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You wouldn’t expect more (or less) primary causes if more secondary causes were reported in multifactorial deaths. I’d imagine the fact that in the US CMS adopted ICD-10 in 2015 and the rapid rise after would make that obvious enough. Unless you believe there’s some pre-COVID etiology for malnutrition that explains the jump I’m not seeing.
Dunno. I’m a US nurse. I don’t know how France does their death certificates. Wouldn’t surprise me that they’re more granular though.
Be aware, very old people die from this as a secondary cause from a primary of Alzheimer’s and other dementias. They just stop eating. It’s a misleading statistic to use to identify poverty based malnutrition. It’s a very common diagnosis in terminal patients. And the way US billing works, getting the most diagnosis codes recorded is important for reimbursement. It’s likely the cause for this disparity.
Edit: yeah 2015 is when ICD-10 adoption and cms billing changes went into play. And then the rate quadrupled. This is an artifact of the US’s dumb private/public insurance model for end of life as more people gamed the system for reimbursement. The spread of billing practices over time.
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FIRE! FIRE!
HELP ME!
123 Carrendon Road.
Looking forward to hearing from you.
All the best,
Maurice Moss
I hate this image so much because it implies that neutron radiation has more penetrating power than gamma when it’s actually because different things stop them and it’s entirely energy dependent on what that is. You could stop neutrons with a slab of hydrocarbons that gamma would blast right through.