PDF(Pubmed)
Abstract：
Neuropathology consultations are an essential part of medico-legal cause-of-death investigations. However, there are little data on the rates of neuropathological examinations in medico-legal autopsies. The present nationwide, retrospective, register-based study aimed to report and compare neuropathology consultation rates (i.e. the percentages of medico-legal autopsies with a neuropathology consultation) in five Finnish regions from 2016 to 2021. The dataset comprised 50 457 medico-legal autopsies with 1 274 neuropathology consultations. Overall, ~1 in 40 autopsies (2.5%) involved a neuropathology consultation. Consultation rates were lowest in the Southern Finland region (1.4%) and highest in the Southwestern Finland and Åland region (6.5%). Throughout the study period, the consultation rates of Southwestern Finland and Åland were 1.5 to 9.4 times those of other regions (P < 0.001). In conclusion, this nationwide Finnish study identified substantial differences in neuropathology consultation rates between regions, which may indicate regional differences in conventions and policies. However, the \"optimal\" consultation rate remains unknown. Future studies are required to further understand the differences in autopsy practices within the Finnish context as well as in medico-legal institutions elsewhere.
UNASSIGNED: There are little data on the rates of neuropathology consultations in medico-legal autopsies.This Finnish study characterized regional differences in neuropathology consultation rates between 2016 and 2021.Overall, 1 in 40 autopsies (2.5%) involved a neuropathology consultation.The consultation rates of Southwestern Finland and Åland were 1.5 to 9.4 times those of other regions.Our findings may reflect regional differences in conventions and policies.
UNASSIGNED: There are little data on the rates of neuropathology consultations in medico-legal autopsies.This Finnish study characterized regional differences in neuropathology consultation rates between 2016 and 2021.Overall, 1 in 40 autopsies (2.5%) involved a neuropathology consultation.The consultation rates of Southwestern Finland and Åland were 1.5 to 9.4 times those of other regions.Our findings may reflect regional differences in conventions and policies.
摘要：
神经病理学咨询是医学法律死亡原因调查的重要组成部分。然而,关于医学-法律尸检中神经病理学检查率的数据很少。目前全国范围内,回顾性,基于注册的研究旨在报告和比较2016年至2021年芬兰五个地区的神经病理学咨询率（即医学-法律尸检和神经病理学咨询的百分比）。该数据集包括50457例医学尸检和1.274例神经病理学咨询。总的来说,40例尸检中的1例（2.5％）涉及神经病理学咨询。芬兰南部地区的咨询率最低（1.4％），芬兰西南部和奥兰地区的咨询率最高（6.5％）。在整个研究期间，芬兰西南部和奥兰州的咨询率是其他地区的1.5~9.4倍(P<0.001).总之,这项全国性的芬兰研究发现，地区之间的神经病理学咨询率存在巨大差异，这可能表明公约和政策的地区差异。然而,“最佳”咨询率仍然未知。需要进行未来的研究，以进一步了解芬兰背景下以及其他地方的医学法律机构中尸检实践的差异。
关于医学-法律尸检中神经病理学咨询率的数据很少。这项芬兰研究描述了2016年至2021年间神经病理学咨询率的地区差异。总的来说,40例尸检中有1例（2.5％）涉及神经病理学咨询。芬兰西南部和奥兰的咨询率是其他地区的1.5至9.4倍。我们的发现可能反映了公约和政策的地区差异。
关于医学-法律尸检中神经病理学咨询率的数据很少。这项芬兰研究描述了2016年至2021年间神经病理学咨询率的地区差异。总的来说,40例尸检中有1例（2.5％）涉及神经病理学咨询。芬兰西南部和奥兰的咨询率是其他地区的1.5至9.4倍。我们的发现可能反映了公约和政策的地区差异。
