JAMA 1998:
Louisiana study
1.
All autopsies 1986-95
2.
Outcome measure:
discordance
in clinical vs. autopsy for cancer
3.
1105 cases; mean age 48 years
(very atypical)
4.
443 “neoplasms” at autopsy; 250
“malignant”
5.
111 wrong CLINICAL diagnoses
of “malignancy” including 57
which caused death