Discrepancies between clinical diagnoses and autopsy findings

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dc.contributor.authorCoradazzi, A.L.
dc.contributor.authorMorganti, A.L.C.
dc.contributor.authorMontenegro, M.R.G. [UNESP]
dc.contributor.institutionHospital Amaral Carvalho Departamento de Hematologia e Oncologia Clínica
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-20T13:37:40Z
dc.date.available2014-05-20T13:37:40Z
dc.date.issued2003-03-01
dc.description.abstractAutopsy examination is considered to be an essential element for medical auditing and teaching. Despite the significant progress in diagnostic procedures, autopsy has not always confirmed the clinical diagnosis. In the present study, we compared the diagnosis recorded on medical charts with reports of 96 autopsies performed at the University Teaching Hospital of the Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil, between 1975 and 1982, and of 156 autopsies performed at the same institution between 1992 and 1996. The clinical diagnosis of the basic cause of death was confirmed at autopsy in 77% of cases. The percent confirmation fell to 60% when the immediate terminal cause of death was considered, and in 25% of cases, the terminal cause was only diagnosed at autopsy. The discrepancies between clinical and autopsy diagnosis were even larger for secondary diagnoses: 50% of them were not suspected upon clinical diagnosis. Among them, we emphasize the diagnosis of venous thromboses (83%), pulmonary embolisms (80%), bronchopneumonias (46%) and neoplasias (38%). Iatrogenic injuries were very frequent, and approximately 90% of them were not described in clinical reports. Our results suggest that highly sensitive and specific diagnostic tests are necessary but cannot substitute the clinical practice for the elaboration of correct diagnoses.en
dc.description.affiliationHospital Amaral Carvalho Departamento de Hematologia e Oncologia Clínica
dc.description.affiliationUniversidade de São Paulo Faculdade de Medicina Departamento de Cardiologia
dc.description.affiliationUniversidade Estadual Paulista Faculdade de Medicina de Botucatu Departamento de Patologia
dc.description.affiliationUnespUniversidade Estadual Paulista Faculdade de Medicina de Botucatu Departamento de Patologia
dc.format.extent385-391
dc.identifierhttp://dx.doi.org/10.1590/S0100-879X2003000300014
dc.identifier.citationBrazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 36, n. 3, p. 385-391, 2003.
dc.identifier.doi10.1590/S0100-879X2003000300014
dc.identifier.fileS0100-879X2003000300014.pdf
dc.identifier.issn0100-879X
dc.identifier.scieloS0100-879X2003000300014
dc.identifier.urihttp://hdl.handle.net/11449/13062
dc.language.isoeng
dc.publisherAssociação Brasileira de Divulgação Científica (ABRADIC)
dc.relation.ispartofBrazilian Journal of Medical and Biological Research
dc.relation.ispartofjcr1.492
dc.rights.accessRightsAcesso aberto
dc.sourceSciELO
dc.subjectAutopsy diagnosisen
dc.subjectClinical diagnosisen
dc.subjectIatrogenic injuriesen
dc.titleDiscrepancies between clinical diagnoses and autopsy findingsen
dc.typeArtigo
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Patologia - FMB