We calculated the overall autopsy rates of both groups and performed an independent T-test in order to test for significance. We performed a subgroup analysis among people of western-European ethnicity versus people of other ethnical backgrounds. The independent variables were time in months since the start of the study and the availability of minimally invasive autopsy as a standalone postmortem investigation. Furthermore, we used a questionnaire to investigate the motivations of doctors and next-of-kin in the consent process for postmortem investigation.īecause we expected that the autopsy rates would decline during the study period we performed a linear regression analysis to calculate the effect of time and availability of minimally invasive autopsy on overall autopsy rate. A subgroup analysis was performed comparing a group of western-European ethnicity with a group of other ethnicities. The aim of the present study was to determine the overall autopsy rate (minimally invasive autopsy and conventional autopsy) on adult deceased patients in our hospital over the years 2010–2019 and to investigate whether the introduction of the minimally invasive autopsy led to an increase in overall autopsy rate. Such methods can be non-invasive or minimally invasive in our hospital we introduced and validated a minimally invasive autopsy, consisting of postmortem CT, MRI and CT-guided biopsies. Therefore, strategies to improve the consent rates are under investigation: improved availability of modern imaging techniques has led to the development of imaging-based autopsy techniques. The low consent rate of next-of-kin for the autopsy is one of the reasons for the decline in clinical autopsy rates. Moreover, they are useful for healthcare policymaking, education and research purposes. However, despite improved diagnostics, autopsies still provide valuable feedback on diagnoses and treatment, and accurate statistics on causes of death. Improvements in imaging techniques in living patients may have led to the belief that autopsies hardly add to the information acquired prior to death. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: The authors have declared that no competing interests exist.Ĭlinical autopsy rates have dropped considerably over the previous decades. The IRB/ Ethics committee imposing data sharing restrictions is The Medical Ethics Review Committee (MERC).These data are available upon request at the Erasmus Medical Center Clinical trial bureau of the radiology department (contact via for researchers who meet the criteria for access to confidential dataįunding: This work was supported by Erasmus Medical Centre Health Care Efficiency (grant 2010-10112), Erasmus MC Vriendenfonds (grant 104117), and Stichting Coolsingel (grant 255). This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: Some data cannot be shared publicly because of the confidential nature (i.e. Received: AugAccepted: ApPublished: May 11, 2020Ĭopyright: © 2020 Wagensveld et al. Holda, Jagiellonian University Medical College, POLAND Citation: Wagensveld IM, Weustink AC, Kors JA, Blokker BM, Hunink MGM, Oosterhuis JW (2020) Effect of minimally invasive autopsy and ethnic background on acceptance of clinical postmortem investigation in adults.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |