Impact of using a local protocol in preoperative testing: blind randomized clinical trial.

Santos, Mônica Loureiro Maués; Iglesias, Antonio

doi:10.1590/0100-69912017001015

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…workup when ordered selectively [14]. Several other studies and recommendations concur with St Clair et al's finding that a CBC is often unnecessarily ordered [13,15,19,24,30].…”

Section: Complete Blood Countsupporting

confidence: 59%

Preoperative Evaluation for Minimally Invasive Gynecologic Surgery: What Is the Best Evidence and Recommendations for Clinical Practice

Shields

Kho

2019

Journal of Minimally Invasive Gynecology

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Preoperative evaluation for elective benign gynecologic procedures is a necessary step in reducing perioperative complications. Although a thorough history and physical examination are the foundation of this assessment, much evidence exists that physicians rely on unnecessary laboratory and diagnostic testing. Our goal was to perform a systematic review of the available literature regarding preoperative evaluation to better inform preoperative test selection and to identify deficiencies in the current literature. There is very limited data specific to preoperative testing for patients undergoing gynecologic surgeries. Abnormal test results are common when routine, unselected testing is applied. Using a protocol to guide preoperative testing improves patient care by eliminating unnecessary tests without compromising the efficacy of predicting adverse perioperative events or case cancellation and modifications.

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“…workup when ordered selectively [14]. Several other studies and recommendations concur with St Clair et al's finding that a CBC is often unnecessarily ordered [13,15,19,24,30].…”

Section: Complete Blood Countsupporting

confidence: 59%

Preoperative Evaluation for Minimally Invasive Gynecologic Surgery: What Is the Best Evidence and Recommendations for Clinical Practice

Shields

Kho

2019

Journal of Minimally Invasive Gynecology

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“…Although each is unique, all emphasize a tailored preoperative care approach by basing the need for testing or other interventions on both patient‐ and surgery‐specific factors . Guideline adherence can reduce extraneous testing and cost without impacting perioperative morbidity and mortality (M&M) …”

Section: Overview Of the Preoperative Patient Evaluationmentioning

confidence: 99%

The evidence‐based preoperative assessment for the otolaryngologist

et al. 2019

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There is a narrow window of opportunity between surgical scheduling and the operative date to optimize patients for an elective surgical procedure. Traditionally, preoperative care has involved extended routine testing batteries with intermittent referrals for medical clearance. These traditions are costly, inefficient, and yield no clear reduction in perioperative morbidity and mortality. Evidence, which has evolved over the past decade, suggests that optimal preoperative care requires a patient-centric, personalized, and often multidisciplinary approach. We present an up-to-date overview of this literature with a focus on the otolaryngologic surgical population. An algorithmic approach to preoperative patient assessment is also proposed in hopes of both optimizing patient outcome and streamlining routine clinical workflow.

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Preoperative evaluation for gynecologic surgery: a guide to judicious, evidence-based testing

Shields

Lupo

Walsh

et al. 2018

Current Opinion in Obstetrics &Amp; Gynecology

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The preoperative evaluation including thorough history and physical examination should be the cornerstones for eliciting underlying disease, which may alter a surgical strategy. Devising a protocol to direct preoperative testing has been shown to decrease unnecessary tests without compromising prediction of perioperative morbidity/mortality or case cancellation and changes. Avoidance of 'routine preoperative testing' and instead, thoughtful risk stratification of individual patients, should be a goal of providing value-based care.

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Impact of using a local protocol in preoperative testing: blind randomized clinical trial.

Cited by 3 publications

References 19 publications

Preoperative Evaluation for Minimally Invasive Gynecologic Surgery: What Is the Best Evidence and Recommendations for Clinical Practice

Preoperative Evaluation for Minimally Invasive Gynecologic Surgery: What Is the Best Evidence and Recommendations for Clinical Practice

The evidence‐based preoperative assessment for the otolaryngologist

Preoperative evaluation for gynecologic surgery: a guide to judicious, evidence-based testing

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