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Does the KCE restrictive policy for preoperative testing lead to increased postoperative complications rate?

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Georges, Pascal [UCL] Kremer, Yves [UCL] Ledent, M Lechat, J.-P. De Kock, Marc [UCL]

The majority of the industrialized country tries to contain the health care costs. One of the solutions applied was to restrict preoperative routine testing. To determine whether such policy was safe for the patient, we conducted a retrospective study related to 659 women, classified ASA 1 or 2, admitted for gynaecological surgery. In this study we have not observed an increased complications rate related to this restrictive policy. We conclude that for the population selected, the KCE recommendations for preoperative testing are secure and do not induce an increased postoperative complications rate.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2010
Language Anglais
Journal information "Acta Anaesthesiologica Belgica" - Vol. 61, no. 1, p. 5-11 (2010)
Peer reviewed yes
Publisher Association Royale des Societes Scientifiques Medicales Belges (Brussels (BE))
issn 0001-5164
Publication status Publié
Affiliations UCL - SSS/IONS/CEMO - Pôle Cellulaire et moléculaire
UCL - SSS/IREC/MEDA - Pôle de médecine aiguë
UCL - (SLuc) Service d'anesthésiologie
MESH Subject Adult ; Belgium ; Cost Control ; Diagnostic Tests, Routine - economics, utilization ; Female ; Gynecologic Surgical Procedures - adverse effects ; Humans ; Middle Aged ; Postoperative Complications - etiology, prevention & control ; Unnecessary Procedures
Links
Bibliographic reference Georges, Pascal ; Kremer, Yves ; Ledent, M ; Lechat, J.-P. ; De Kock, Marc. Does the KCE restrictive policy for preoperative testing lead to increased postoperative complications rate?. In: Acta Anaesthesiologica Belgica, Vol. 61, no. 1, p. 5-11 (2010)
Permanent URL http://hdl.handle.net/2078.1/80328