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To the Editor:—
While I agree fully with Dr. Meighan (Leukemia in Children, JAMA190:578 [Nov 16] 1964) that one needs to look with a critical eye at recent reports on survival rates of children with leukemia and that the assessment of the prognosis of children with leukemia requires study of unselected data, I am afraid that he has done little to clarify the situation. Indeed, in obtaining his data in what seems to be an extremely roundabout fashion, he may well have become a party to the system which he so heartily decries, namely the leaving out of patients. Anyone who has ever filled out death certificates, or tried to compile data from them, knows of the inaccuracies which they contain. Patients are often signed out as having had pneumonia or heart failure when their primary disease was something else.Secondly, it is entirely possible that there may
Robinson WA, Meighan SS. Leukemia in Children. JAMA. 1965;191(2):143. doi:10.1001/jama.1965.03080020071029
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