L’élimination des tests de routine, avant l’opération de la cataracte, permet de réduire de façon importante les dépenses de laboratoire. Un rapport sommaire

Imasogie, Ngozi; Wong, David T.; Luk, Ken; Chung, Frances

doi:10.1007/bf03017792

Cited by 35 publications

(36 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The role of preoperative testing, particularly in healthy individuals or outpatients undergoing relatively non-invasive procedures, is questionable. 13,23 Imasogie et al 24 recently demonstrated that considerable cost savings could be achieved, without adverse consequences, by discontinuing routine testing in patients scheduled for cataract surgery. These data support other studies where, in the absence of evidence on history and physical examination of undiagnosed disease, little if any information of consequence was added by preoperative screening.…”

Section: Me Et Th Ho Od Ds Smentioning

confidence: 99%

La demande sélective de tests préopératoires par les anesthésiologistes réduit le nombre et le coût des tests

Finegan¹,

Rashiq²,

McAlister

et al. 2005

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

P Pu ur rp po os se e: : Preoperative investigations are frequently ordered according to care maps or protocols. We hypothesized that selective ordering of investigations by anesthesiology staff would reduce the number and cost of testing.M Me et th ho od ds s: : Prospective descriptive double cohort study carried out over 17 weeks in a tertiary care preadmission clinic. In Group 1, testing followed usual practice (based on standing preoperative orders) while in Group 2 testing was initiated only on the order of an attending anesthesiologist or anesthesiology resident. Postoperative complications were categorized and confirmed by an internist blinded to group assignment. Fisher's exact test, Chisquare and Student's t test were used to compare the groups as appropriate. Statistical significance was inferred at P < 0.05. R Re es su ul lt ts s: : Data were obtained from 507 patients in Group 1 and 431 patients in Group 2. Demographics and ASA risk score were similar in both groups. The mean number of tests ordered did not differ between groups. The mean cost of investigations was reduced from $124 in Group 1 to $95 in Group 2 (P < 0.05). If data for patients assessed by staff anesthesiologists only were considered, the mean cost of testing was reduced to $73. The number and cost of tests ordered by anesthesia residents were similar to that in Group 1. More complications were noted in Group 2, but these did not appear to be related to the altered test ordering practice.C Co on nc cl lu us si io on n: : Selective test ordering by staff anesthesiologists reduces the number and cost of preoperative investigations. Educational efforts should be directed towards improving resident and staff preoperative test ordering practices. HE routine ordering of screening laboratory and radiological investigations prior to surgery has been the subject of considerable criticism, resulting in the development of guidelines, 1-3 computer programs 4 and procedure/disease based algorithms to guide test selection. 5,6 The latter are usually institution or region specific and are incorporated into clinical pathways or care maps designed to standardize pre-and postoperative management of elective surgical patients. Objectif 6Clinical pathways have proven to be cost effective, reducing laboratory and diagnostic charges without adversely affecting outcome.7 In many situations, particularly where the patient is healthy or the procedure is relatively non-invasive, no preoperative investigations are performed. 8In parallel with these developments, surgical preoperative assessment clinics have been established which obviate the need for hospital admission prior to the day of surgery.9 This process has proven to be cost-effective and well accepted by patients.10 Preadmission clinics are frequently not staffed by physicians but by nurses who function in a screening role, detecting medical or physical conditions that trigger an anesthesiology or internal medicine consultation.11,12 Indeed, even in clinics where patients are assessed preoperatively by...

show abstract

Section: Me Et Th Ho Od Ds Smentioning

confidence: 99%

La demande sélective de tests préopératoires par les anesthésiologistes réduit le nombre et le coût des tests

Finegan¹,

Rashiq²,

McAlister

et al. 2005

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

“…Two hundred and eighty-two references were identified as relevant from the title and abstract sifting using the abstract selection criteria. Of the 282 full manuscripts that were obtained for further assessment, eight papers [36][37][38][39][40][41][42][43] (one full economic evaluation 36 and seven partial economic evaluations [37][38][39][40][41][42][43] ) were identified for data extraction.…”

Section: Resultsmentioning

confidence: 99%

“…Only one full economic evaluation was identified. 36 Although we additionally reported seven further partial economic evaluations [37][38][39][40][41][42][43] with a view to extracting data that might be used in an economic model, these too provided few data that could be utilised.…”

Section: Discussionmentioning

confidence: 99%

“…The study by Imasogie et al 39 aimed to evaluate the potential cost savings accruing when routine pre-operative testing is discontinued in ambulatory cataract surgery patients. The hospital-based study was set in Canada and assessed the introduction of a new policy of discontinuing routine laboratory testing prior to cataract surgery.…”

Section: Partial Economic Evaluationsmentioning

confidence: 99%

See 1 more Smart Citation

What is the value of routinely testing full blood count, electrolytes and urea, and pulmonary function tests before elective surgery in patients with no apparent clinical indication and in subgroups of patients with common comorbidities: a systematic review of the clinical and cost-effective literature

Czoski-Murray

Jones²,

McCabe³

et al. 2012

Health Technol Assess

View full text Add to dashboard Cite

“…Obviously not all of these 25,92% were considered to have DM. But considering that, according to the American Diabetes Association 18 , over 25% of adults over the age of 65 have diabetes, and many are not diagnosed, the investigation of these research results is needed, as well as the control of those who are not well treated in order to reduce complications, especially infections 41,42 . In addition to laboratory tests, electrocardiogram (ECG) is a test that is also part of the routine request of surgeons.…”

Section: Discussionmentioning

confidence: 99%

The pre-anesthetic evaluation for ophthalmic surgery in the elderly is really necessary? The reality of a public hospital

Bisinotto¹,

Mesquita²,

Miziara³

et al. 2016

Revista Brasileira De Oftalmologia

View full text Add to dashboard Cite

L’élimination des tests de routine, avant l’opération de la cataracte, permet de réduire de façon importante les dépenses de laboratoire. Un rapport sommaire

Abstract: P Pu ur rp po os se e: : To evaluate the possible cost savings when routine preoperative testing is discontinued in ambulatory cataract surgery patients.

Cited by 35 publications

References 11 publications

La demande sélective de tests préopératoires par les anesthésiologistes réduit le nombre et le coût des tests

La demande sélective de tests préopératoires par les anesthésiologistes réduit le nombre et le coût des tests

The pre-anesthetic evaluation for ophthalmic surgery in the elderly is really necessary? The reality of a public hospital

Contact Info

Product

Resources

About