Implementing a script to improve the quality of the Brazilian Disease Surveillance Data System using record linkage

Introduction The National Disease Surveillance Data System (SINAN) is the main tool used by tuberculosis control programs to measure control actions and disease incidence rates in Brazil. Therefore, data quality is essential to support health surveillance and management. Objectives and Approach T...

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Main Authors: Rejane Sobrino, Marli Souza, Gisele Oliveira, Luis Carlos Guillen, Claudia Coeli, Valeria Saraceni
Format: Article
Language:English
Published: Swansea University 2018-09-01
Series:International Journal of Population Data Science
Online Access:https://ijpds.org/article/view/977
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author Rejane Sobrino
Marli Souza
Gisele Oliveira
Luis Carlos Guillen
Claudia Coeli
Valeria Saraceni
author_facet Rejane Sobrino
Marli Souza
Gisele Oliveira
Luis Carlos Guillen
Claudia Coeli
Valeria Saraceni
author_sort Rejane Sobrino
collection DOAJ
description Introduction The National Disease Surveillance Data System (SINAN) is the main tool used by tuberculosis control programs to measure control actions and disease incidence rates in Brazil. Therefore, data quality is essential to support health surveillance and management. Objectives and Approach The aim of this study was to propose an algorithm for the qualification of the variables type of entry, treatment outcome, HIV test, HIV/AIDS co-infection and diabetes comorbidity. We conduct a probabilistic record linkage between three databases of the city of Rio de Janeiro: SINAN-Tuberculosis, 2004-2012; the Mortality Information System (SIM), 2009-2013; and AIDS unified database, until 2012 (SINAN-AIDS, SIM registries that AIDS was the basic cause of death, drug distribution and laboratory databases). The criteria for qualifying the variables were based on technical guidelines, published by the Brazilian Ministry of Health. We implemented a script using Structured Query Language. Results The script had 103 rules. There was an 115% increase in the treatment output classified as "dropout" due to a decrease in: i) the number of records with patient transference but that they were not followed by another health care unit; output treatment classified as "ignored"/missing values; records with treatment output classified as "cure" before the end of the treatment. There was a 28% decrease in the number of records with treatment output classified as "death due to tuberculosis" and a 64% increase in those classified as "death due to other causes". There was a 2.4% increase in the number of records with diabetes as a comorbidity, a 5.3% increase in the number of registries with HIV-positive test and a 8.7% increase in TB-HIV/AIDS co-infection. Conclusion/Implications Linking databases is an important strategy for retrieving information from other systems to improve the quality of information to support decision making for TB control.
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spelling doaj.art-656a5f65307446889ea0daf2254f664c2023-12-02T05:43:58ZengSwansea UniversityInternational Journal of Population Data Science2399-49082018-09-013410.23889/ijpds.v3i4.977977Implementing a script to improve the quality of the Brazilian Disease Surveillance Data System using record linkageRejane Sobrino0Marli Souza1Gisele Oliveira2Luis Carlos Guillen3Claudia Coeli4Valeria Saraceni5UFRJUFRJFIOCRUZUFRJUFRJSecretaria Municipal de Saúde - Rio de JaneiroIntroduction The National Disease Surveillance Data System (SINAN) is the main tool used by tuberculosis control programs to measure control actions and disease incidence rates in Brazil. Therefore, data quality is essential to support health surveillance and management. Objectives and Approach The aim of this study was to propose an algorithm for the qualification of the variables type of entry, treatment outcome, HIV test, HIV/AIDS co-infection and diabetes comorbidity. We conduct a probabilistic record linkage between three databases of the city of Rio de Janeiro: SINAN-Tuberculosis, 2004-2012; the Mortality Information System (SIM), 2009-2013; and AIDS unified database, until 2012 (SINAN-AIDS, SIM registries that AIDS was the basic cause of death, drug distribution and laboratory databases). The criteria for qualifying the variables were based on technical guidelines, published by the Brazilian Ministry of Health. We implemented a script using Structured Query Language. Results The script had 103 rules. There was an 115% increase in the treatment output classified as "dropout" due to a decrease in: i) the number of records with patient transference but that they were not followed by another health care unit; output treatment classified as "ignored"/missing values; records with treatment output classified as "cure" before the end of the treatment. There was a 28% decrease in the number of records with treatment output classified as "death due to tuberculosis" and a 64% increase in those classified as "death due to other causes". There was a 2.4% increase in the number of records with diabetes as a comorbidity, a 5.3% increase in the number of registries with HIV-positive test and a 8.7% increase in TB-HIV/AIDS co-infection. Conclusion/Implications Linking databases is an important strategy for retrieving information from other systems to improve the quality of information to support decision making for TB control.https://ijpds.org/article/view/977
spellingShingle Rejane Sobrino
Marli Souza
Gisele Oliveira
Luis Carlos Guillen
Claudia Coeli
Valeria Saraceni
Implementing a script to improve the quality of the Brazilian Disease Surveillance Data System using record linkage
International Journal of Population Data Science
title Implementing a script to improve the quality of the Brazilian Disease Surveillance Data System using record linkage
title_full Implementing a script to improve the quality of the Brazilian Disease Surveillance Data System using record linkage
title_fullStr Implementing a script to improve the quality of the Brazilian Disease Surveillance Data System using record linkage
title_full_unstemmed Implementing a script to improve the quality of the Brazilian Disease Surveillance Data System using record linkage
title_short Implementing a script to improve the quality of the Brazilian Disease Surveillance Data System using record linkage
title_sort implementing a script to improve the quality of the brazilian disease surveillance data system using record linkage
url https://ijpds.org/article/view/977
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