Skip to main content
    • Aa
    • Aa

Routine Preoperative Investigation: Results of a Multicenter Survey in Italy

  • Gualtiero Ricciardi (a1), Italo F. Angelillo (a2), Umberto Del Prete (a3), Marcello M. D'Errico (a4), Guido M. Grasso (a5), Pasquale Gregorio (a6), Francesco S. Schioppa (a7), Maria Triassi (a8) and Antonio Boccia (a9)...

We conducted a study to acquire information on the current behavior of a sample of Italian surgeons and anesthesiologists about prescribing, interpreting, and using routine preoperative investigations. Consultants in surgery and anesthesiology in 60 hospitals in northern, central, and southern Italy were interviewed. Prescription of these procedures by doctors were driven more by personal experience than by updated scientific knowledge. This practice often led to ineffective and inefficient clinical practice, with healthy patients undergoing useless, time-consuming, costly, and sometimes harmful procedures.

Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1. C. Archer , A. R. Levy , & M. McGregor Value of preoperative chest x-rays: A meta-analysis. Canadian Journal of Anaesthesiology, 1993, 40, 1022–27.

4. Y. Charpak , C. Blery , & C. Chastang Designing a study for evaluating a protocol for the selective performance of preoperative tests. Statistics in Medicine, 1987, 6, 813–22.

8. S. Houry , C. Georgeac , J. M. Hay , A prospective multicenter evaluation of preoperative hemostatic screening tests. The French Associations for Surgical Research. American Journal of Surgery, 1995, 170, 1923.

9. F. A. Hubbell , E. B. Frye , B.V. Akin , & L. Rucker Routine admission testing for general medical patients. Medical Care, 1988, 26, 619–30.

11. E. B. Kaplan , L. B. Sheiner , A. J. Boeckmann , The usefulness of preoperative laboratory screening. JAMA, 1985, 253, 3576–81.

13. D. S. Macpherson Preoperative laboratory testing: Should any tests be ‘routine’ before surgery? Medical Clinics of North America, 1993, 77, 289308.

14. P. W. Marcello , & P.L. Roberts Routine preoperative studies: Which studies in which patients? Surgical Clinics of North America, 1996, 76, 1123.

19. T. G. Tape , & A. I. Mushlin How useful are routine chest x-rays of operative patients at risk for postoperative chest disease? Journal of General Internal Medicine, 1988, 3, 1520.

20. T. G. Tape , & A. I. Mushlin The utility of routine chest radiographs. Annals of Internal Medicine, 1986, 104, 663–70.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
Please enter your name
Please enter a valid email address
Who would you like to send this to? *


Full text views

Total number of HTML views: 0
Total number of PDF views: 1 *
Loading metrics...

Abstract views

Total abstract views: 49 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 22nd May 2017. This data will be updated every 24 hours.