Autopsy in general surgery practice

Joseph C. Stothert, Gbaranen Gbaanador

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

This study evaluates the impact of the autopsy on a general surgical training program from 1984 through 1988. We have retrospectively examined the charts of all patients who died during this period. Included in this analysis are the records of patients from the general, cardiac, pediatric, and transplant surgery departments during this 5-year period. In all, 628 patients were evaluated. The overall autopsy rate was 73%. The clinical impressions prior to death are correlated with the anatomic diagnoses found during autopsy. Significant diagnostic discrepancies (errors unrecognized and directly related to or associated with the cause of death) were determined. On a yearly basis, diagnostic discrepancies range between 23% to 39%. Gross and histologic examination of surgical patients reveals significant information concerning the cause of death. These data confirm the educational benefit of autopsy despite escalating utilization of sophisticated, noninvasive diagnostic modalities. It is our opinion that the mortality conference, with formal autopsy presentation, is a vital forum for the discussion of patient care and quality assurance issues. Autopsy remains the most specific indicator of errors in diagnosis, management, judgment, and technique in surgical practice today.

Original languageEnglish (US)
Pages (from-to)585-589
Number of pages5
JournalThe American Journal of Surgery
Volume162
Issue number6
DOIs
StatePublished - Dec 1991

Fingerprint

General Practice
Autopsy
Cause of Death
Diagnostic Errors
Patient Care
Pediatrics
Transplants
Education
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Autopsy in general surgery practice. / Stothert, Joseph C.; Gbaanador, Gbaranen.

In: The American Journal of Surgery, Vol. 162, No. 6, 12.1991, p. 585-589.

Research output: Contribution to journalArticle

Stothert, Joseph C. ; Gbaanador, Gbaranen. / Autopsy in general surgery practice. In: The American Journal of Surgery. 1991 ; Vol. 162, No. 6. pp. 585-589.
@article{c7d108b3c1444040ac76fc2f0931a86f,
title = "Autopsy in general surgery practice",
abstract = "This study evaluates the impact of the autopsy on a general surgical training program from 1984 through 1988. We have retrospectively examined the charts of all patients who died during this period. Included in this analysis are the records of patients from the general, cardiac, pediatric, and transplant surgery departments during this 5-year period. In all, 628 patients were evaluated. The overall autopsy rate was 73{\%}. The clinical impressions prior to death are correlated with the anatomic diagnoses found during autopsy. Significant diagnostic discrepancies (errors unrecognized and directly related to or associated with the cause of death) were determined. On a yearly basis, diagnostic discrepancies range between 23{\%} to 39{\%}. Gross and histologic examination of surgical patients reveals significant information concerning the cause of death. These data confirm the educational benefit of autopsy despite escalating utilization of sophisticated, noninvasive diagnostic modalities. It is our opinion that the mortality conference, with formal autopsy presentation, is a vital forum for the discussion of patient care and quality assurance issues. Autopsy remains the most specific indicator of errors in diagnosis, management, judgment, and technique in surgical practice today.",
author = "Stothert, {Joseph C.} and Gbaranen Gbaanador",
year = "1991",
month = "12",
doi = "10.1016/0002-9610(91)90114-S",
language = "English (US)",
volume = "162",
pages = "585--589",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Autopsy in general surgery practice

AU - Stothert, Joseph C.

AU - Gbaanador, Gbaranen

PY - 1991/12

Y1 - 1991/12

N2 - This study evaluates the impact of the autopsy on a general surgical training program from 1984 through 1988. We have retrospectively examined the charts of all patients who died during this period. Included in this analysis are the records of patients from the general, cardiac, pediatric, and transplant surgery departments during this 5-year period. In all, 628 patients were evaluated. The overall autopsy rate was 73%. The clinical impressions prior to death are correlated with the anatomic diagnoses found during autopsy. Significant diagnostic discrepancies (errors unrecognized and directly related to or associated with the cause of death) were determined. On a yearly basis, diagnostic discrepancies range between 23% to 39%. Gross and histologic examination of surgical patients reveals significant information concerning the cause of death. These data confirm the educational benefit of autopsy despite escalating utilization of sophisticated, noninvasive diagnostic modalities. It is our opinion that the mortality conference, with formal autopsy presentation, is a vital forum for the discussion of patient care and quality assurance issues. Autopsy remains the most specific indicator of errors in diagnosis, management, judgment, and technique in surgical practice today.

AB - This study evaluates the impact of the autopsy on a general surgical training program from 1984 through 1988. We have retrospectively examined the charts of all patients who died during this period. Included in this analysis are the records of patients from the general, cardiac, pediatric, and transplant surgery departments during this 5-year period. In all, 628 patients were evaluated. The overall autopsy rate was 73%. The clinical impressions prior to death are correlated with the anatomic diagnoses found during autopsy. Significant diagnostic discrepancies (errors unrecognized and directly related to or associated with the cause of death) were determined. On a yearly basis, diagnostic discrepancies range between 23% to 39%. Gross and histologic examination of surgical patients reveals significant information concerning the cause of death. These data confirm the educational benefit of autopsy despite escalating utilization of sophisticated, noninvasive diagnostic modalities. It is our opinion that the mortality conference, with formal autopsy presentation, is a vital forum for the discussion of patient care and quality assurance issues. Autopsy remains the most specific indicator of errors in diagnosis, management, judgment, and technique in surgical practice today.

UR - http://www.scopus.com/inward/record.url?scp=0026353501&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026353501&partnerID=8YFLogxK

U2 - 10.1016/0002-9610(91)90114-S

DO - 10.1016/0002-9610(91)90114-S

M3 - Article

C2 - 1670230

AN - SCOPUS:0026353501

VL - 162

SP - 585

EP - 589

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 6

ER -