ArticleVirchows Archiv : an international journal of pathology2019
Cause of death and significant disease found at autopsy.
Article in Virchows Archiv : an international journal of pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 37 citations in OpenAlex.
- Trends in the Hidden Burden of Cancer in an Autopsy-Based Study Over 66 Years in Japan.JAMA network open · 2026Article
- Implementation of post-mortem examinations within a large population-based cohort: results from the Hamburg City Health Study.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Accelerating Proficiency in Minimally Invasive Autopsy for Infectious Disease Diagnosis and Research: A Strategic Framework.Revista da Sociedade Brasileira de Medicina Tropical · 2026Observational
- Autopsy rates and diagnostic errors in a Swiss community hospital: a ten-year retrospective analysis.Virchows Archiv : an international journal of pathology · 2025Article
- Large-vocabulary forensic pathological analyses via prototypical cross-modal contrastive learning.Nature communications · 2025Article
- Value of autopsy in the modern age: Discrepancy between clinical and autopsy diagnoses.World journal of experimental medicine · 2024Article
- Application of Digital Analysis for Assessment of Coronary Sub-Occlusions in Autopsy Pathology: It Is Time to Move beyond Histology Alone.Diagnostics (Basel, Switzerland) · 2024Article
- Evaluation of ChatGPT-Generated Differential Diagnosis for Common Diseases With Atypical Presentation: Descriptive Research.JMIR medical education · 2024Article
- Videoautopsy-A Minimally Invasive Autopsy Method Using Endoscopic Techniques in Forensic Medicine: Clinical Features.Diagnostics (Basel, Switzerland) · 2024Article
- Importance of Patient History in Artificial Intelligence-Assisted Medical Diagnosis: Comparison Study.JMIR medical education · 2024Article
- Ageing-Related Neurodegeneration and Cognitive Decline.International journal of molecular sciences · 2024Article
- When is a postmortem examination carried out? A retrospective analysis of all Swedish deaths 1999-2018.Virchows Archiv : an international journal of pathology · 2023Article
- Waiting more than 24 hours for hip fracture surgery is associated with increased risk of adverse outcomes for sicker patients: a nationwide cohort study of 63,998 patients using the Swedish Hip Fracture Register.Acta orthopaedica · 2023Article
- Integrated case-based clinical approach in understanding pathways, complexities, pitfalls and challenges in neurodegenerative disorders.American journal of neurodegenerative disease · 2022Article
- Comparison of antemortem clinical diagnosis and post-mortem findings in intensive care unit patients.Virchows Archiv : an international journal of pathology · 2021Article
- Frequency and Significance of Pathologic Pulmonary Findings in Postmortem Examinations-A Single Center Experience before COVID-19.Diagnostics (Basel, Switzerland) · 2021Article
- Pulmonary embolism at autopsy in cancer patients.Journal of thrombosis and haemostasis : JTH · 2021Article
- Comparison of conventional autopsy with post-mortem magnetic resonance, computed tomography in determining the cause of unexplained death.Forensic science, medicine, and pathology · 2021Article
- Can low autopsy rates be increased? Yes, we can! Should postmortem examinations in oncology be performed? Yes, we should! A postmortem analysis of oncological cases.Virchows Archiv : an international journal of pathology · 2021Article
- Brain banking for research: can we achieve efficient banking?Frontiers in neurologyArticle
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The use of clinical autopsy has been in decline for many years throughout healthcare systems of developed countries despite studies showing substantial discrepancies between autopsy results and pre-mortal clinical diagnoses. We conducted a study to evaluate over time the use and results of clinical autopsies in Sweden. We reviewed the autopsy reports and autopsy referrals of 2410 adult (age > 17) deceased patients referred to two University hospitals in Sweden during two plus two years, a decade apart. There was a decline in the number of autopsies performed over time, however, mainly in one of the two hospitals. The proportion of autopsy referrals from the emergency department increased from 9 to 16%, while the proportion of referrals from regular hospital wards was almost halved. The autopsies revealed a high prevalence of cardiovascular disease, with myocardial infarction and cerebrovascular lesion found in 40% and 19% of all cases, respectively. In a large proportion of cases (> 30%), significant findings of disease were not anticipated before autopsy, as judged from the referral document and additional data obtained in some but not all cases. In accordance with previous research, our study confirms a declining rate of autopsy even at tertiary, academic hospitals and points out factors possibly involved in the decline.
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