Evidence map›Paper›PMID 30076403›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2018

Decreasing use of autopsy for stillbirths and infant deaths: missed opportunity.

Nathalie Auger, Marianne Bilodeau-Bertrand, Julie Poissant, Prakesh S Shah

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Diagnostic accuracy of postmortem ultrasound vs postmortem 1.5-T MRI for non-invasive perinatal autopsy.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2021
    Article
  4. Feasibility of INTACT (INcisionless TArgeted Core Tissue) biopsy procedure for perinatal autopsy.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2020
    Article
  5. Infant mortality: the contribution of genetic disorders.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  6. Article
  7. A Retrospective Review of Autopsy Data From 6 North American Institutions Indicates Practice Variations That Could Be Leveraged to Address Declining Autopsy Rates.Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nathalie AugerUniversity of Montreal Hospital Research Centre, 900 Saint-Denis, Montreal, QC, H2X 0A9, Canada. nathalie.auger@inspq.qc.ca.ORCID 0000-0002-2412-0459
Marianne Bilodeau-BertrandUniversity of Montreal Hospital Research Centre, 900 Saint-Denis, Montreal, QC, H2X 0A9, Canada.
Julie PoissantInstitut national de santé publique du Québec, 190 Cremazie E. Blvd, Montreal, QC, H2P 1E2, Canada.
Prakesh S ShahDepartment of Pediatrics, University of Toronto, Mount Sinai Hospital, 600 University Avenue, Toronto, M5G 1X5, Canada.

Funding

CIHR APR-126340CIHR PJT-156062
6 · The paper itself

Abstract

objectiveWe assessed whether the tendency towards decreasing use of fetal and infant autopsy was associated with a greater proportion of deaths in which the cause is never found. STUDY

designWe computed autopsy rates over time for 13,466 stillbirths and 16,880 infant deaths in Quebec, Canada, 1981-2015. We assessed the proportion of deaths with an undetermined cause and determined the relationship with non-autopsy over time.

resultAutopsy rates declined by 29% for stillbirths and 36% for infant deaths during the study. The proportion of non-autopsied cases with an undetermined cause of death increased only for stillbirths, however. Among non-autopsied stillbirths, the risk of having an undetermined cause of death was 1.64 times higher in 2005-2015 compared with 1981-1992 (95% confidence interval 1.25, 2.15).

conclusionGreater use of autopsy has potential to minimize the number of stillbirths with an undetermined cause of death, and may be helpful for prevention.

Indexed as

Infant DeathStillbirthAutopsyCause of DeathFemaleHumansInfantInfant, NewbornPregnancyQuebecRegression Analysis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.