title: How well do we communicate autopsy findings to next of kin?
abstract: BACKGROUND
  A failure of communication among families, physicians, and pathologists is recognized as a major cause of declining autopsy rates and may be involved in increased litigation.
  
  
  OBJECTIVE
  To determine how effectively autopsy results are communicated to the next of kin and how satisfied families are with the process from consent to relaying of the results.
  
  
  METHODS
  A retrospective telephone survey of next of kin of 106 consecutive patients autopsied at a major teaching hospital. The family was asked questions on the process of obtaining consent and the information they received back from health care providers.
  
  
  RESULTS
  Thirty-two percent of relatives indicated that they were not adequately informed as to the purpose of the autopsy. Eighty percent of respondents were notified of or obtained the results. The ways in which the autopsy findings were communicated varied, but 54% were involved in a discussion of the results with a medical professional. More than half of the families wished to have a copy of the results. Two-thirds felt they were satisfied with the explanation of the results, but an important cause of dissatisfaction was the use of unfamiliar medical terminology. When the family's understanding of the cause of death was compared with the diagnoses on the autopsy reports, 65% of families demonstrated an accurate knowledge of the autopsy findings, 28% had a general understanding, and for only 8% was their knowledge judged inaccurate. Overall, 92% of notified respondents felt the autopsy had served a useful purpose, mostly for personal reasons.
  
  
  CONCLUSIONS
  We conclude that the autopsy fulfills an important need for many families; however, the purpose of the autopsy and the findings need to be more effectively communicated.
authors.affiliation: Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, Alberta, Canada T2N 4N1.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Keys
authors.forename: Carolyn
authors.initials: C
authors.lastname: Brownlee
authors.forename: Monica
authors.initials: M
authors.lastname: Ruff
authors.forename: Cynthia
authors.initials: C
authors.lastname: Baxter
authors.forename: Lisa
authors.initials: L
authors.lastname: Steele
authors.forename: Francis H Y
authors.initials: FH
authors.lastname: Green
mesh_terms: D001344:Autopsy; D002170:Canada; D002423:Cause of Death; D003144:Communication Barriers; D003219:Confidentiality; D005190:Family; D005260:Female; D006287:Health Planning Guidelines; D006785:Hospitals, University; D006801:Humans; D007258:Informed Consent; D007407:Interviews as Topic; D008297:Male; D011368:Professional-Family Relations; D012189:Retrospective Studies