Indications for routine preoperative examinations

Durieux P
Record ID 31995000093
Authors' objectives:

To determine whether routine preoperative examinations are medically justified and whether their results significantly modify medical decisions and short-term and long-term health of the patients, at the request of the French National Committee for Medical Evaluation.

Authors' results and conclusions: The false-positive rate of abnormal chest x-rays is 60%. The positive predictive value of ECG for cardiac complications was found to be only 4% in healthy subjects and that of a prolonged APTT is only 0.1% in the absence of symptoms suggestive of a clotting disorder and PT provides little or no additional information. Some authors believe that the cost-effectiveness of biochemical screening may be favourable over the age of 40 years, while others consider it to be useful only over the age of 60 or even 70 years.
Authors' recommendations: No scientific data or legal requirements justify routine complementary investigations. Only those justified by the findings of the clinical history and examination and the proposed operation and anaesthetic are essential. Other output or dissemination activity: Diffusion of medical review criteria.
Authors' methods: Review
Project Status: Completed
URL for project:
Year Published: 1992
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: France
MeSH Terms
  • Diagnostic Tests, Routine
  • Electrocardiography
  • Hematologic Tests
  • Preoperative Care
  • Radiography
Organisation Name: L'Agence Nationale d'Accreditation d'Evaluation en Santé
Contact Address: 2 avenue du Stade de France, 93218 Saint-Denis La Plaine Cedex, France. Tel: +33 01 55 93 71 88; Fax: +33 01 55 93 74 35;
Contact Name:
Contact Email:
Copyright: Agence Nationale pour le Developpement de l'Evaluation Medicale
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