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:The MultiCause network is an international research network dedicated to the analysis of all causes reported on death certificates. In addition to the reassessment of mortality levels, research is conducted on how causes are combined with one another, as well as on multimorbidity at death. Established in 2012, the network regroups [[Members|more than 100 researchers]] from about 20 countries. If you are interested in our activities, please send an email to: '''multicauseworkshop@listes.ined.fr'''.
:The MultiCause network is an international research network dedicated to the analysis of all causes reported on death certificates. In addition to the reassessment of mortality levels, research is conducted on how causes are combined with one another, as well as on multimorbidity at death. Established in 2012, the network regroups more than 100 researchers from about 20 countries. If you are interested in our activities, please send an email to: '''multicauseworkshop@listes.ined.fr'''.
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=='''Meetings'''==
=='''Meetings'''==
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: '''The sixth meeting of the MultiCause network was held in Barcelona on October 16&17, 2025'''. It was organized in collaboration with the Center for Demogràfic Studies (Barcelona), the Pompeu Fabra University (Barcelona), and the French Institute for demographic Studies (INED, Paris). The [[Media: Sixth_meeting_of_the_MultiCause_network.pdf|final programme ]] is available. Presentations are available [[Meetings|'''here''']]


: The [[meetings|5th internationalworkshop of the MultiCause network]] was held at the Federal Institute of Drugs and Medical Devices (BfArM) in Bonn on May 19&20, 2022. The programme and the asbtracts are available [[Media: Time_schedule_+_abstracts_.pdf|here]].
[[Meetings|'''Previous meetings''']]
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=='''Other news'''==
: '''RICoDA:  Role Identification of Causes of Death Algorithm'''
The program developed by Grippo et al. (see Grippo  et al. 2024) is available on the webpage of the Iris Institute at https://www.bfarm.de/EN/Code-systems/Collaboration-and-projects/Iris-Institute/Analyse-Research/_artikel.html
:The tool was developed for identifying the roles of causes of death on a death certificate. It assigns a “role” to each entry on the death certificate and allows classifying each death record according to the type of morbid process leading to death (simple, multi-morbid or ill-defined).
:It is based on the WHO coding rules for the selection of the underlying cause and a list of valid codes from the 2019 version of the ICD-10. Useful information to run it are ICD-10 code and position on the certificate of the multiple causes of death. A .doc file with instructions is reported in the download package.
:With the download of the program, a license agreement originates between you and BfArM. You thereby commit to adhere to our terms and conditions for downloading.


=='''Focus'''==
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:[http://rsph.anu.edu.au/research/projects/quantifying-mortality-incorporating-multiple-causes-death-optimising-data-policy/Quantifying Mortality Incorporating Multiple Causes of Death: Optimising Data for Policy and Practice] : a Project at the Australian National University (PI: Dr Grace Joshy)
:'''The IUSSP Scientific Panel on Declining Mortality and Multi-morbidity at Death has put together a series of Questions & Answers about Multiple Cause-of-Death (MCOD) Analysis''', clarifying definitions, presenting aims and methods, addressing issues of data quality and international comparison and highlighting the contribution of MCOD to understanding COVID-19 mortality. Read more here: https://iussp.org/en/qa-multiple-cause-death-analysis
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=='''Recent publications'''==
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:Adair, T., Li, H., Rao, C. (2024). Assessing the accuracy of reporting of hypertension on death certificates in Australia, American Journal of Hypertension, 37: 948-952, https://doi.org/10.1093/ajh/hpae108.


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:Australian Institute of Health and Welfare (2024) What do Australians die from?, AIHW, Australian Government. https://www.aihw.gov.au/reports/life-expectancy-deaths/what-do-australians-die-from/contents/about
=='''New publications'''==
 
</span></big>
:Barbieri M., Désesquelles A., Egidi V., Frova L., Grippo F., Meslé F., ... & Trias-Llimós S. (2025). Multi-Morbidity at Death and the US Disadvantage in Mortality: M. Barbieri et al. European Journal of Population, 41(1), 28. https://doi.org/10.1007/s10680-025-09749-3
:Bishop, K., Balogun, S., Eynstone-Hinkins, J., Moran, L., Martin, M., Banks, E., ... & Joshy, G. (2022). [[Media:|Analysis of multiple causes of death: a review of methods and practices]].medRxiv, 2022.
 
:Grundy, E. M., & Stuchbury, R. (2022). [[Media:Jech-2021-217846.full.pdf|Multimorbidity as assessed by reporting of multiple causes of death: variations by period, sociodemographic characteristics and place of death among older decedents in England and Wales, 2001–2017]]. J Epidemiol Community Health.
:Fihel, A., Janicka, A., Buschner, A., Ustinavičienė, R., Trakienė, A. (2024). Unrecognised COVID-19 deaths in Central Europe: The importance of cause-of-death certification for the COVID-19 burden assessment, PLoS ONE 19(7): e0307194, https://doi.org/10.1371/journal.pone.0307194
:Adair T., Lopez A.D (2020).[[Media:Adair_2020.pdf|The role of overweight and obesity in adverse cardiovascular disease mortality trends: an analysis of multiple cause of death data from Australia and the USA]]. BMC Med 18, 199. https://doi.org/10.1186/s12916-020-01666-y
 
:Egidi, V., Salvatore, M. A., Rivellini, G., & D'Angelo, S. (2018). [[Media: Egidi_et_al_2017_A_network_approach.pdf|A network approach to studying cause-of-death interrelations]]. Demographic Research, 38, 373-400.
:Fihel, A., Janicka, A. (2024). Calculating the Cause of Death Association Indicator and the Contributing Cause of Death Association Indicator in Mortality Analysis, https://doi.org/10.17504/protocols.io.e6nvw1dd7lmk/v1
:Barbieri M., Désesquelles A., Egidi V., Demuru E., Frova L., Meslé F., & Pappagallo M. (2017). [[Media: Barbieri_et_al_2017.pdf|Obesity-related mortality in France, Italy, and the United States: a comparison using multiple cause-of-death analysis]]. International Journal of Public Health, 62(6), p. 623-629.  [[Media: Barbieri_et_al_2017_supp.pdf|supplementary table]]
 
:Grippo F., Désesquelles A., Pappagallo M., Frova  L., Egidi V. and Meslé F. (2020). Multi-morbidity and frailty at death: a new classification of  death records for an ageing world death.  Population studies. https://www.tandfonline.com/eprint/S4GD6XKXVJHB3MFMHMV4/full?target=10.1080/00324728.2020.1820558
:Grippo, F.,Frova, L.,Papagallo M., Barbieri, M., Trias-Llimós, S., Egidi, V., Meslé, F., Désesquelles, A. (2024). Beyond the underlying cause of death: an algorithm to studymulti-morbidity at death. Population Health Metrics, https://rdcu.be/d36IJ
:Moreno-Betancur, M., Sadaoui, H., Piffaretti, C., & Rey, G. (2017).[[Media: Moreno-Betancur_Epidem_2017.pdf|Survival analysis with multiple causes of death: extending the competing risks model]]. Epidemiology, 28(1), 12-19.
 
:Pechholdová M. (2017). [[Media: Pechholdova_Sepsis-related mortality_2017.pdf| Sepsis-related mortality in the Czech Republic: multiple causes of death analysis.]], Epidemiologie, mikrobiologie, imunologie, 66(2):73–79.
:Harteloh, P. (2024). From Mono to Multi-causality: Towards a Comprehensive Perspective on Understanding Death.Health Policy, https://authors.elsevier.com/a/1jOTTcP6nJZaX
:Santo, A. H. (2020). [[Media: Santo2020.pdf| Causes of death and mortality trends related to hemophilia in Brazil, 1999 to 2016]]. Hematology, Transfusion and Cell Therapy.
 
:Joshy, G., Bishop, K., Li, H., Moran, L., Gourley, M., Welsh, J., ... & Rao, C. (2025). Quantifying years of life lost in Australia: a multiple cause of death analysis. International Journal of Epidemiology, 54(1), https://doi.org/10.1093/ije/dyae177.
 
:Li, H., Adair, T. (2024). Analysing premature cardiovascular disease mortality in the United States by obesity status and educational attainment, BMC Medicine, 22: 533.
 
:Li, Yu, Hang Li, and Tim Adair. "The impact of the pandemic on non-COVID-19 causes of death in the united States: a multiple cause of death analysis." European Journal of Epidemiology (2025). https://doi.org/10.1007/s10654-025-01214-z
 
:Sessego A., Duthé G., Lankoandé B. and Dianou, K. (2025). Studying multiple causes of death through verbal autopsies: Contribution of an index of similarity. Demographic Research 52:229–272. doi:10.4054/DemRes.2025.52.8.


[[References|'''Other References (please update!)''']]
:Ukolova, Elizabet. "What if dependent causes of death were independent?." Epidemiologic Methods 14.1 (2025): 20240033.


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[[References|'''Other References''']]
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=='''Other activities'''==
=='''Other activities'''==
</span></big>  
<br>
[[Indicators|'''Standard indicators 2009''']]


[[Programmes|'''Available R programmes''']]  
[[Members' activities|'''Members' activities''']]  


[[Metadata|'''Metadata''']]  
[[Metadata|'''Metadata''']]  
[[Indicators|'''Standard indicators 2009''']]


[[Programmes|'''Available R programmes''']]
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Consultez le [http://meta.wikimedia.org/wiki/Aide:Contenu Guide de l’utilisateur] pour plus d’informations sur l’utilisation de ce logiciel.
Consultez le [http://meta.wikimedia.org/wiki/Aide:Contenu Guide de l’utilisateur] pour plus d’informations sur l’utilisation de ce logiciel.

Version actuelle datée du 19 janvier 2026 à 13:38

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The MultiCause network is an international research network dedicated to the analysis of all causes reported on death certificates. In addition to the reassessment of mortality levels, research is conducted on how causes are combined with one another, as well as on multimorbidity at death. Established in 2012, the network regroups more than 100 researchers from about 20 countries. If you are interested in our activities, please send an email to: multicauseworkshop@listes.ined.fr.


Meetings

The sixth meeting of the MultiCause network was held in Barcelona on October 16&17, 2025. It was organized in collaboration with the Center for Demogràfic Studies (Barcelona), the Pompeu Fabra University (Barcelona), and the French Institute for demographic Studies (INED, Paris). The final programme is available. Presentations are available here

Previous meetings

Other news

RICoDA: Role Identification of Causes of Death Algorithm

The program developed by Grippo et al. (see Grippo et al. 2024) is available on the webpage of the Iris Institute at https://www.bfarm.de/EN/Code-systems/Collaboration-and-projects/Iris-Institute/Analyse-Research/_artikel.html

The tool was developed for identifying the roles of causes of death on a death certificate. It assigns a “role” to each entry on the death certificate and allows classifying each death record according to the type of morbid process leading to death (simple, multi-morbid or ill-defined).
It is based on the WHO coding rules for the selection of the underlying cause and a list of valid codes from the 2019 version of the ICD-10. Useful information to run it are ICD-10 code and position on the certificate of the multiple causes of death. A .doc file with instructions is reported in the download package.
With the download of the program, a license agreement originates between you and BfArM. You thereby commit to adhere to our terms and conditions for downloading.


The IUSSP Scientific Panel on Declining Mortality and Multi-morbidity at Death has put together a series of Questions & Answers about Multiple Cause-of-Death (MCOD) Analysis, clarifying definitions, presenting aims and methods, addressing issues of data quality and international comparison and highlighting the contribution of MCOD to understanding COVID-19 mortality. Read more here: https://iussp.org/en/qa-multiple-cause-death-analysis


Recent publications


Adair, T., Li, H., Rao, C. (2024). Assessing the accuracy of reporting of hypertension on death certificates in Australia, American Journal of Hypertension, 37: 948-952, https://doi.org/10.1093/ajh/hpae108.
Australian Institute of Health and Welfare (2024) What do Australians die from?, AIHW, Australian Government. https://www.aihw.gov.au/reports/life-expectancy-deaths/what-do-australians-die-from/contents/about
Barbieri M., Désesquelles A., Egidi V., Frova L., Grippo F., Meslé F., ... & Trias-Llimós S. (2025). Multi-Morbidity at Death and the US Disadvantage in Mortality: M. Barbieri et al. European Journal of Population, 41(1), 28. https://doi.org/10.1007/s10680-025-09749-3
Fihel, A., Janicka, A., Buschner, A., Ustinavičienė, R., Trakienė, A. (2024). Unrecognised COVID-19 deaths in Central Europe: The importance of cause-of-death certification for the COVID-19 burden assessment, PLoS ONE 19(7): e0307194, https://doi.org/10.1371/journal.pone.0307194
Fihel, A., Janicka, A. (2024). Calculating the Cause of Death Association Indicator and the Contributing Cause of Death Association Indicator in Mortality Analysis, https://doi.org/10.17504/protocols.io.e6nvw1dd7lmk/v1
Grippo, F.,Frova, L.,Papagallo M., Barbieri, M., Trias-Llimós, S., Egidi, V., Meslé, F., Désesquelles, A. (2024). Beyond the underlying cause of death: an algorithm to studymulti-morbidity at death. Population Health Metrics, https://rdcu.be/d36IJ
Harteloh, P. (2024). From Mono to Multi-causality: Towards a Comprehensive Perspective on Understanding Death.Health Policy, https://authors.elsevier.com/a/1jOTTcP6nJZaX
Joshy, G., Bishop, K., Li, H., Moran, L., Gourley, M., Welsh, J., ... & Rao, C. (2025). Quantifying years of life lost in Australia: a multiple cause of death analysis. International Journal of Epidemiology, 54(1), https://doi.org/10.1093/ije/dyae177.
Li, H., Adair, T. (2024). Analysing premature cardiovascular disease mortality in the United States by obesity status and educational attainment, BMC Medicine, 22: 533.
Li, Yu, Hang Li, and Tim Adair. "The impact of the pandemic on non-COVID-19 causes of death in the united States: a multiple cause of death analysis." European Journal of Epidemiology (2025). https://doi.org/10.1007/s10654-025-01214-z
Sessego A., Duthé G., Lankoandé B. and Dianou, K. (2025). Studying multiple causes of death through verbal autopsies: Contribution of an index of similarity. Demographic Research 52:229–272. doi:10.4054/DemRes.2025.52.8.
Ukolova, Elizabet. "What if dependent causes of death were independent?." Epidemiologic Methods 14.1 (2025): 20240033.

Other References

Other activities


Standard indicators 2009

Members' activities

Metadata

Available R programmes

Consultez le Guide de l’utilisateur pour plus d’informations sur l’utilisation de ce logiciel.

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