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To the Editor.—
In the January issue of the Archives, a letter from Drs. Brownstein, Shapiro, and Skolnik appeared (page 137) about the incidence and clinical circumstances of Kaposi sarcoma as seen in community practice. It was followed by a brief report from Dr. Grover (page 138) on the timing of recurrent basal cell carcinomas in a private practice. Those letters are excellent and interesting. But more than that, they demonstrate that "real life" in the practice of medicine can provide important information and a picture of disease much different from the data and conclusions one draws from the usual published reports that arise from academic centers.The inherent bias of clinical reports from academic centers is not news. Occasional reports from practitioners, such as the two just mentioned, are not new either, but they are certainly uncommon. A developing nationwide interest in medical audit, and the need to assess
Caplan RM. "Real Life" Link in Medical Practice. Arch Dermatol. 1973;108(2):277. doi:10.1001/archderm.1973.01620230069032