Documenting The Value Of Autopsies

1. Hill RL, Anderson RE. The recent history of the autopsy. Arch Pathol Lab Med 1996;120:702-712. (Contains a detailed tabulation of diseases discovered or critically clarified through autopsy since 1950.)

2. Cartlidge PH, Dawson AT, Stewart JH, Vujanic GM. Value and quality of perinatal and infant postmortem examinations: cohort analysis of400 consecutive deaths. BMJ 1995; 310:155-158. (The clinicopathological classification was altered by necropsy in 13% of the cases and new information was obtained in 60%.)

3. Hagerstrand I, Lundberg LM. The importance of post-mortem examinations of abortions and perinatal deaths. Qual Assurance Health Care 1993;5:295-297. (Major diseases and cause of death were identified at autopsy in 25% of the cases.)

4. Hill RB. The current status of autopsies in medical care in the USA. Qual Assurance Health Care 1993;5:309-313. (Review of values and initiatives to improve autopsy rates.)

5. Stambouly JJ, Kahn E, Boxer RA. Correlation between clinical diagnoses and autopsy findings in critically ill children. Pediatrics 1993;92:248-251. (Unexpected autopsy findings in 10% of the cases which, if known prior to death, would have altered clinical management and might have improved survival.)

6. Kay MH, Moodie DS, Sterba R, Murphy DJ Jr, Rosenkranz E, Ratliff N, Homa A. The value of the autopsy in congenital heart disease. Clin Pediatr 1991;30:450-454. (Eight percent of the patients had one missed major diagnosis but this would not have affected survival.)

7. Nemetz PN, Ludwig J, Kurland AT. Assessing the autopsy. Am J Pathol 1987;128:362-379. (Review of benefits provided by autopsies, including epidemiologic research.)

8. Goldman L, Sayson R, Robbins S, Cohn LH, Bettmann M, Weisberg M. The value of the autopsy in three medical eras. N Engl J Med 1983;308:1000-1005. (Advances in diagnostic technology have not reduced the value of the autopsy.)

9. Welsh TSA, Kaplan J. The role of postmortem examination in medical education. Mayo Clin Proc 1998;73:802-805. (Recommendations for an autopsy curriculum inpostgrad-uate training are presented.)

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