dc.creatorArieta, Carlos Eduardo Leite
dc.creatorNascimento, Maurício Abujamra
dc.creatorLira, Rodrigo Pessoa Cavalcanti
dc.creatorKara-José, Newton
dc.date
dc.date2015-11-27T12:58:47Z
dc.date2015-11-27T12:58:47Z
dc.date.accessioned2018-03-29T01:00:24Z
dc.date.available2018-03-29T01:00:24Z
dc.identifierCadernos De Saúde Pública. v. 20, n. 1, p. 303-10
dc.identifier0102-311X
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/15029333
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/196153
dc.identifier15029333
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1296386
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.description303-10
dc.languagepor
dc.relationCadernos De Saúde Pública
dc.relationCad Saude Publica
dc.rightsaberto
dc.rights
dc.sourcePubMed
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 And Over
dc.subjectCataract Extraction
dc.subjectCosts And Cost Analysis
dc.subjectDiagnostic Tests, Routine
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPreoperative Care
dc.subjectUnnecessary Procedures
dc.title[waste Of Medical Tests In Preoperative Evaluation For Cataract Surgery].
dc.typeArtículos de revistas


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