The lack of precision in the assertion of the basic cause of death is a
particularly important source of mistakes in the analysis of mortality according to
causes. The objective of this study was to evaluate the concordance between the
cause of death attested by the doctor and the cause classified with the use of
international rules of basic cause of death and its influence in the profile of mortality
caused by tropical, infectious and parasitic diseases, in the State of Pará, from 1996
to 2001. The study was of the descriptive, exploratory type, and had as data base the
death certificates from the regional system of mortality information. The selection of
data was made with the use of the softwares Excel 7.0 and EPI-INFO 6.04, while the
mortality coefficient (MC) by cause, the observed concordance (OC) and the Kappa
were used for analysis. The found results show a similarity between the attested and
the classified causes (septicemias, diarrheas and gastroenteritis of presumably
infectious origin, AIOS, tuberculosis and malaria), with significant divergences in the
values of MC by cause the in years studied (1996, p=0.0426; 1997, p=0.0223; 1998,
p=0.001; 1999, p=0.0023; 2000, p=0.009 and 2001, p=0.0023). The values found for
the OC and the Kappa reflect the restrictions imposed by the incorrect fill of the death
certificates and the necessity to implement the tabulations of multiple causes of death
in the municipal districts.
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