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3303.0 - Causes of Death, Australia, 2010 Quality Declaration 
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TECHNICAL NOTE 3 RETROSPECTIVE DEATHS BY CAUSES OF DEATH, QUEENSLAND, 2010


INTRODUCTION

1 In November 2010, the Queensland Registrar of Births, Deaths and Marriages advised the ABS of an outstanding deaths registration initiative undertaken by the Registry. This initiative resulted in the November 2010 registration of 374 previously unregistered deaths which occurred between 1992 and 2006 (including a few for which a date of death was unknown). Of these, around three-quarters (284) were deaths of Aboriginal and Torres Strait Islander Australians.


Deaths, Australia Technical Note

2 The technical note released as part of Deaths, Australia (cat. no. 3302.0), entitled Registration of Outstanding Deaths, Queensland, 2010 summarised the effects of these extra death registrations on selected mortality indicators. A method was outlined to adjust death registrations for Queensland for 2010 that aimed to minimise the impact on mortality indicators used in various government reports. Further, analysis was presented comparing mortality rates by Indigenous status based on deaths data by: (1) year of registration; (2) year of occurrence and; (3) 'adjusted registration'.

3 Adjusted registrations data has been calculated using an adjustment method that adds together deaths registered in 2010 for usual residents of Queensland which occurred in 2007, 2008, 2009 and 2010, or where the year of death was not known.

4 The analysis of the Deaths, Australia technical note concluded that age-standardised death rates based on:

  • Year of registration produces implausibly high rates given the inclusion of retrospective deaths
  • Year of occurrence is an underestimate due to a lag in registration of deaths in the year of occurrence (that is, deaths which occurred in 2010 but were not registered until 2011 or later years).
  • Adjusted death registration data for Queensland for 2010 maintains a level trend with registrations data from earlier years. As a result, adjusted registration data for Queensland for 2010 are recommended for reporting mortality indicators over time.

5 The scope of the Causes of Death, Australia collection is based on a reference year, that is all deaths registered in a given year, see Explanatory Notes 11-17 for further information. The data and analysis reported in the current release is based on this reference year. This technical note provides additional analysis comparing specific ICD-10 chapter and cause mortality rates for the two methods:
  • year of registration
  • adjusted registration.

6 Analysis is provided for
  • 2010 deaths with a usual residence of Queensland
  • 2010 deaths with a usual residence of New South Wales, Queensland, South Australia, Western Australia and Northern Territory. This grouping is used throughout the commentary within the Aboriginal and Torres Strait Islander chapter and worksheets 12.1, 12.2 and 12.3 of the associated data cube.
  • 2006-2010 deaths with a usual residence of New South Wales, Queensland, South Australia and Northern Territory. This grouping is used for the infant mortality commentary within the Aboriginal and Torres Strait Islander chapter and worksheets 12.4 and 12.5 of the associated data cube.


Analysis by ICD-10 Chapter and Cause

Queensland, 2010

7 Table 1 provides age-standardised rates and rate ratios for Aboriginal and Torres Strait Islander persons and non-Indigenous persons for 2010 deaths with a usual residence of Queensland. The rates presented are at the ICD-10 chapter level and for all causes.

TABLE 1. Standardised death rates(a), by Indigenous Status - Qld - 2010(b)(c)

Adjusted
Reference Year
Aboriginal and Torres Strait Islander
Non-Indigenous
Rate Ratio
Aboriginal and Torres Strait Islander
Non-Indigenous
Rate Ratio
Cause of death and ICD-10 code
Rate
Rate
Rate
Rate

Certain infectious and parasitic diseases (A00-B99)
19.4
6.2
3.1
31.6
6.4
4.9
Neoplasms (C00-D48)
276.2
179.6
1.5
357.8
179.7
2.0
Endocrine, nutritional and metabolic diseases (E00-E90)
127.3
21.0
6.1
213.4
21.1
10.1
Mental and behavioural disorders (F00-F99)
42.7
25.6
1.7
51.6
25.6
2.0
Diseases of the nervous system (G00-G99)
21.6
23.0
0.9
29.9
23.1
1.3
Diseases of the circulatory system (I00-I99)
317.7
188.5
1.7
454.8
188.6
2.4
Diseases of the respiratory system (J00-J99)
92.2
47.5
1.9
129.8
47.6
2.7
Diseases of the digestive system (K00-K93)
53.2
20.3
2.6
68.3
20.3
3.4
Diseases of the musculoskeletal system and connective tissue (M00-M99)
19.2
5.0
3.8
21.1
5.1
4.1
Diseases of the genitourinary system (N00-N99)
36.8
12.2
3.0
60.0
12.2
4.9
Certain conditions originating in the perinatal period (P00-P96)
6.7
2.9
2.3
8.0
2.9
2.8
Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
2.8
2.6
1.1
3.4
2.6
1.3
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
8.9
3.6
2.5
78.6
3.7
21.2
External causes of morbidity and mortality (V01-Y98)
56.2
38.8
1.4
74.4
38.9
1.9
Total deaths(d)
1 095.6
579.9
1.9
1 596.2
580.6
2.7

(a) See Glossary for further information.
(b) Causes of death data for 2010 are preliminary and subject to a revisions process. See Explanatory Notes 35-39 and Technical Notes, Causes of Death Revisions, 2006 and Causes of Death Revisions, 2008 and 2009.
(c) See Explanatory Notes 89-104 for further information on specific issues relating to 2010 data.
(d) Includes deaths coded to D50-D89, H00-H59, H60-H95, L00-L99 and O00-O99.


8 Table 2 provides age-standardised rates and rate ratios for Aboriginal and Torres Strait Islander persons and non-Indigenous persons for 2010 deaths with a usual residence of Queensland. The rates presented are the top 10 leading causes for Aboriginal and Torres Strait Islanders based on reference year and the WHO recommended tabulation.

Table 2 - WHO leading Causes(a), Standardised death rates(b) - by Indigenous Status: Qld - 2010(c)(d)

Adjusted
Reference year
Aboriginal and Torres Strait Islander
Non-Indigenous
Rate ratio
Aboriginal and Torres Strait Islander
Non-Indigenous
Rate ratio
Cause of death and ICD-10 code
Rate
Rate
Rate
Rate

Ischaemic heart diseases (I20-I25)
165.7
92.6
1.8
234.6
92.7
2.5
Diabetes (E10-E14)
112.3
14.3
7.9
183.0
14.3
12.8
Malignant neoplasm of trachea, bronchus and lung (C33-C34)
71.6
33.9
2.1
89.2
33.9
2.6
Cerebrovascular diseases (I60-I69)
69.4
48.4
1.4
95.3
48.5
2.0
Chronic lower respiratory diseases (J40-J47)
60.8
26.3
2.3
80.9
26.3
3.1
Intentional self-harm (X60-X84)(e)
19.5
11.7
1.7
24.8
11.8
2.1
Diseases of liver (K70-K76)
21.7
5.5
3.9
27.1
5.5
4.9
Diseases of the urinary system (N00-N39)
36.8
11.8
3.1
60.0
11.8
5.1
Land transport accidents (V01-V89)
10.6
6.3
1.7
14.0
6.3
2.2
Certain conditions originating in the perinatal period (P00-P96)
6.7
2.9
2.4
8.0
2.9
2.7
Total deaths
1 095.6
579.9
1.9
1 596.2
580.6
2.7

(a) Causes listed are the leading causes of death for all Aboriginal and Torres Strait Islander deaths registered in 2010, based on WHO recommended tabulation of leading causes. See Explanatory Notes 46-48 for further information.
(b) See Glossary for further information.
(c) Causes of death data for 2010 are preliminary and subject to a revisions process. See Explanatory Notes 35-39 and Technical Notes, Causes of Death Revisions, 2006 and Causes of Death Revisions, 2008 and 2009.
(d) See Explanatory Notes 89-104 for further information on specific issues relating to 2010 data.
(e) Care needs to be taken in interpreting figures relating to suicide. See Explanatory Notes 98-101.


New South Wales, Queensland, South Australia, Western Australia, Northern Territory, 2010

9 Table 3 provides age-standardised rates and rate ratios for Aboriginal and Torres Strait Islander persons and non-Indigenous persons for 2010 deaths with a usual residence of NSW, Qld, SA, WA and NT. The rates presented are at the ICD-10 chapter level and for all causes.

Table 3 - Standardised death rates(a), by Indigenous Status - NSW, Qld, SA, WA, NT - 2010(b)(c)

Adjusted
Reference year
Aboriginal and Torres Strait Islander
Non-Indigenous
Rate ratio
Aboriginal and Torres Strait Islander
Non-Indigenous
Rate ratio
Cause of death and ICD-10 code
Rate
Rate
Rate
Rate

Certain infectious and parasitic diseases (A00-B99)
25.0
9.1
2.8
28.6
9.1
3.1
Neoplasms (C00-D48)
255.2
177.2
1.4
279.1
177.3
1.6
Endocrine, nutritional and metabolic diseases (E00-E90)
107.5
21.2
5.1
133.0
21.2
6.3
Mental and behavioural disorders (F00-F99)
50.5
28.1
1.8
53.1
28.1
1.9
Diseases of the nervous system (G00-G99)
27.6
24.9
1.1
30.1
24.9
1.2
Diseases of the circulatory system (I00-I99)
329.5
186.5
1.8
369.9
186.5
2.0
Diseases of the respiratory system (J00-J99)
118.4
48.8
2.4
129.5
48.8
2.7
Diseases of the digestive system (K00-K93)
52.9
20.2
2.6
57.4
20.2
2.8
Diseases of the musculoskeletal system and connective tissue (M00-M99)
13.0
4.5
2.9
13.6
4.5
3.0
Diseases of the genitourinary system (N00-N99)
46.7
13.2
3.6
53.5
13.2
4.1
Certain conditions originating in the perinatal period (P00-P96)
6.3
2.7
2.4
6.7
2.7
2.5
Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
3.0
2.6
1.1
3.2
2.6
1.2
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
11.2
4.5
2.5
31.6
4.5
7.0
External causes of morbidity and mortality (V01-Y98)
78.1
36.8
2.1
83.8
36.9
2.3
Total deaths(d)
1 133.2
583.6
1.9
1 281.3
583.8
2.2

(a) See Glossary for further information.
(b) Causes of death data for 2010 are preliminary and subject to a revisions process. See Explanatory Notes 35-39 and Technical Notes, Causes of Death Revisions, 2006 and Causes of Death Revisions, 2008 and 2009.
(c) See Explanatory Notes 89-104 for further information on specific issues relating to 2010 data.
(d) Includes deaths coded to D50-D89, H00-H59, H60-H95, L00-L99 and O00-O99.


10 Table 4 provides age-standardised rates and rate ratios for Aboriginal and Torres Strait Islander persons and non-Indigenous persons for 2010 deaths with a usual residence of NSW, Qld, SA, WA and NT. The rates presented are the top 10 leading causes for Aboriginal and Torres Strait Islanders based on reference year and the WHO recommended tabulation.

Table 4 - WHO leading causes(a), Standardised death rates(b) - by Indigenous Status: NSW, Qld, SA, WA, NT - 2010(c)(d)

Adjusted
Reference year
Aboriginal and Torres Strait Islander
Non-Indigenous
Rate ratio
Aboriginal and Torres Strait Islander
Non-Indigenous
Rate ratio
Cause of death and ICD-10 code
Rate
Rate
Rate
Rate

Ischaemic heart diseases (I20-I25)
158.8
89.1
1.8
179.2
89.1
2.0
Diabetes mellitus (E10-E14)
93.0
14.4
6.5
113.9
14.4
7.9
Malignant neoplasm of trachea, bronchus and lung (C33-C34)
60.7
33.9
1.8
65.9
33.9
1.9
Cerebrovascular diseases (I60-I69)
76.9
47.1
1.6
84.5
47.1
1.8
Chronic lower respiratory diseases (J40-J47)
68.7
24.8
2.8
74.6
24.8
3.0
Intentional self-harm (X60-X84)(e)
22.1
9.9
2.2
23.8
9.9
2.4
Diseases of liver (K70-K76)
28.5
6.3
4.5
30.1
6.3
4.8
Diseases of urinary system (N00-N39)
45.5
12.8
3.6
52.4
12.8
4.1
Land Transport accidents (V01-V89)
16.3
5.9
2.8
17.4
5.9
2.9
Certain conditions originating in the perinatal period (P00-P96)
6.3
2.7
2.4
6.7
2.7
2.5
Total deaths
1 133.2
583.6
1.9
1 281.3
583.8
2.2

(a) Causes listed are the leading causes of death for all Aboriginal and Torres Strait Islander deaths registered in 2010, based on WHO recommended tabulation of leading causes. See Explanatory Notes 46-48 for further information.
(b) See Glossary for further information.
(c) Causes of death data for 2010 are preliminary and subject to a revisions process. See Explanatory Notes 35-39 and Technical Notes, Causes of Death Revisions, 2006 and Causes of Death Revisions, 2008 and 2009.
(d) See Explanatory Notes 89-104 for further information on specific issues relating to 2010 data.
(e) Care needs to be taken in interpreting figures relating to suicide. See Explanatory Notes 98-101.


New South Wales, Queensland, South Australia, Northern Territory, 2006-2010

11 Table 5 provides age-standardised rates and rate ratios for Aboriginal and Torres Strait Islander persons and non-Indigenous persons for 2010 deaths with a usual residence of NSW, Qld, SA and NT. The rates presented are at the ICD-10 chapter level and for all causes.

Table 5 - Standardised death rates(a), by Indigenous Status - NSW,Qld,SA,NT(b) - 2006-2010(c)(d)

Adjusted
Reference year
Aborignal and Torres Strait Islander
Non-Indigenous
Rate ratio
Aborignal and Torres Strait Islander
Non-Indigenous
Rate ratio
Cause of death and ICD-10 code
Rate
Rate
Rate
Rate

Certain infectious and parasitic diseases (A00-B99)
24.9
8.9
2.8
25.8
9.0
2.9
Neoplasms (C00-D48)
242.1
178.3
1.4
248.2
178.3
1.4
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
4.9
1.9
2.6
4.9
1.9
2.6
Endocrine, nutritional and metabolic diseases (E00-E90)
109.6
21.6
5.1
116.0
21.6
5.4
Mental and behavioural disorders (F00-F99)
42.4
25.6
1.7
43.0
25.6
1.7
Diseases of the nervous system (G00-G99)
23.8
23.4
1.0
24.4
23.4
1.0
Diseases of the circulatory system (I00-I99)
341.1
203.9
1.7
351.4
203.9
1.7
Diseases of the respiratory system (J00-J99)
110.9
49.6
2.2
113.7
49.6
2.3
Diseases of the digestive system (K00-K93)
55.4
20.4
2.7
56.5
20.4
2.8
Diseases of the musculoskeletal system and connective tissue (M00-M99)
7.6
4.5
1.7
7.8
4.5
1.7
Diseases of the genitourinary system (N00-N99)
44.4
14.1
3.1
46.1
14.1
3.3
Certain conditions originating in the perinatal period (P00-P96)
6.2
3.0
2.1
6.3
3.0
2.1
Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
4.0
2.8
1.4
4.1
2.8
1.5
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
10.4
4.2
2.5
15.6
4.2
3.7
External causes of morbidity and mortality (V01-Y98)
74.8
36.6
2.0
76.3
36.6
2.1
Total deaths(e)
1 105.5
600.7
1.8
1 143.1
600.8
1.9

(a) See Glossary for further information.
(b) ABS are currently investigating the volatility of Aboriginal and Torres Strait Islander deaths in WA for 2007, 2008 and 2009. WA data has not been included at this time.
(c) See Explanatory Notes 89-104 for further information on specific issues relating to 2010 data.
(d) All causes of death data from 2006 onward are subject to a revisions process - once data for a reference year are 'final', they are no longer revised. Affected data in this table are: 2006 (final) 2007 (final), 2008 (final), 2009 (revised), 2010 (preliminary). For further information, see Explanatory Notes 35-39 and Technical Notes Causes of Death Revisions 2006 and Causes of Death Revisions 2008 and 2009.
(e) Includes deaths coded to H00-H59, H60-H95, L00-L99 and O00-O99.


12 Table 6 provides age-standardised rates and rate ratios for Aboriginal and Torres Strait Islander persons and non-Indigenous persons for 2010 deaths with a usual residence of NSW, Qld, SA and NT. The rates presented are the top 10 leading causes for Aboriginal and Torres Strait Islanders based on reference year and the WHO recommended tabulation.

Table 6 - WHO leading causes(a), Standardised death rates(b) - by Indigenous Status: NSW,Qld,SA,NT(c) - 2006 - 2010(d)(e)

Adjusted
Reference year
Aboriginal and Torres Strait Islander
Non-Indigenous
Rate ratio
Aboriginal and Torres Strait Islander
Non-Indigenous
Rate ratio
Cause of death and ICD-10 code
Rate
Rate
Rate
Rate

Ischaemic heart diseases (I20-I25)
172.8
99.2
1.7
178.0
99.2
1.8
Diabetes (E10-E14)
94.4
15.0
6.3
99.7
15.0
6.7
Malignant neoplasm of trachea, bronchus and lung (C33-C34)
59.6
33.4
1.8
61.0
33.4
1.8
Cerebrovascular diseases (I60-I69)
72.7
52.0
1.4
74.6
52.0
1.4
Chronic lower respiratory diseases (J40-J47)
74.5
25.0
3.0
76.0
25.0
3.0
Intentional self-harm (X60-X84)(f)
18.2
9.7
1.9
18.6
9.7
1.9
Diseases of liver (K70-K76)
28.4
6.3
4.5
28.8
6.3
4.6
Diseases of the urinary system (N00-N39)
42.0
13.7
3.1
43.7
13.7
3.2
Land transport accidents (V01-V89)
17.2
6.6
2.6
17.4
6.6
2.6
Certain conditions originating in the perinatal period (P00-P96)
6.2
3.0
2.1
6.3
3.0
2.1
Total deaths
1 105.5
600.7
1.8
1 143.1
600.8
1.9

(a) Causes listed are the leading causes of death for all Aboriginal and Torres Strait Islander deaths registered in 2010, based on WHO recommended tabulation of leading causes. See Explanatory Notes 46-48 for further information.
(b) See Glossary for further information.
(c) ABS are currently investigating the volatility of Aboriginal and Torres Strait Islander deaths in WA for 2007, 2008 and 2009. WA data has not been included at this time.
(d) See Explanatory Notes 89-104 for further information on specific issues relating to 2010 data.
(e) All causes of death data from 2006 onward are subject to a revisions process - once data for a reference year are 'final', they are no longer revised. Affected data in this table are: 2006 (final) 2007 (final), 2008 (final), 2009 (revised), 2010 (preliminary). For further information, see Explanatory Notes 35-39 and Technical Notes Causes of Death Revisions 2006 and Causes of Death Revisions 2008 and 2009.
(f) Care needs to be taken in interpreting figures relating to suicide. See Explanatory Notes 98-101.



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