The medical autopsy as quality assurance tool in clinical medicine: dreams and realities

Tweel, Jan G. van den; Wittekind, Christian

doi:10.1007/s00428-015-1833-5

Cited by 67 publications

(70 citation statements)

References 33 publications

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“…Nevertheless, the findings of the present study were in keeping with findings from other large centers, which found discrepancy rates of 15 to 40% [2,6,7,26,27]. Despite advances in medical technology, the frequency of major discrepancies between clinical diagnoses and diagnoses based on pathologic findings-including autopsy-has not changed [3].…”

Section: Discussionsupporting

confidence: 89%

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The Final Consultation: The Autopsy

Aljerian¹

2017

FLIS

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Autopsy has long been an important tool for education, maintaining the quality of patient care and the final consultation. In addition to its other benefits, autopsy has been used to provide or modify treatments for future generations of patients; train young physicians; and provide definitive answers about the efficacy of treatments administered [1]. Countries are struggling to keep this rich tool of medicine alive and a revival of autopsy has been called for by many pathologists [2]. However, rates of autopsy have declined over recent years because of changing legislation, challenges with informed consent, and

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Section: Discussionsupporting

confidence: 89%

“…As well, radiologists admit that at present the technology is not yet good enough to provide as much detail as a conventional postmortem examination. accepted among Jewish, Christian and Muslim communities [30,31] and is preferable to no postmortem examination at all [2,17].…”

Section: Discussionmentioning

confidence: 99%

The Final Consultation: The Autopsy

Aljerian¹

2017

FLIS

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“…Recent developments are non-(or minimally invasive) post-mortem imaging techniques to detect coronary occlusion and ischemic injury in order to serve as an adjunct to, or even to replace, cardiac autopsy with presumed ischemic death [6,7]. These novel post-mortem approaches presently attract much interest; autopsy rates tend to decrease gradually in many countries [8].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of myocardial infarction at autopsy: AECVP reappraisal in the light of the current clinical classification

et al. 2019

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Ischemic heart disease is one of the leading causes of morbidity and death worldwide. Consequently, myocardial infarctions are often encountered in clinical and forensic autopsies, and diagnosis can be challenging, especially in the absence of an acute coronary occlusion. Precise histopathological identification and timing of myocardial infarction in humans often remains uncertain while it can be of crucial importance, especially in a forensic setting when third person involvement or medical responsibilities are in question. A proper post-mortem diagnosis requires not only up-to-date knowledge of the ischemic coronary and myocardial pathology, but also a correct interpretation of such findings in relation to the clinical scenario of the deceased. For these reasons, it is important for pathologists to be familiar with the different clinically defined types of myocardial infarction and to discriminate myocardial infarction from other forms of myocardial injury. This article reviews present knowledge and postmortem diagnostic methods, including post-mortem imaging, to reveal the different types of myocardial injury and the clinicalpathological correlations with currently defined types of myocardial infarction.

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“…Clinical autopsies are also becoming increasingly rare as they are often considered expensive, time-consuming, a potential source of medico-legal dispute, and a violation of the dignity of the deceased [5,6]. Consequently, Italian surgeons are often forced to import human cadavers or to go abroad to attend training courses, which involves high costs and professional and personal discomfort [7,8].…”

Section: Introductionmentioning

confidence: 99%

A Survey on the Knowledge and Attitudes of Italian Medical Students toward Body Donation: Ethical and Scientific Considerations

Ciliberti

Gulino

Gazzaniga

et al. 2018

JCM

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Post mortem body donation (PMBD) for medical training and research plays a key role in medical-surgical education. The aim of this study is to evaluate Italian medical students’ awareness and attitudes regarding this practice. A questionnaire was sent to 1781 Italian medical students (MS). A total of 472 MS responded: 406 (92.91%) had a strongly positive attitude to PMBD, while 31 (7.09%) were not in favor. The majority of subjects were Catholic (56.36%), while 185 and 21 subjects, said that they did not hold any religious beliefs, or were of other religions, respectively. Multivariate analysis showed significant associations (p-values < 0.05) between PMBD and religion, as well as perceptions of PMBD as an act of altruism, a tool for learning surgical practices, body mutilation, and an act contrary to faith. Although Italian MS believed cadaver dissection to be an important part of their education, they did not know much about it and had not received training on this altruistic choice. As future doctors, MS can play an important role in raising public awareness of the importance of PMBD for medical education and research. Specific educational programs to improve knowledge of this topic among MS are needed.

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The medical autopsy as quality assurance tool in clinical medicine: dreams and realities

Cited by 67 publications

References 33 publications

The Final Consultation: The Autopsy

The Final Consultation: The Autopsy

Diagnosis of myocardial infarction at autopsy: AECVP reappraisal in the light of the current clinical classification

A Survey on the Knowledge and Attitudes of Italian Medical Students toward Body Donation: Ethical and Scientific Considerations

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