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July 16, 1927


JAMA. 1927;89(3):222-223. doi:10.1001/jama.1927.02690030054026

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Meeting of the German Surgical Society  Clairmont of Zurich discussed the question of to what extent the standpoint of the referring physician in an operation for acute appendicitis was to be considered. In 1,293 cases there were 280 (more than 20 per cent) wrong diagnoses. The speaker emphasized that the fact did not constitute a reproach to the practicing physician. It was eminently desirable that even the suspicious cases should be referred to the clinic or to the hospital as soon as possible. It was the duty of the clinic (if possible, in agreement with the physician) to decide on the indications for an operation. Similar views were expressed by König of Wurzburg, who called attention to a similar situation with regard to patients with gastric ulcer, referred to the clinic, in whom the indications for the operation can usually be decided on only after a clinical observation extending

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