48,453
edits
Difference between revisions of "Autopsy"
Jump to navigation
Jump to search
→External exam: +value of autopsy
(→External exam: +value of autopsy) |
|||
| Line 26: | Line 26: | ||
*There are religious objections to autopsy among Jews and Muslims.<ref name=Ref_HospAuto43>{{Ref HospAuto|43}}</ref><ref name=Ref_HospAuto47>{{Ref HospAuto|47}}</ref> | *There are religious objections to autopsy among Jews and Muslims.<ref name=Ref_HospAuto43>{{Ref HospAuto|43}}</ref><ref name=Ref_HospAuto47>{{Ref HospAuto|47}}</ref> | ||
*It is ''not'' considered good practise to agree to restrictions that will impair a complete assessment, e.g. "stop as soon as one has the cause of death", especially in the medicolegal context (when the extent of the autopsy is at the pathologist's discretion). It is often said that... ''incomplete autopsies give incomplete answers''. | *It is ''not'' considered good practise to agree to restrictions that will impair a complete assessment, e.g. "stop as soon as one has the cause of death", especially in the medicolegal context (when the extent of the autopsy is at the pathologist's discretion). It is often said that... ''incomplete autopsies give incomplete answers''. | ||
==Value of autopsy== | |||
One large review in ''JAMA'' suggests that approximately:<ref name=pmid12783916>{{cite journal |author=Brian Gallagher, Burton EC, McDonald KM, Goldman L |title=Changes in rates of autopsy-detected diagnostic errors over time: a systematic review |journal=JAMA |volume=289 |issue=21 |pages=2849–56 |year=2003 |pmid=12783916 |doi=10.1001/jama.289.21.2849}}</ref> | |||
* 25% of autopsies reveal a finding that would have changed clinical management. | |||
* 5% of autopsies reveal a missed [[diagnosis]] that probably affected the outcome. | |||
==External exam== | ==External exam== | ||