{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T08:19:28Z","timestamp":1785745168925,"version":"3.56.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003478","name":"Ministry of Health, Labour and Welfare","doi-asserted-by":"publisher","award":["20HA2008"],"award-info":[{"award-number":["20HA2008"]}],"id":[{"id":"10.13039\/501100003478","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["JP22fk0108637"],"award-info":[{"award-number":["JP22fk0108637"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pathology International"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>During the coronavirus disease 2019 (COVID\u201019) pandemic, autopsies have provided valuable insights into the pathogenesis of COVID\u201019. The precise effect of this pandemic on autopsy procedures in Japan, especially in instances unrelated to COVID\u201019, has not yet been established. Therefore, we conducted a questionnaire survey from December 2020 to January 2021 regarding the status of pathological autopsy practices in Japan during the first year of the COVID\u201019 pandemic. The questionnaire was sent to 678 medical facilities with pathologists, of which 227 responded. In cases where a confirmed diagnosis of COVID\u201019 was not made at the time of autopsy, many facilities counted them as suspected COVID\u201019 cases if pneumonia was suspected clinically. At around half of the sites, autopsies were prohibited for suspected COVID\u201019 cases. In addition, the number of autopsies of non\u2010COVID\u201019 cases during the pandemic period was also investigated, and a significant decrease was observed compared with the incidence in the pre\u2010pandemic period. The COVID\u201019 pandemic has affected not only the autopsies of COVID\u201019 cases but also the entire practice of pathological autopsies. It is necessary to establish a system that supports the implementation of pathological autopsy practices during the pandemic of an emerging infectious disease.<\/jats:p>","DOI":"10.1111\/pin.13306","type":"journal-article","created":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T11:36:52Z","timestamp":1672832212000},"page":"120-126","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of the COVID\u201019 pandemic on pathological autopsy practices in Japan"],"prefix":"10.1111","volume":"73","author":[{"given":"Yuichiro","family":"Hirata","sequence":"first","affiliation":[{"name":"Department of Pathology National Institute of Infectious Diseases  Tokyo Japan"},{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba City Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2258-9031","authenticated-orcid":false,"given":"Shun","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Pathology National Institute of Infectious Diseases  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Arashiro","sequence":"additional","affiliation":[{"name":"Department of Pathology National Institute of Infectious Diseases  Tokyo Japan"},{"name":"Center for Surveillance, Immunization, and Epidemiologic Research National Institute of Infectious Diseases  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayaka","family":"Nagasawa","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba City Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisako","family":"Saitoh","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba City Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4513-1007","authenticated-orcid":false,"given":"Hiroyuki","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Pathology, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masako","family":"Ikemura","sequence":"additional","affiliation":[{"name":"Department of Pathology, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0025-5252","authenticated-orcid":false,"given":"Yohsuke","family":"Makino","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba City Japan"},{"name":"Department of Forensic Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rintaro","family":"Sawa","sequence":"additional","affiliation":[{"name":"Japan Medical Association Research Institute Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotaro","family":"Iwase","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine, Graduate School of Medicine Chiba University  Chiba City Japan"},{"name":"Department of Forensic Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuo","family":"Ushiku","sequence":"additional","affiliation":[{"name":"Department of Pathology, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3820-9542","authenticated-orcid":false,"given":"Tadaki","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Pathology National Institute of Infectious Diseases  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Akitomi","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"},{"name":"Japan Medical Association Research Institute Tokyo Japan"},{"name":"International Medical Institute Medical Safety Promotion Organization  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(20)30120-1"},{"key":"e_1_2_9_3_1","unstructured":"Centers for Disease Control and Prevention. Collection and submission of postmortem specimens from deceased persons with confirmed or suspected COVID\u201019 [homepage on the Internet].2022. Available from:https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/guidance-postmortem-specimens.html"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2020.101999"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.legalmed.2020.101769"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2015432"},{"key":"e_1_2_9_7_1","unstructured":"National Institute of Infectious Diseases. Infection prevention measures at autopsy for COVID\u201019 (Japanese) 2020. Available from:https:\/\/center6.umin.ac.jp\/oasis\/pathology\/news\/pdf\/COVID-19_au200227.pdf"},{"key":"e_1_2_9_8_1","unstructured":"National Institute of Infectious Diseases. Autopsy protocol for COVID\u201019 cases (in Japanese).2020. Available from:https:\/\/center6.umin.ac.jp\/oasis\/pathology\/news\/pdf\/COVID-19_pro200227.pdf"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2609.201353"},{"key":"e_1_2_9_10_1","unstructured":"Ministry of Health Labour and Welfare. Results of the second national seroprevalence study (in Japanese).2021. Available from:https:\/\/www.mhlw.go.jp\/content\/000761671.pdf"},{"issue":"4","key":"e_1_2_9_11_1","first-page":"374","article-title":"Survey on implementation of pathological autopsies on patients with COVID\u201019 in Japan (in Japanese) Shindan Byouri","volume":"38","author":"Hirata Y","year":"2021","journal-title":"Diagnostic Pathology"},{"issue":"1","key":"e_1_2_9_12_1","first-page":"21","article-title":"Gross examination report of a COVID\u201019 death autopsy","volume":"36","author":"Liu Q","year":"2020","journal-title":"Fa Yi Xue Za Zhi"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(20)30434-5"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/his.14134"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00414-020-02317-w"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/d41586-020-01355-z"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.9972"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.17267"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.2188\/jea.JE20210324"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60376-6"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1909017"}],"container-title":["Pathology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pin.13306","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pin.13306","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pin.13306","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T17:43:31Z","timestamp":1692639811000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pin.13306"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,4]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/pin.13306"],"URL":"https:\/\/doi.org\/10.1111\/pin.13306","archive":["Portico"],"relation":{},"ISSN":["1320-5463","1440-1827"],"issn-type":[{"value":"1320-5463","type":"print"},{"value":"1440-1827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,4]]},"assertion":[{"value":"2022-08-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}