Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
Copyright 1999 American Medical Association.
All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999
To the Editor: I read
with interest editorial by Dr Lundberg1 concerning low-tech
autopsies, commenting on the study by Burton and
colleagues,2 which documented the clinically missed
neoplasms detected at autopsy. However, in view of the relative
stability of the autopsy diagnostic discordance rates over many decades
and considering the less than scientific work-ups earlier in the
century compared with the high technology-based approach today, is it
possible that we have asymptotically approached about as well as we can
do clinically? This is only a conclusion based on looking at the data,
not wishful thinking.
Goldhahn, Jr RT. Autopsy Rates and Diagnosis. JAMA. 1999;281(23):2181. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-23-jac90005