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. 2004 Sep;10(9):1677–1680. doi: 10.3201/eid1009.040066

Table 2. Perceptions of California neurologists, pathologists, and neuropathologists regarding performance of autopsy in Creutzfeldt-Jakob disease (CJD).

Characteristic Neurologists n/N (%) Pathologists n/N (%) Neuropathologists n/N (%)
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.