Kesteloot et al state that "the possibility exists that in the autopsy data, respiratory death was overdiagnosed and circulatory death underdiagnosed." They may or may not be right, but their arguments are not convincing. The fact that circulatory and respiratory deaths taken together are about equal in the death certificates and in the autopsy data says very little about the misclassification issue: false positive may balance false negatives in each diagnostic category. Furthermore, correlations like those presented would exist even if extensive misclassification were present in death certificates. Dieter Modelmog Institute of Pathology, Bacteriology and Serology Goerlitz Hospital Goerlitz, Germany
Urban-rural differences in the management of breast cancer
H. Howe,J. Katterhagen,J. Yates
Published 2004 in Cancer Causes and Control
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Cancer Causes and Control
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