The death of the hospital autopsy in Australia? The hospital autopsy rate is declining dramatically

Raut, Aditi; Andrici, Juliana; Severino, Aldo; Gill, Anthony J.

doi:10.1016/j.pathol.2016.08.004

Cited by 11 publications

(10 citation statements)

References 11 publications

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“…The results of our study are concordant with the observed worldwide steady decline of autopsies [2][3][4][5]10], despite the fact that the importance of autopsies has been recognized and stressed to date [6][7][8][9]. There was no difference in autopsy rate between males and females when using agestandardized frequencies.…”

supporting

confidence: 89%

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A quarter century of decline of autopsies in the Netherlands

et al. 2019

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supporting

confidence: 89%

“…Autopsies have been fundamental to progress in medicine and health care, as well as quality assurance [1]. However, multiple studies have reported a worldwide decline of autopsies over the last decades [2][3][4][5]. Controversially, major discrepancies between autopsies and clinical diagnoses remain, even in this modern era [6][7][8][9].…”

mentioning

confidence: 99%

A quarter century of decline of autopsies in the Netherlands

et al. 2019

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“…As the method for calculating the autopsy rate differs between countries, direct comparison is difficult. However, analysis of the autopsy rates reported in several studies revealed declining clinical autopsy rates and slightly increasing legal autopsy rates 2627282930…”

Section: Discussionmentioning

confidence: 99%

Changes in Clinical and Legal Autopsy Rates in Korea from 2001 to 2015

et al. 2019

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Background:The autopsy is the medical examination of a deceased person that mainly provides information on the cause and manner of death. Two types are conducted in Korea: clinical and legal, depending on its purpose. Despite this procedure's importance, autopsy rates have been decreasing worldwide. The aim of this study was to determine the nationwide autopsy rate in Korea and compare it with that in other countries. Methods: We collected data of autopsies performed between 2001 and 2015 by searching previously published literature on autopsy statistics and by requesting data from the relevant institutions. We calculated the autopsy rate by using mortality data from Statistics Korea; furthermore, we investigated the type of autopsy performed by institution as well as by geographical region. Results: The total autopsy rate in Korea increased from 2.16% in 2001 to 2.60% in 2015. In terms of autopsy types, however, clinical autopsy rates decreased from 0.17% in 2001 to 0.03% in 2015, while legal autopsy rates increased from 1.99% to 2.57% during the same period. Moreover, the clinical autopsy rate tended to decrease throughout the period, while the legal autopsy rate fluctuated between 2001 and 2010 but steadily increased thereafter. Conclusion: The autopsy rate in Korea is lower compared to that of the advanced countries. These findings implicate the need for nationwide policy to promote both clinical and legal autopsy, which remain crucial parts of medical science and public health.

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“…61 -67 Unfortunately, although the value of the autopsy in detecting diagnostic errors is well-documented, the autopsy rate continues to fall in both academic and nonacademic hospitals. 68,69…”

Section: Reducing Diagnostic Errorsmentioning

confidence: 99%

“…[61][62][63][64][65][66][67] Unfortunately, although the value of the autopsy in detecting diagnostic errors is welldocumented, the autopsy rate continues to fall in both academic and nonacademic hospitals. 68,69 As autopsies for the sake of continuous quality improvement and trainee learning diminish in frequency at many hospitals, especially outside academic medical centers, a related concern is that uncaught errors are not entered onto death certificates, thus compromising their quality for subsequent mortality studies. Public health is degraded when error is missed and is further degraded when summary data are compromised by the absence of quality approaches.…”

Section: Reducing Diagnostic Errorsmentioning

confidence: 99%

The Value Proposition for Pathologists: A Population Health Approach

Ducatman

Crawford

et al. 2020

Academic Pathology

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The transition to a value-based payment system offers pathologists the opportunity to play an increased role in population health by improving outcomes and safety as well as reducing costs. Although laboratory testing itself accounts for a small portion of health-care spending, laboratory data have significant downstream effects in patient management as well as diagnosis. Pathologists currently are heavily engaged in precision medicine, use of laboratory and pathology test results (including autopsy data) to reduce diagnostic errors, and play leading roles in diagnostic management teams. Additionally, pathologists can use aggregate laboratory data to monitor the health of populations and improve health-care outcomes for both individual patients and populations. For the profession to thrive, pathologists will need to focus on extending their roles outside the laboratory beyond the traditional role in the analytic phase of testing. This should include leadership in ensuring correct ordering and interpretation of laboratory testing and leadership in population health programs. Pathologists in training will need to learn key concepts in informatics and data analytics, health-care economics, public health, implementation science, and health systems science. While these changes may reduce reimbursement for the traditional activities of pathologists, new opportunities arise for value creation and new compensation models. This report reviews these opportunities for pathologist leadership in utilization management, precision medicine, reducing diagnostic errors, and improving health-care outcomes.

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The death of the hospital autopsy in Australia? The hospital autopsy rate is declining dramatically

Cited by 11 publications

References 11 publications

A quarter century of decline of autopsies in the Netherlands

A quarter century of decline of autopsies in the Netherlands

Changes in Clinical and Legal Autopsy Rates in Korea from 2001 to 2015

The Value Proposition for Pathologists: A Population Health Approach

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