The Relative Roles of the History and Physical Examination, and Laboratory Testing in Preoperative Evaluation for Outpatient Surgery: The “Starling” Curve of Preoperative Laboratory Testing

Roizen, Michael F.; Kaplan, E. B.; Schreider, B.

doi:10.1016/s0889-8537(21)00347-3

Cited by 50 publications

(2 citation statements)

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“…Preoperative testing is extremely expensive: even more than 20 years ago, preoperative medical testing for all types of surgery accounted for approximately $30 billion in US health care costs annually. 3 The likelihood of abnormal test results increases with age, and the more tests performed, the more likely a false positive will occur, further driving up costs.…”

Section: Preoperative Testing: What Is Needed?mentioning

confidence: 99%

The role of testing in the preoperative evaluation

Hepner

2009

CCJM

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Preoperative laboratory and electrocardiographic testing should be driven by the patient's history and physical examination and the risk of the surgical procedure. A test is likely to be indicated only if it can correctly identify abnormalities and will change the diagnosis, the management plan, or the patient's outcome. Needless testing is expensive, may unnecessarily delay the operation, and puts the patient at risk for unnecessary interventions. Preoperative evaluation centers can help hospitals standardize and optimize preoperative testing while fostering more consistent regulatory documentation and appropriate coding for reimbursement.

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