Important reasons to obtain autopsy for CJD patients |
Autopsy is needed to confirm CJD diagnosis |
– |
92/197 (47) |
11/21 (52) |
Autopsy is needed to rule out variant CJD or other TSEa forms |
168/231 (73) |
87/193 (45) |
12/20 (60) |
Barriers to performing autopsy and histopathologic analysis for CJD |
Clinicians do not feel autopsy is required for diagnosis |
94/221 (43) |
72/198 (36) |
7/21 (33) |
Facilities not able/willing to perform autopsies on CJD patients |
75/234 (32) |
111/210 (53) |
8/22 (36) |
Families are reluctant to give consent for autopsy |
192/242 (79) |
57/202 (28) |
6/22 (27) |
Cost of autopsy is a concern to patient's family |
113/234 (48) |
34/202 (17) |
8/20 (40) |
Cost of autopsy is a concern to hospital/institution |
78/234 (34) |
40/199 (20) |
8/21 (38) |
Infection control is a concern regarding autopsy |
102/235 (44) |
143/185 (77) |
9/11 (82) |
Facilities are inadequate to perform autopsy |
– |
24/185 (13) |
5/11 (45) |
Infection control is a concern regarding histopathologic evaluation |
– |
62/111 (56) |
4/8 (50) |
No available pathologists experienced in recognizing histopathologic features of CJD
|
–
|
69/111 (62)
|
1/8 (13)
|
aTSE, transmissible spongiform encephalopathy. |