[Comparison between clinical and pathologoanatomic diagnoses according to the records of the Irkutsk Nervous Diseases Clinic for the past 20 years (1956--1975)].
The authors have studied post-mortem data of the Irkutsk Clinic of nervous diseases for the past 20 years (1956--1975). During this period a total of 19277 primary patients were treated, 371 of whom died (the per cent of lethality--1,9%), a coincidence of diagnosis was in 83%, a discrepancy--in 12,6%. A discrepancy of diagnosis was being analyzed according to the 3 largest groups: tumours, disorders of circulation, malignant brain tumors and undiscerned complications of the main disease and accompanying disorders. The large sectional material of the clinic over the past 30 years (1946--1975) including 666 postmortems (the material from 1946--1955 consisting of 342 sections was studied and published previously) gives ground to attempt to find out the causes of errors and to suggest some recommendations, related to the Instructions for Comparison of Clinical Pathoanatomical Diagnoses. The authors stress the exceptional importance of collaborative work both of clinicians and prosectors in order to improve the health organization and treatment of patients.
D000328:Adult; D000368:Aged; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000473:pathology; D002561:Cerebrovascular Disorders / Q000175:diagnosis* / Q000473:pathology; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis
Sopostavlenie klinicheskikh i patologoanatomicheskikh diagnozov po dannym Irkutskoĭ kliniki nervnykh bolezneĭ za poslednie 20 let (1956--1975).