PEDIATRICS Vol. 87 No. 3 March 1991, pp. 414
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Secular, Means What?

ANTHONY SHAW MD1

1 Pediatric Surgery, Olive View Medical Center, Sylmar, California 91342

To the Editor.—

I am puzzled by the statement, "No secular change in survival occurred during the study," in the abstract of the excellent article by Morris et al.1 I wonder whether the authors are leaving open the question of whether a change in survival might occur in a more religious setting.