Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot29210.32687/0869-866X-2020-28-3-355-359Научная статьяThe comparative analysis of coefficients of variation of standard regional indices of mortality and causes having and having not accurate criteria of diagnosticsSemenovV. Yu.semenov.opora@gmail.comSamorodskayaI. V.-The Federal State Budget Scientific Institution “A. N. Bakulev Research Center of Cardiovascular Surgery”The The Federal State Budget Institution “The National Medical Research Center of Preventive Medicine” of Minzdrav of Russia1512202028335535906042021Copyright © 2020,2020The standardized mortality coefficients for different causes have significant variability between regions and depend on many factors. The purpose of study was to investigate interregional variation coefficients of standardized mortality of oncologic diseases as compared with other causes having no explicit diagnosis criteria. The 49 death causes were selected out of 295 causes of the Short nomenclature of the Rosstat. These causes were distributed by 2 groups: neoplasms and causes without explicit diagnostic criteria. The standard mortality indicator was calculated on the basis of the European standard. The significance of differentiations between the groups was estimated using one-factor dispersion analysis by pair comparison and Bonferroni amendment. The level of interregional variation coefficient of the standard mortality indicator from cancer was lower than from other causes with no explicit diagnostic criteria. Even the reasons of death from oncologic diseases which has no explicit criteria have the significantly less marked variation coefficient as compared to other two groups. There were reliable differences of the variation coefficients between the subgroup of oncologic diseases with precise location of tumor and the subgroup of oncologic diseases of other and non-explicit locations. The death causes due to “other diseases” and the death causes due to diseases with no-explicit diagnostic criteria had similarly high level of variation coefficient. The difference of the regional standard mortality indicator of concrete reasons is affected by uncoordinated criteria of diseases diagnostic and the main reason of death determination. The letter of the Minzdrav of Russia concerning the rules of application of notion “senility” as cause of death played certain role also. The different level of morbidity in regions had the influence as well. The harmonization of verification of all the cases of diagnosis, its “depth” and applied criteria is needed for proper analysis of data of death from separate causes is needed.mortalityoncologic diseasemortality of other causesvariability coefficientstandardized mortality rateсмертность от злокачественных новообразованийсмертность от прочих причинкоэффициент вариабельности стандартизованного коэффициента смертности1.Бойцов С. А., Самородская И. В. Высокая смертность от БСК в России: адекватны ли подходы к кодированию причин смерти. Кардиология. 2015;(1):47-51.2.Бойцов С. А., Самородская И. В., Семенов В. Ю. Влияние медицинских и немедицинских факторов на смертность населения: социальные факторы. Проблемы социальной гигиены, здравоохранения и истории медицины. 2017;25(6):336-9. doi: 10.18821/0869-866X-2017-25-6-336-3393.Режим доступа: https://demogr.hse.ru/data/2018/03/23/1164011173/Danilova_et.al.pdf4.Полищук Ю. И., Летникова З. В Синдром старческой астении в геронтологии и гериатрии с точки зрения геронтопсихиатрии. Социальная и клиническая психиатрия. 2018;28(4):71-4.5.Piffaretti C, Moreno-Betancur M., Lamarche-Vadela A., Rey G. Quantifying cause-related mortality by weighting multiple causes of death. Bull. WHO. 2016;94(12):870-9. doi: 10.2471/BLT.16. 1721896.Naghavi М., Makela S., Foreman K., O'Brien J., Pourmalek F., Lozano R. Algorithms for enhancing public health utility of national causes-of-death data Popul. Health Metr. 2010;(8):9. doi: 10.1186/1478-7954-8-97.Laribi S., Aouba A., Nikolaou M., et al. Trends in death attributed to heart failure over the past two decades in Europe. Eur. J. Heart Failure. 2014;14(3):234-9. doi: 10.1093/eurjhf/hfr1828.Lundberg G. D. Hospital of the Future: 0% Autopsy Rate. Режим доступа: https://www.medscape.com/viewarticle/922000