Objectives The behaviour of tumour metastases and
the different responses to therapies are still not fully
understood. The project ‘targeted autopsies’ of the
Universities of Regensburg and Erlangen aimed to further
uncover the metastatic behaviour of malignant tumours
by scientifically processing different tumour samples. To
initiate such a programme, the concerns of all possible
stakeholders must be analysed so that the programme
can be set up accordingly and the highest possible level of
approval can be achieved.
Design This study investigated the basic attitude toward a
targeted autopsy programme for patients with tumours and
possible criteria for such a programme using qualitative
interviews. Focus group discussions were held to explore
the opinions and views regarding ethical aspects of various
professional groups (experts) involved in this project.
An interview guideline was prepared beforehand by the
supervising project group. Semistructured interviews were
conducted, transcribed and analysed through qualitative
content analysis according to Mayring.
Setting University of Regensburg, Germany and
cooperating medical partners.
Results Altogether, 15 experts were interviewed. The
experts described the project as interesting and feasible.
They assumed a sufficient participation rate in this
autopsy programme from the population; however, they
recommend giving importance to providing sufficient and
professional education to all persons involved. Preserving
the dignity of the donor and providing appropriate care
for relatives is of great importance. Good organisation is
considered imperative for the success of the project.
Conclusion Generally, experts favour the implementation
of a targeted autopsy programme. However, some hurdles
must be overcome. Challenges similar to those in general
or rapid autopsy and organ donation programmes exist,
such as donor recruitment, staffing shortages and financial
constraints. People involved must be well informed before
the project.