Introduction of postmortem CT increases the postmortem examination rate without negatively impacting the rate of traditional autopsy in daily practice: an implementation study

Max G. Mentink; Frans C. H. Bakers; Casper Mihl; Max J. Lahaye; Roger J. M. W. Rennenberg; Bart G. H. Latten; Bela Kubat; Paul A. M. Hofman

doi:10.1136/jclinpath-2020-206734

Introduction of postmortem CT increases the postmortem examination rate without negatively impacting the rate of traditional autopsy in daily practice: an implementation study

Max G. Mentink^*, Frans C. H. Bakers, Casper Mihl, Max J. Lahaye, Roger J. M. W. Rennenberg, Bart G. H. Latten, Bela Kubat, Paul A. M. Hofman

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Aim

The aim of this implementation study was to assess the effect of postmortem CT (PMCT) and postmortem sampling (PMS) on (traditional) autopsy and postmortem examination rates. Additionally, the feasibility of PMCT and PMS in daily practice was assessed.

Methods

For a period of 23 months, PMCT and PMS were used as additional modalities to the autopsy at the Department of Internal Medicine. The next of kin provided consent for 123 postmortem examinations. Autopsy rates were derived from the Dutch Pathology Registry, and postmortem examination rates were calculated for the period before, during and after the study period, and the exclusion rate, table time, time interval to informing the referring clinicians with results and the time interval to the Multidisciplinary Mortality Review Board (MMRB) meeting were objectified to assess the feasibility.

Results

The postmortem examination rate increased (from 18.8% to 32.5%, p

Conclusions

Our study shows that the implementation of a multidisciplinary postmortem examination is feasible in daily practice and does not adversely affect the autopsy rate, while increasing the postmortem examination rate.

Original language	English
Pages (from-to)	177-181
Number of pages	5
Journal	Journal of Clinical Pathology
Volume	74
Issue number	3
DOIs	https://doi.org/10.1136/jclinpath-2020-206734
Publication status	Published - Mar 2021

Keywords

anatomy
death
autopsy
image-guided biopsy
image processing
computer-assisted

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10.1136/jclinpath-2020-206734

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Cite this

Mentink, M. G., Bakers, F. C. H., Mihl, C., Lahaye, M. J., Rennenberg, R. J. M. W., Latten, B. G. H., Kubat, B., & Hofman, P. A. M. (2021). Introduction of postmortem CT increases the postmortem examination rate without negatively impacting the rate of traditional autopsy in daily practice: an implementation study. Journal of Clinical Pathology, 74(3), 177-181. https://doi.org/10.1136/jclinpath-2020-206734

@article{911b47f62ec749428be013924268cfbc,

title = "Introduction of postmortem CT increases the postmortem examination rate without negatively impacting the rate of traditional autopsy in daily practice: an implementation study",

abstract = "AimThe aim of this implementation study was to assess the effect of postmortem CT (PMCT) and postmortem sampling (PMS) on (traditional) autopsy and postmortem examination rates. Additionally, the feasibility of PMCT and PMS in daily practice was assessed.MethodsFor a period of 23 months, PMCT and PMS were used as additional modalities to the autopsy at the Department of Internal Medicine. The next of kin provided consent for 123 postmortem examinations. Autopsy rates were derived from the Dutch Pathology Registry, and postmortem examination rates were calculated for the period before, during and after the study period, and the exclusion rate, table time, time interval to informing the referring clinicians with results and the time interval to the Multidisciplinary Mortality Review Board (MMRB) meeting were objectified to assess the feasibility.ResultsThe postmortem examination rate increased (from 18.8% to 32.5%, pConclusionsOur study shows that the implementation of a multidisciplinary postmortem examination is feasible in daily practice and does not adversely affect the autopsy rate, while increasing the postmortem examination rate.",

keywords = "anatomy, death, autopsy, image-guided biopsy, image processing, computer-assisted",

author = "Mentink, {Max G.} and Bakers, {Frans C. H.} and Casper Mihl and Lahaye, {Max J.} and Rennenberg, {Roger J. M. W.} and Latten, {Bart G. H.} and Bela Kubat and Hofman, {Paul A. M.}",

year = "2021",

month = mar,

doi = "10.1136/jclinpath-2020-206734",

language = "English",

volume = "74",

pages = "177--181",

journal = "Journal of Clinical Pathology",

issn = "0021-9746",

publisher = "BMJ Publishing Group",

number = "3",

}

Mentink, MG, Bakers, FCH , Mihl, C, Lahaye, MJ, Rennenberg, RJMW, Latten, BGH, Kubat, B & Hofman, PAM 2021, 'Introduction of postmortem CT increases the postmortem examination rate without negatively impacting the rate of traditional autopsy in daily practice: an implementation study', Journal of Clinical Pathology, vol. 74, no. 3, pp. 177-181. https://doi.org/10.1136/jclinpath-2020-206734

Introduction of postmortem CT increases the postmortem examination rate without negatively impacting the rate of traditional autopsy in daily practice: an implementation study. / Mentink, Max G.; Bakers, Frans C. H.; Mihl, Casper et al.
In: Journal of Clinical Pathology, Vol. 74, No. 3, 03.2021, p. 177-181.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Introduction of postmortem CT increases the postmortem examination rate without negatively impacting the rate of traditional autopsy in daily practice

T2 - an implementation study

AU - Mentink, Max G.

AU - Bakers, Frans C. H.

AU - Mihl, Casper

AU - Lahaye, Max J.

AU - Rennenberg, Roger J. M. W.

AU - Latten, Bart G. H.

AU - Kubat, Bela

AU - Hofman, Paul A. M.

PY - 2021/3

Y1 - 2021/3

N2 - AimThe aim of this implementation study was to assess the effect of postmortem CT (PMCT) and postmortem sampling (PMS) on (traditional) autopsy and postmortem examination rates. Additionally, the feasibility of PMCT and PMS in daily practice was assessed.MethodsFor a period of 23 months, PMCT and PMS were used as additional modalities to the autopsy at the Department of Internal Medicine. The next of kin provided consent for 123 postmortem examinations. Autopsy rates were derived from the Dutch Pathology Registry, and postmortem examination rates were calculated for the period before, during and after the study period, and the exclusion rate, table time, time interval to informing the referring clinicians with results and the time interval to the Multidisciplinary Mortality Review Board (MMRB) meeting were objectified to assess the feasibility.ResultsThe postmortem examination rate increased (from 18.8% to 32.5%, pConclusionsOur study shows that the implementation of a multidisciplinary postmortem examination is feasible in daily practice and does not adversely affect the autopsy rate, while increasing the postmortem examination rate.

AB - AimThe aim of this implementation study was to assess the effect of postmortem CT (PMCT) and postmortem sampling (PMS) on (traditional) autopsy and postmortem examination rates. Additionally, the feasibility of PMCT and PMS in daily practice was assessed.MethodsFor a period of 23 months, PMCT and PMS were used as additional modalities to the autopsy at the Department of Internal Medicine. The next of kin provided consent for 123 postmortem examinations. Autopsy rates were derived from the Dutch Pathology Registry, and postmortem examination rates were calculated for the period before, during and after the study period, and the exclusion rate, table time, time interval to informing the referring clinicians with results and the time interval to the Multidisciplinary Mortality Review Board (MMRB) meeting were objectified to assess the feasibility.ResultsThe postmortem examination rate increased (from 18.8% to 32.5%, pConclusionsOur study shows that the implementation of a multidisciplinary postmortem examination is feasible in daily practice and does not adversely affect the autopsy rate, while increasing the postmortem examination rate.

KW - anatomy

KW - death

KW - autopsy

KW - image-guided biopsy

KW - image processing

KW - computer-assisted

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DO - 10.1136/jclinpath-2020-206734

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SN - 0021-9746

VL - 74

SP - 177

EP - 181

JO - Journal of Clinical Pathology

JF - Journal of Clinical Pathology

IS - 3

ER -

Introduction of postmortem CT increases the postmortem examination rate without negatively impacting the rate of traditional autopsy in daily practice: an implementation study

Abstract

Keywords

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