Literature DB >> 18854996

[Evaluation of the clinical utility of autopsy: an investigation at the Institute of Pathology, University Hospital of Leipzig].

K Nestler1, T Gradistanac, C Wittekind.   

Abstract

BACKGROUND: The aim of this study of autopsies performed in our institute was to investigate whether clinical requirements had been met and specific clinical questions answered.
METHOD: With each autopsy report, a questionnaire was sent to the clinic where the patient had died. The clinicians evaluated how often additional diagnoses were made and whether these were clinically relevant.
RESULTS: Seventy-two percent of all autopsies resulted in further diagnoses. Clinicians estimated that these could have influenced their clinical management in 36% of cases. Weaknesses in interdisciplinary cooperation were uncovered and solved.
CONCLUSION: The great benefit of the autopsies conducted in our institute was demonstrated. The results emphasise once again the importance of autopsy for quality assurance in clinical medicine.

Entities:  

Mesh:

Year:  2008        PMID: 18854996     DOI: 10.1007/s00292-008-1094-z

Source DB:  PubMed          Journal:  Pathologe        ISSN: 0172-8113            Impact factor:   1.011


  13 in total

1.  Practice guidelines for autopsy pathology: autopsy reporting. Autopsy Committee of the College of American Pathologists.

Authors:  G M Hutchins; J J Berman; G W Moore; R Hanzlick
Journal:  Arch Pathol Lab Med       Date:  1999-11       Impact factor: 5.534

Review 2.  Changes in rates of autopsy-detected diagnostic errors over time: a systematic review.

Authors:  Kaveh G Shojania; Elizabeth C Burton; Kathryn M McDonald; Lee Goldman
Journal:  JAMA       Date:  2003-06-04       Impact factor: 56.272

3.  Significant value of autopsy for quality management in cardiac surgery.

Authors:  Ardawan J Rastan; Jan F Gummert; Nicole Lachmann; Thomas Walther; Dierck V Schmitt; Volkmar Falk; Nico Doll; Paul Caffier; Markus M Richter; Christian Wittekind; Friedrich W Mohr
Journal:  J Thorac Cardiovasc Surg       Date:  2005-06       Impact factor: 5.209

4.  Diagnostic error in internal medicine.

Authors:  Mark L Graber; Nancy Franklin; Ruthanna Gordon
Journal:  Arch Intern Med       Date:  2005-07-11

5.  Comparison of clinical and post-mortem findings in intensive care unit patients.

Authors:  Calliope Maris; Benoît Martin; Jacques Creteur; Myriam Remmelink; Michael Piagnerelli; Isabelle Salmon; Jean-Louis Vincent; Pieter Demetter
Journal:  Virchows Arch       Date:  2007-01-25       Impact factor: 4.064

6.  [Necessity of increasing autopsy frequency following the introduction of DRGs].

Authors:  M G Krukemeyer; C v d Driesch; A Dankof; V Krenn; D Hansen; M Dietel
Journal:  Pathologe       Date:  2007-07       Impact factor: 1.011

7.  [Modern fetal autopsy oriented to clinical demands using technical information methods].

Authors:  C Tennstedt; P Hufnagl; T N Nguyen-Dobinsky; R Chaoui; R Bollmann; M Urban; H Körner; S Tietz; P Tietz; M Dietel
Journal:  Pathologe       Date:  1997-11       Impact factor: 1.011

8.  [Significance of autopsy. Continuous evaluation of autopsy findings by internists].

Authors:  J A Laissue; H J Altermatt; B Zürcher; B Truniger; J O Gebbers
Journal:  Schweiz Med Wochenschr       Date:  1986-02-01

9.  The autopsy as a performance measurement tool--diagnostic discrepancies and unresolved clinical questions: a College of American Pathologists Q-Probes study of 2479 autopsies from 248 institutions.

Authors:  R J Zarbo; P B Baker; P J Howanitz
Journal:  Arch Pathol Lab Med       Date:  1999-03       Impact factor: 5.534

Review 10.  [Clinical autopsy--its role in modern medicine].

Authors:  J Diebold
Journal:  Praxis (Bern 1994)       Date:  2007-10-24
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  7 in total

1.  [Autopsies 2010. Is death still teaching the living?].

Authors:  C Tóth
Journal:  Pathologe       Date:  2010-07       Impact factor: 1.011

2.  [Clinical autopsies. Practical approach, legal foundations and ethical considerations].

Authors:  J Friemann
Journal:  Pathologe       Date:  2010-07       Impact factor: 1.011

3.  [Autopsy as a tool for quality assurance: Leipzig].

Authors:  T Gradistanac; C Wittekind
Journal:  Pathologe       Date:  2011-11       Impact factor: 1.011

Review 4.  [Autopsy-a procedure of medical history?].

Authors:  K Petros; C Wittekind
Journal:  Med Klin Intensivmed Notfmed       Date:  2013-02-17       Impact factor: 0.840

5.  [Proposals for standardization of autopsy reports].

Authors:  C Wittekind; J-O Habeck; T Gradistanac
Journal:  Pathologe       Date:  2014-03       Impact factor: 1.011

6.  [Autopsy rates in Germany].

Authors:  M Grassow-Narlik; M Wessolly; J Friemann
Journal:  Pathologe       Date:  2017-09       Impact factor: 1.011

7.  [Adult autopsies during the past decade in Germany : Data from two university hospitals].

Authors:  F Erlmeier; W Weichert; R Knüchel; J Andruszkow
Journal:  Pathologe       Date:  2017-09       Impact factor: 1.011

  7 in total

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