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Preserving Access to the Invaluable Clinical Autopsy

Preserving Access to the Invaluable Clinical Autopsy Letters Assessment of Racial Differences Figure 1. Racial Disparity in Autopsy Rates With Underlying Cause in Rates of Autopsy in the US, 2008-2017 of Death, 2008-2017 In contrast to forensic autopsies mandated by law, clinical au- Black topsies are performed to clarify diagnoses. Rates of clinical au- American Indian topsies have declined, from a high of 19% (1950s-1970s) to 8% 1 Asian or Pacific Islander (2007). This decrease is related to financial, legal, and admin- White istrative disincentives, as well as perceptions that diagnos- Black Editor's Note page 1124 tic improvements render au- American Indian Asian or Pacific Islander topsies obsolete. In the background of low enthusiasm from White the health care system, patient/caregiver factors may be re- lated to the rates of autopsies. Limited data suggest that white Black race is associated with lower autopsy rates. Using a cohort de- American Indian sign, we explored the rates of autopsies for differences within Asian or Pacific Islander racial groups. White Black Methods | We included decedents older than 18 years from 2008 American Indian to 2017 in the Centers for Disease Control and Prevention Wide- Asian or Pacific Islander Ranging Online Data for Epidemiologic Research database. We White excluded http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Preserving Access to the Invaluable Clinical Autopsy

JAMA Internal Medicine , Volume 180 (8) – Aug 29, 2020

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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2020.2236
Publisher site
See Article on Publisher Site

Abstract

Letters Assessment of Racial Differences Figure 1. Racial Disparity in Autopsy Rates With Underlying Cause in Rates of Autopsy in the US, 2008-2017 of Death, 2008-2017 In contrast to forensic autopsies mandated by law, clinical au- Black topsies are performed to clarify diagnoses. Rates of clinical au- American Indian topsies have declined, from a high of 19% (1950s-1970s) to 8% 1 Asian or Pacific Islander (2007). This decrease is related to financial, legal, and admin- White istrative disincentives, as well as perceptions that diagnos- Black Editor's Note page 1124 tic improvements render au- American Indian Asian or Pacific Islander topsies obsolete. In the background of low enthusiasm from White the health care system, patient/caregiver factors may be re- lated to the rates of autopsies. Limited data suggest that white Black race is associated with lower autopsy rates. Using a cohort de- American Indian sign, we explored the rates of autopsies for differences within Asian or Pacific Islander racial groups. White Black Methods | We included decedents older than 18 years from 2008 American Indian to 2017 in the Centers for Disease Control and Prevention Wide- Asian or Pacific Islander Ranging Online Data for Epidemiologic Research database. We White excluded

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Aug 29, 2020

References