Does the KCE restrictive policy for preoperative testing lead to increased postoperative complications rate?
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.
Georges
P
P
Department of Anaesthesiology, St-Luc Hospital, Brussels, Belgium. Pascal.Georges@uclouvain.be
Kremer
Y
Y
Ledent
M
M
Lechat
J P
JP
De Kock
M
M
D000328:Adult; D001530:Belgium; D003363:Cost Control; D003955:Diagnostic Tests, Routine / Q000191:economics / Q000706:statistics & numerical data; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D019564:Unnecessary Procedures