FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3135141010> ?p ?o ?g. }

• W3135141010 abstract "Objectives Preoperative testing is used to guide the action plan for patients undergoing surgical and other procedures that require anesthesia and to predict potential postoperative complications. There is uncertainty whether routine or per-protocol testing in the absence of a specific indication prevents complications and improves outcomes, or whether it causes unnecessary delays, costs, and harms due to false-positive results. Data sources We searched MEDLINE® and Ovid Healthstar® (from inception to July 22, 2013), as well as Cochrane Central Trials Registry and Cochrane Database of Systematic Reviews. Review methods We included comparative and cohort studies of both adults and children undergoing surgical and other procedures requiring either anesthesia or sedation (excluding local anesthesia). We included all preoperative tests that were likely to be conducted routinely (in all patients) or on a per-protocol basis (in selected patients). For comparative studies, the comparator of interest was either no testing or ad hoc testing done at the discretion of the clinician. We also looked for studies that compared routine and per-protocol testing. The outcomes of interest were mortality, perioperative events, complications, patient satisfaction, resource utilization, and harms related to testing. Results Fifty-seven studies (14 comparative and 43 cohort) met inclusion criteria for the review. Well-conducted randomized controlled trials (RCTs) of cataract surgeries suggested that routine testing with electrocardiography, complete blood count, and/or a basic metabolic panel did not affect procedure cancellations (2 RCTs, relative risks [RRs] of 1.00 or 0.97), and there was no clinically important difference for total complications (3 RCTs, RR = 0.99; 95% confidence interval, 0.86 to 1.14). Two RCTs and six nonrandomized comparative studies of general elective surgeries in adults varied greatly in the surgeries and patients included, along with the routine or per-protocol tests used. They also mostly had high risk of bias due to lack of adjustment for patient and clinician factors, making their results unreliable. Therefore, they yielded insufficient evidence regarding the effect of routine or per-protocol testing on complications and other outcomes. There was also insufficient evidence for patients undergoing other procedures. No studies reported on quality of life, patient satisfaction, or harms related to testing. Conclusions There is high strength of evidence that, for patients scheduled for cataract surgery, routine preoperative testing has no effect on total perioperative complications or procedure cancellation. There is insufficient evidence for all other procedures and insufficient evidence comparing routine and per-protocol testing. There is no evidence regarding quality of life or satisfaction, resource utilization, or harms of testing and no evidence regarding other factors that may affect the balance of benefits and harms. The findings of the cataract surgery studies are not reliably applicable to other patients undergoing other higher risk procedures. Except arguably for cataract surgery, numerous future adequately powered RCTs or well-conducted and analyzed observational comparative studies are needed to evaluate the benefits and harms of routine preoperative testing in specific groups of patients with different risk factors for surgical and anesthetic complications undergoing specific types of procedures and types of anesthesia." @default.
• W3135141010 created "2021-03-15" @default.
• W3135141010 creator A5000950219 @default.
• W3135141010 creator A5025133154 @default.
• W3135141010 creator A5035592978 @default.
• W3135141010 creator A5056056874 @default.
• W3135141010 creator A5062268434 @default.
• W3135141010 date "2014-01-01" @default.
• W3135141010 modified "2023-09-25" @default.
• W3135141010 title "Benefits and Harms of Routine Preoperative Testing: Comparative Effectiveness [Internet]" @default.
• W3135141010 hasPublicationYear "2014" @default.
• W3135141010 type Work @default.
• W3135141010 sameAs 3135141010 @default.
• W3135141010 citedByCount "0" @default.
• W3135141010 crossrefType "journal-article" @default.
• W3135141010 hasAuthorship W3135141010A5000950219 @default.
• W3135141010 hasAuthorship W3135141010A5025133154 @default.
• W3135141010 hasAuthorship W3135141010A5035592978 @default.
• W3135141010 hasAuthorship W3135141010A5056056874 @default.
• W3135141010 hasAuthorship W3135141010A5062268434 @default.
• W3135141010 hasConcept C126322002 @default.
• W3135141010 hasConcept C141071460 @default.
• W3135141010 hasConcept C142724271 @default.
• W3135141010 hasConcept C168563851 @default.
• W3135141010 hasConcept C17744445 @default.
• W3135141010 hasConcept C177713679 @default.
• W3135141010 hasConcept C194828623 @default.
• W3135141010 hasConcept C199539241 @default.
• W3135141010 hasConcept C201903717 @default.
• W3135141010 hasConcept C204787440 @default.
• W3135141010 hasConcept C2776814716 @default.
• W3135141010 hasConcept C2779473830 @default.
• W3135141010 hasConcept C2780385302 @default.
• W3135141010 hasConcept C31174226 @default.
• W3135141010 hasConcept C71924100 @default.
• W3135141010 hasConcept C72563966 @default.
• W3135141010 hasConcept C95190672 @default.
• W3135141010 hasConceptScore W3135141010C126322002 @default.
• W3135141010 hasConceptScore W3135141010C141071460 @default.
• W3135141010 hasConceptScore W3135141010C142724271 @default.
• W3135141010 hasConceptScore W3135141010C168563851 @default.
• W3135141010 hasConceptScore W3135141010C17744445 @default.
• W3135141010 hasConceptScore W3135141010C177713679 @default.
• W3135141010 hasConceptScore W3135141010C194828623 @default.
• W3135141010 hasConceptScore W3135141010C199539241 @default.
• W3135141010 hasConceptScore W3135141010C201903717 @default.
• W3135141010 hasConceptScore W3135141010C204787440 @default.
• W3135141010 hasConceptScore W3135141010C2776814716 @default.
• W3135141010 hasConceptScore W3135141010C2779473830 @default.
• W3135141010 hasConceptScore W3135141010C2780385302 @default.
• W3135141010 hasConceptScore W3135141010C31174226 @default.
• W3135141010 hasConceptScore W3135141010C71924100 @default.
• W3135141010 hasConceptScore W3135141010C72563966 @default.
• W3135141010 hasConceptScore W3135141010C95190672 @default.
• W3135141010 hasOpenAccess W3135141010 @default.
• W3135141010 hasRelatedWork W1524200304 @default.
• W3135141010 hasRelatedWork W1879823279 @default.
• W3135141010 hasRelatedWork W1910328130 @default.
• W3135141010 hasRelatedWork W2018671748 @default.
• W3135141010 hasRelatedWork W2035091517 @default.
• W3135141010 hasRelatedWork W2117055437 @default.
• W3135141010 hasRelatedWork W2144687340 @default.
• W3135141010 hasRelatedWork W2169611151 @default.
• W3135141010 hasRelatedWork W2566506625 @default.
• W3135141010 hasRelatedWork W2570662818 @default.
• W3135141010 hasRelatedWork W2571455808 @default.
• W3135141010 hasRelatedWork W2598818312 @default.
• W3135141010 hasRelatedWork W2956806384 @default.
• W3135141010 hasRelatedWork W2989135331 @default.
• W3135141010 hasRelatedWork W2995603002 @default.
• W3135141010 hasRelatedWork W2996103324 @default.
• W3135141010 hasRelatedWork W3046298051 @default.
• W3135141010 hasRelatedWork W3080900341 @default.
• W3135141010 hasRelatedWork W3191977335 @default.
• W3135141010 hasRelatedWork W34761956 @default.
• W3135141010 isParatext "false" @default.
• W3135141010 isRetracted "false" @default.
• W3135141010 magId "3135141010" @default.
• W3135141010 workType "article" @default.