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Table 3 Limitation domains, remediation and reported impacts

From: The utility of medico-legal databases for public health research: a systematic review of peer-reviewed publications using the National Coronial Information System

Domain – Information was not …

Number of publications (proportions)a

Reported impact on findings

Actions taken

AVAILABLE

Open cases

23 (34%)

Under-reporting of potentially relevant cases

Exclusion of all open cases

Exclusion of recent deaths

Inability to verify information

Used additional data source

Whole documents/information of interest

26 (39%)

Unable to conduct detailed analysis

Access paper-based record

Adjust analysis

Cases not categorised

Under-reporting of potentially relevant cases

Exclusion of cases

Small dataset

2 (3%)

Unable to detect trends and evaluate impacts of interventions

Acknowledged limitation

COMPLETE

Missing data on available info of interest

16 (24%)

Missing/incomplete data for analysis

Limitation of level of analysis

Access paper-based record

Cases not categorised

Variables excluded from analyses

Used additional data source

Acknowledged uncertainty (absence of data does not mean factor not associated)

ACCURATE

Potential for human error

5 (7%)

Errors in information recording during inquest (e.g. spelling of drug names)

Not specified

Potential for human error in coding

7 (10%)

Missing data for some variables

Misclassification of variables

Affects accuracy of NCIS

Access paper-based record

Used additional data source

Careful interpretation of reports

Misclassification of intent re: intentional self-harm

5 (7%)

Under-reporting of potentially relevant cases

Used additional data source

Discrepancies between the National Coronial Information System (NCIS) and ICD-10

3 (4%)

Under-reporting of potentially relevant cases

Used additional data source (ICD-10)

  1. aProportions add up to over 100% as studies may report multiple categories of limitations