Machnik G
Zentralbl Allg Pathol. 1978;122(4):336-40.
It is the purpose of this study to point out the epidemiological importance of pathoanatomical records. In this connections, it is necessary to pay attention to different prerequisites for documentation, especially to an agreement on diagnostical nomenclature. Liver alterations and liver diseases are given as an example for valueing the relevance of both bioptic and autoptic materials for epidemiological purposes. By means of about 8,500 liver biopsies and 1,000 autopsies from the same territorial region the type and frequency of the different pathological alterations of the liver are compiled. Their frequency differs about ten fold. The epidemiological value obviously lies in specially aimed investigations; on the other hand, autoptic examinations are more representative and therefore of higher general reliability and greater epidemiological value.
本研究的目的是指出病理解剖记录在流行病学上的重要性。在此方面,有必要注意记录的不同前提条件,尤其是诊断命名的一致性。以肝脏病变和肝脏疾病为例,评估活检和尸检材料对于流行病学目的的相关性。通过来自同一地区的约8500例肝脏活检和1000例尸检,汇总了肝脏不同病理改变的类型和频率。它们的频率相差约十倍。流行病学价值显然在于专门针对性的调查;另一方面,尸检检查更具代表性,因此具有更高的总体可靠性和更大的流行病学价值。