In contrast to forensic autopsies mandated by law, clinical autopsies are performed to clarify diagnoses. Rates of clinical autopsies have declined, from a high of 19% (1950s-1970s) to 8% (2007).1 This decrease is related to financial, legal, and administrative disincentives, as well as perceptions that diagnostic improvements render autopsies obsolete.2 In the background of low enthusiasm from the health care system, patient/caregiver factors may be related to the rates of autopsies. Limited data suggest that white race is associated with lower autopsy rates.3 Using a cohort design, we explored the rates of autopsies for differences within racial groups.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Gupta A, Premnath N, Kuo P, Sedhom R, Brawley OW, Chino F. Assessment of Racial Differences in Rates of Autopsy in the US, 2008-2017. JAMA Intern Med. Published online June 29, 2020. doi:10.1001/jamainternmed.2020.2239
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: