Avaliação da qualidade do Sistema Brasileiro de Informações sobre Mortalidade (SIM): uma scoping review
Poliana Rebouças, Flávia Jôse Oliveira Alves, Andrêa Jacqueline Fortes Ferreira, Lays Janaina Prazeres Marques, Nathália Sernizon Guimarães, Giesy Ribeiro de Souza, Priscila Fernanda Porto Scaff Pinto, Camila Teixeira Vaz, Naiá Ortelan, Natanael de Jesus Silva, Aline dos Santos Rocha, Ila Rocha Falcão, Elzo Pereira Pinto, Júlia Moreira Pescarini, Enny S. Paixão, Márcia Furquim de Almeida, Rita de Cássia Ribeiro‐Silva, Maria Yury Ichihara, Maurício L. Barreto
Abstract
The aim was to map evidence on the quality of records in the Mortality Information System (SIM) through a national scoping review of articles published up to April 2023 across five databases (PubMed, Embase, Scopus, LILACS, and SciELO). Studies focused on specific causes of death were excluded. Dimensions evaluated included accessibility, methodological clarity, coverage, completeness, reliability, consistency, non-duplication, timeliness, validity, and studies on ill-defined causes/garbage codes. Among the 33 included articles, a general improvement in SIM quality was observed, with a 68.5% reduction in garbage codes (2000-2015). However, regional inequalities in SIM persist, with coverage below 90% in Acre and Maranhão and poorer performance in the North and Northeast regions. A robust SIM is essential for public health strategies aimed at preventing avoidable deaths.