The opportunity to check clinical diagnoses with necropsy findings is available to all hospitals with an active pathologic service. Reports, however, are infrequent, and the analysis here presented, from the New York Nursery and Child's Hospital, covering a period of three years, is presented with the hope that it will lead to similar studies.
Cabot's1 contribution is well known, and any one intending to pursue such studies will do well to heed his admonitions. He says in part:
It is not a simple matter to collate antemortem and postmortem data in an intelligent way. One cannot simply read off the clinical diagnoses and note their correspondence or lack of it with the anatomic findings, for:
It is often obvious when one reads the clinical record that the diagnosis has been copied from the autopsy protocol.
The clinical diagnosis may be so abbreviated as to omit important facts known during
SCHROEDER LC. MISTAKEN DIAGNOSES IN INFANTS AND CHILDREN. JAMA. 1924;82(24):1916–1918. doi:10.1001/jama.1924.02650500012006
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: