Reid W A
J Clin Pathol. 1987 Apr;40(4):459-61. doi: 10.1136/jcp.40.4.459.
In a retrospective study of the records of 160 necropsies it was found that, according to the clinical and gross necropsy findings, no clinically important abnormality would have been anticipated in 46% of the tissue samples. The estimated annual cost of processing this material alone was pounds 10,500, including the salary of one full time medical laboratory scientific officer (MLSO). Few of the microscopic findings led to a change in diagnosis. It is suggested that unselected postmortem histology is, for diagnostic purposes, not cost effective.
在一项对160例尸检记录的回顾性研究中发现,根据临床和大体尸检结果,46%的组织样本预计不会出现具有临床重要意义的异常情况。仅处理这些材料的估计年度成本为10,500英镑,其中包括一名全职医学实验室科学官员(MLSO)的薪水。很少有微观检查结果导致诊断改变。有人认为,就诊断目的而言,未经筛选的尸检组织学检查不具有成本效益。