The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
The Usefulness of Preoperative Laboratory Screening
Abstract
We assessed the usefulness of routine laboratory screening of preoperative patients. Computer-readable laboratory, demographic, and discharge diagnostic data were assembled for 2,000 patients undergoing elective surgery over a four-month period, and randomly selected samples of patients were studied. Several tests ordered by protocol and performed by the laboratory at the time of admission were examined in these samples, including complete blood cell count, differential cell count, prothrombin time, partial thromboplastin time, platelet count, six-factor automated multiple analysis, and glucose level. Sixty percent of these routinely ordered tests would not have been performed if testing had only been done for recognizable indications, and only 0.22% of these revealed abnormalities that might influence perioperative management. Chart review indicated that these few abnormalities were not acted on nor did they have adverse surgical or anesthetic consequences. In the absence of specific indications, routine preoperative laboratory tests contribute little to patient care and could reasonably be eliminated.
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Cites
Statistical Analysis in Chemistry and the Chemical Industry
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Medical Technology — A Different View of the Contentious Debate over Costs
Moloney, T. W., & Rogers, D. E. (1979) · New England Journal of Medicine · doi:10.1056/nejm197912273012603 · Cited by 269
GRINER, P. F., & LIPTZIN, B. (1971) · Annals of Internal Medicine · doi:10.7326/0003-4819-75-2-157 · Cited by 164
Medical Significance of Laboratory Results
Barnett, R. N. (1968) · American Journal of Clinical Pathology · doi:10.1093/ajcp/50.6.671 · Cited by 156
Ultilization of clinical chemistry services by medical house staff. An analysis
Dixon, R. H., & Laszlo, J. (1974) · Archives of Internal Medicine · doi:10.1001/archinte.134.6.1064 · Cited by 149
Computer-based Audit to Detect and Correct Overutilization of Laboratory Tests
Eisenberg, J. M., Williams, S. V., Garner, L., Viale, R. O., & Smits, H. L. (1977) · Medical Care · doi:10.1097/00005650-197711000-00005 · Cited by 114
Daniels, M. L., & Schroeder, S. A. (1977) · Medical Care · doi:10.1097/00005650-197706000-00004 · Cited by 108
Treatment of Acute Pulmonary Edema: Conventional or Intensive Care?
Griner, P. F. (1972) · Annals of Internal Medicine · doi:10.7326/0003-4819-77-4-501 · Cited by 79
How cost effective are routine preoperative investigations?
Delahunt, B., & Turnbull, P. R. G. (1980) · PubMed · Cited by 58
The quality of medical care: Techniques and investigation in the outpatient clinic
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Cited by
The Value of Routine Preoperative Medical Testing before Cataract Surgery
Schein, O. D., Katz, J., Bass, E. B., Tielsch, J. M., Lubomski, L. H., Feldman, M. A., Petty, B. G., & Steinberg, E. P. (2000) · New England Journal of Medicine · doi:10.1056/nejm200001203420304 · Cited by 526
Elimination of Preoperative Testing in Ambulatory Surgery
Chung, F., Yuan, H., Yin, L., Vairavanathan, S., & Wong, D. T. (2009) · Anesthesia & Analgesia · doi:10.1213/ane.0b013e318176bc19 · Cited by 223
The Misinformation Era: The Fall of the Medical Record
Burnum, J. F. (1989) · Annals of Internal Medicine · doi:10.7326/0003-4819-110-6-482 · Cited by 129
Imasogie, N., Wong, D. T., Luk, K., & Chung, F. (2003) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/bf03017792 · Cited by 41
Metadata
- Authors
- Kaplan, E. B.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1985-06-28
- Volume
- 253
- Issue
- 24
- Pages
- 3576
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2053039613
- Cited by
- 498
- References
- 12
- FWCI
- 61.86
- Type
- journal article
- Language
- en
- Open access
- closed
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- Kaplan, E. B. (1985). The Usefulness of Preoperative Laboratory Screening. JAMA: The Journal of the American Medical Association. https://doi.org/10.1001/jama.1985.03350480084025
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
