Waste Of Medical Tests In Preoperative Evaluation For Cataract Surgery [desperdício De Exames Complementares Na Avaliação Pré-operatória Em Cirurgias De Catarata.]

dc.creatorArieta C.E.
dc.creatorNascimento M.A.
dc.creatorLira R.P.
dc.creatorKara-Jose N.
dc.date2004
dc.date2015-06-26T14:25:05Z
dc.date2015-11-26T14:14:24Z
dc.date2015-06-26T14:25:05Z
dc.date2015-11-26T14:14:24Z
dc.date.accessioned2018-03-28T21:15:16Z
dc.date.available2018-03-28T21:15:16Z
dc.identifier
dc.identifierCadernos De Saúde Pública / Ministério Da Saúde, Fundação Oswaldo Cruz, Escola Nacional De Saúde Pública. , v. 20, n. 1, p. 303 - 310, 2004.
dc.identifier0102311X
dc.identifier
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-4444230265&partnerID=40&md5=d86ea23e05ec3d6808c3868312fd4b82
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/94660
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/94660
dc.identifier2-s2.0-4444230265
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1242528
dc.descriptionThe objective of this clinical trial was to determine the frequency of medical tests considered unnecessary in routine preoperative evaluation for cataract surgery. Unnecessary costs with these tests were also evaluated. For patients assigned to the selective testing group, it was requested that no preoperative testing be performed unless the patient presented a new or worsening medical problem warranting medical evaluation with testing. For patients assigned to the routine testing group, three tests were requested: a 12-lead electrocardiogram, complete blood count, and serum glucose level. The costs of tests considered unnecessary were calculated. The sample of 1,025 patients consisted of 512 assigned to the routine testing group and 513 to the selective testing group. Cumulative rate of medical events was similar in the two groups (p=0.923). The selective group underwent 60.7% fewer tests. The results suggest that selective preoperative testing in cataract surgery does not harm patients in terms of peri-operative clinical complications and also represents a significant cost reduction compared to routine testing.
dc.description20
dc.description1
dc.description303
dc.description310
dc.languagept
dc.publisher
dc.relationCadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública
dc.rightsaberto
dc.sourceScopus
dc.titleWaste Of Medical Tests In Preoperative Evaluation For Cataract Surgery [desperdício De Exames Complementares Na Avaliação Pré-operatória Em Cirurgias De Catarata.]
dc.typeArtículos de revistas


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