Declining autopsy rate in Sweden : a study of causes and consequences in Malmö, Sweden.
In Sweden there has been a continuous decrease in the autopsy rate during the last 15-20 years.
The autopsy rate in the city of Malmö has declined from 81% in 1984 to 34% in 1993.
The intention of this study was to improve our understanding of the causes of the decline, and to assess its consequences with regard to cause of death surveillance and case retrieval in epidemiological and clinical research.
A retrospective study.
The University Hospital in Malmö, a city in southern Sweden with 230 000 inhabitants.
All deceased in 1984 (2900) and 1993 (3198).
Cancer incidence 1984 and 1993.
Main outcome measures
Changes in autopsy rate in relation to age, sex, place of death and cause of death 1984 and 1993.
Changes in the distribution of underlying causes of death in cases submitted and not submitted for a post mortem 1984 and 1993.
Changes in cancer incidence and the number of incidentally-detected new tumours 1984 and 1993.
Patients who died in nursing homes were less often sent for a post mortem than were patients who died at the hospital.
From 1984 to 1993 the percentage of people dying in nursing homes increased from 1 to 29%. Care of the elderly has been reorganized, and the number of terminally ill patients who die in nursing homes has increased during the last 20 years in Sweden.
This shift in place of death seems to be the single major explanation of the declining autopsy rate in Malmö. (...)
Mots-clés Pascal : Autopsie, Suède, Europe, Epidémiologie, Homme, Rétrospective, Fréquence
Mots-clés Pascal anglais : Autopsy, Sweden, Europe, Epidemiology, Human, Retrospective, Frequency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0424072
Code Inist : 002B30A01A2. Création : 19/12/1997.