[Skip to Content]
[Skip to Content Landing]
Article
July 17, 1987

Factors Influencing Discrepancies Between Premortem and Postmortem Diagnoses

Author Affiliations

From the Departments of Pathology (Mr Battle and Drs Key and Anderson) and Family, Community, and Emergency Medicine (Dr Pathak) and the New Mexico Tumor Registry (Mr Humble and Dr Key), University of New Mexico School of Medicine, Albuquerque; the Department of Pathology, University of Texas Health Science Center at Dallas, Southwestern Medical School (Dr Vanatta); and the Department of Pathology, State University of New York, Upstate Medical Center, Syracuse (Dr Hill).

From the Departments of Pathology (Mr Battle and Drs Key and Anderson) and Family, Community, and Emergency Medicine (Dr Pathak) and the New Mexico Tumor Registry (Mr Humble and Dr Key), University of New Mexico School of Medicine, Albuquerque; the Department of Pathology, University of Texas Health Science Center at Dallas, Southwestern Medical School (Dr Vanatta); and the Department of Pathology, State University of New York, Upstate Medical Center, Syracuse (Dr Hill).

JAMA. 1987;258(3):339-344. doi:10.1001/jama.1987.03400030055031
Abstract

A study of 2067 autopsies collected from 32 university and community hospitals of various sizes located throughout the United States showed the rate of discrepancies between premortem and postmortem diagnoses to be influenced by the type and size of hospital, the age and sex of the patient, and the disease responsible for the patient's death. Of equivocal or no influence were the length of the terminal hospitalization, the degree of clinical involvement in the case of the person responsible for establishing the discrepancy level, and the autopsy rate, at least as it applies to community hospitals.

(JAMA 1987:258:339-344)

×