Abstract
Preoperative tests before elective surgeries are routine in clinical practice despite having negative recommendations for it. As millions of people undergo surgery every year, even a single preoperative test has huge economic impact. In the present era of evidence based medicine different scientific bodies / societies have come out with guidelines / protocols / recommendations on this issue to reduce the load of unnecessary preoperative tests and its burden and negative impacts on patients as well as health authority. However, the uses of these recommendations are poor in clinical practice. In the present communication we are putting brief insight in to the new NICE guideline on preoperative tests as well as suggesting few strategies to get maximum benefit out of different guidelines and recommendations.
Keywords
References
- 1. Bhasin SK, Roy R, Agrawal S, Sharma R. An Epidemiological Study of Major Surgical Procedures in an Urban Population of East Delhi. Indian J Surg. 2011;73:131-5.
- 2. National Collaborating Centre for Acute Care (UK). Preoperative tests: The use of routine preoperative tests for elective surgery – Evidence, methods and guidance. London: National Institute of Clinical Excellence; 2003. Available from: http://www.ncbi.nlm.nih.gov/books/NBK48489/ [Last accessed on 2016 Jul 22]
- 3. Ranasinghe P, Perera YS, Senaratne JA, Abayadeera A. Preoperative testing in elective surgery: Is it really cost effective? Anesth Essays Res 2011;5:28-32.
- 4. Karim HM, Yunus M, Bhattacharyya P. An observational cohort study on pre-operative investigations and referrals: How far are we following recommendations? Indian J Anaesth 2016;60:552-9.
Abstract
Preoperative tests before elective surgeries are routine in clinical practice despite having negative recommendations for it. As millions of people undergo surgery every year, even a single preoperative test has huge economic impact. In the present era of evidence based medicine different scientific bodies / societies have come out with guidelines / protocols / recommendations on this issue to reduce the load of unnecessary preoperative tests and its burden and negative impacts on patients as well as health authority. However, the uses of these recommendations are poor in clinical practice. In the present communication we are putting brief insight in to the new NICE guideline on preoperative tests as well as suggesting few strategies to get maximum benefit out of different guidelines and recommendations.
References
- 1. Bhasin SK, Roy R, Agrawal S, Sharma R. An Epidemiological Study of Major Surgical Procedures in an Urban Population of East Delhi. Indian J Surg. 2011;73:131-5.
- 2. National Collaborating Centre for Acute Care (UK). Preoperative tests: The use of routine preoperative tests for elective surgery – Evidence, methods and guidance. London: National Institute of Clinical Excellence; 2003. Available from: http://www.ncbi.nlm.nih.gov/books/NBK48489/ [Last accessed on 2016 Jul 22]
- 3. Ranasinghe P, Perera YS, Senaratne JA, Abayadeera A. Preoperative testing in elective surgery: Is it really cost effective? Anesth Essays Res 2011;5:28-32.
- 4. Karim HM, Yunus M, Bhattacharyya P. An observational cohort study on pre-operative investigations and referrals: How far are we following recommendations? Indian J Anaesth 2016;60:552-9.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Review |
| Authors | |
| Publication Date | June 30, 2017 |
| Acceptance Date | October 5, 2016 |
| Published in Issue | Year 2017 Volume: 26 Issue: 2 |
