Consensus position of endocrinologists and pathologists on coding causes of death in patients with diabetes mellitus (expert opinion)

Coding of the causes of death of patients with diabetes mellitus (DM) in the Russian Federation is one of the long-discussed problems, due to the comorbidity of diabetes and cardiovascular diseases (CVD) and a number of contradictions in the key regulatory documents regulating the statistics of mortality in this category of patients, which acquires particular relevance in the context of the coronavirus pandemic, due to its negative impact on the outcomes of the course of COVID-19 and mortality risks. In pursuance of the decisions of the Minutes of the meeting of the working group under the project committee of the National Project «Health» on identifying patterns in the formation of mortality rates of the population dated January 20, 2021 No. 1, chaired by Deputy Prime Minister of the Russian Federation T.A. Golikova, experts of two directions - endocrinology and pathological anatomy, prepared a Draft of agreed recommendations on the Rules for coding the causes of death of patients with diabetes, causing the greatest problems in terms of the use of ICD-10 when choosing the initial cause of death, including in the case of death from CVD and COVID-19.

1. Mezhdunarodnaya statisticheskaya klassifikatsiya boleznei i problem, svyazannykh so zdorov’em. Desyatyi peresmotr. Ofitsial’noe russkoe izdanie. T. 2. Sbornik instruktsii. Vsemirnaya organizatsiya zdrvookhraneniya. Zheneva; 1995. 179 s. (In Russ.).

2. Vremennye metodicheskie rekomendatsii: profilaktika, diagnostika i lechenie novoi koronavirusnoi infektsii (COVID-19) (versiya 11 ot 07.05.2021). Ministerstvo zdravookhraneniya Rossiiskoi Federatsii. Available from: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/055/735/original/B%D0%9C%D0%A0_COVID-19.pdf. (In Russ.).

3. Zairat’yants O.V., Samsonova MV, Mikhaleva LM, et al. Patologicheskaya anatomiya COVID-19: Atlas. M.: GBU «NIIOZMM DZM»; 2020. 140 s. (In Russ.).

4. Zabozlaev FG, Zairat’yants OV, Kakturskii LV, et al. Metodicheskoe rukovodstvo po sopostavleniyu zaklyuchitel’nogo klinicheskogo i patologoanatomicheskogo/sudebno-meditsinskogo diagnozov. Vozrastnaya gruppa: deti/vzroslye. MR 109. Minzdrav Rossii; 2019. 32 s. (In Russ.).

5. Zairat’yants OV, Shigeev SV, Shigeev VB, et al. Sopostavlenie zaklyuchitel’nogo klini-cheskogo, patologoanatomicheskogo i sudebno-meditsinskogo diagnozov. Metodicheskie re-komendatsii № 57. Departament zdravookhraneniya goroda Moskvy. M.: Maska; 2019. 40 s. (In Russ.).

6. Metodicheskie rekomendatsii VOZ ot 16.04.2020. available from: http://WHO. (In Russ.).

7. Frank GA, Kovalev AV, Gribunov YuP, et al. Issledovanie umershikh s podozreniem na koronavirusnuyu infektsiyu (COVID-19): Vremennye metodicheskie rekomendatsii. — M.; 2020. — 428 p. (Available from: http://www.rc-sme.ru/News/covid-19/000_Finish_Finish_MR_COVID-19_RCSME_23_07_2020.pdf. (In Russ.).

8. Formulirovka patologoanatomicheskogo diagnoza. Klinicheskie rekomendatsii. Seriya «Klinicheskie rekomendatsii Rossiiskogo obshchestva patologoanatomov». / Pod red. G.A. Franka, O.V. Zairat’yantsa, P.G. Mal’kova, L.V. Kakturskogo. — M.: Prakticheskaya meditsina; 2016 (In Russ.).

9. Pravila formulirovki patologoanatomicheskogo diagnoza, vybora i kodirovaniya po mkb-10 prichin smerti klass III. Bolezni krovi, krovetvornykh organov i otdel’nye narusheniya, vovlekayushchie immunnyi mekhanizm klass IV. Bolezni endokrinnoi sistemy, rasstroistva pitaniya i narusheniya obmena veshchestv klass V. psikhicheskie rasstroistva i rasstroistva povedeniya, . Metodicheskie rekomendatsii № 47. M., 2019. (In Russ.).

10. Federal’nyi zakon ot 21 noyabrya 2011 g. № 323-FZ «Ob osnovakh okhrany zdorov’ya grazhdan v Rossiiskoi Federatsii», stat’ya 2 (chast’ 19). Available from: http://www.consultant.ru/document/cons_doc_LAW_121895 (In Russ.).