public Health, Columbia University, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Balter","sequence":"additional","affiliation":[{"name":"Enteric, Waterborne and Hepatitis Health Education Unit, Bureau of Communicable Disease, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Fitzhenry","sequence":"additional","affiliation":[{"name":"Enteric, Waterborne and Hepatitis Health Education Unit, Bureau of Communicable Disease, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Huynh","sequence":"additional","affiliation":[{"name":"Bureau of Vital Statistics, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay K.","family":"Varma","sequence":"additional","affiliation":[{"name":"Division of Disease Control, New York City Department of Health and Mental Hygiene, Queens, NY, USA"},{"name":"National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil M.","family":"Vora","sequence":"additional","affiliation":[{"name":"Division of Disease Control, New York City Department of Health and Mental Hygiene, Queens, NY, USA"},{"name":"Career Epidemiology Field Officer Program, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,7,13]]},"reference":[{"key":"bibr1-0033354918782494","doi-asserted-by":"crossref","unstructured":"Weiss D, Boyd C, Rakeman JL, A large community outbreak of Legionnaires\u2019 disease associated with a cooling tower in New York City, 2015. Public Health Rep. 2017;132(2):241\u2013250.","DOI":"10.1177\/0033354916689620"},{"key":"bibr2-0033354918782494","doi-asserted-by":"publisher","DOI":"10.3201\/eid2011.131872"},{"key":"bibr3-0033354918782494","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6522e1"},{"key":"bibr4-0033354918782494","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(14)70713-3"},{"issue":"3","key":"bibr5-0033354918782494","first-page":"407","volume":"13","author":"Dominguez A","year":"2009","journal-title":"Int J Tuberc Lung Dis"},{"key":"bibr6-0033354918782494","volume-title":"Summary of Vital Statistics, 2014","author":"Li W","year":"2016"},{"key":"bibr7-0033354918782494","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.161.2.277"},{"key":"bibr8-0033354918782494","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1996.03530340058030"},{"key":"bibr9-0033354918782494","doi-asserted-by":"publisher","DOI":"10.3121\/cmr.2015.1276"},{"key":"bibr10-0033354918782494","unstructured":"Council of State and Territorial Epidemiologists. Strengthening surveillance for travel-associated legionellosis and revised case definitions for legionellosis. Position statement 05-ID-01. 2005. http:\/\/c.ymcdn.com\/sites\/www.cste.org\/resource\/resmgr\/PS\/05-ID-01FINAL.pdf. 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