日本病理解剖的趋势 从1958年到2023年
Hiroshi Uozaki1, Yoshinao Kikuchi1, Masato Watanabe1
1Department of Pathology, Teikyo University School of Medicine, Tokyo, Japan.
Pathology international
|July 17, 2025
概括
自1985年以来,日本的病理解剖数量显著下降,受到历史事件和医疗保健变化的影响. 这种趋势影响了医学教育和进步,需要仔细解释尸检数据.
科学领域:
- 医学教育 医学教育
- 病理学 病理学 病理学
- 公共卫生 公共卫生
背景情况:
- 病理解剖对于医学进步和培训至关重要.
- 全球趋势显示,尸体解剖数量正在下降.
- 日本病理解剖病例年报 (APAC-J) 数据库追踪自1958年以来的日本解剖数据.
研究的目的:
- 用APAC-J数据分析1958年至2023年日本病理解剖的趋势.
- 确定影响尸体解剖率下降的因素.
- 检查尸检病例的人口特征.
主要方法:
- 对APAC-J数据库的分析,涵盖1958年至2023年超过149万例尸检病例.
- 随着时间的推移,对尸检数量,速率和报告设施的统计检查.
- 验尸类型的调查 (例如,有限,脑部解剖) 和病例人口统计.
主要成果:
- 尸体解剖数量在1985年达到峰值,到2022年显著下降,由COVID-19大流行加剧.
- 尸体解剖率在20世纪60年代医学院冲突之后下降,病理学家董事会认证后暂时上升.
- 人口统计分析显示男性占主导地位,病例年龄比一般人群年轻,年轻年龄组的发病率更高.
结论:
- 社会动态和医疗改革显然影响了日本的尸检实践.
- 尸检的减少给医学教育和进步带来了挑战.
- 了解尸体解剖实施中的人口变化和时间变化对于数据解释至关重要.
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