Key result
Routine preoperative laboratory testing in asymptomatic adults undergoing elective oral and maxillofacial surgeries leads to further delays and a rise in overall cost of the surgery.
Why the study?
Preoperative batteries of laboratory tests have become routine before elective surgeries, but their relevance in healthy patients undergoing routine elective oral and maxillofacial procedures required investigation.
Does routine preoperative laboratory testing improve outcomes or only increase delays and costs in asymptomatic adults undergoing elective oral and maxillofacial surgery?
Systematic Review
Does routine preoperative laboratory testing improve outcomes or only increase delays and costs in asymptomatic adults undergoing elective oral and maxillofacial surgery?
Routine preoperative laboratory testing in healthy adults undergoing elective oral and maxillofacial surgery is unnecessary and increases costs and delays.
Answers are grounded in this paper and cite their sources.
Omitting routine preoperative labs may reduce delays and costs in asymptomatic elective OMFS; strengthens evidence against low-value preoperative testing.
AIM: In the recent times due to accessibility of tools and advent of technology advising battery of laboratory tests prior to any electeve surgical procedure has become a norm. This review aims at investigating relevance of such tests in healthy patients undergoing routine elective oral and maxillofacial surgical procedures. METHODS: Various search engines were thoroughly searched to identify relevant literature. The population of interest was asymptomatic adults above 18 years of age undergoing elective surgery. RESULTS: The preoperative tests of interest for the current study included complete blood count, coagulation tests, biochemistry, and chest X-rays. An algorithm for preoperative tests has been proposed. CONCLUSION: We conclude that advising battery of routine tests in such patients leads to further delays and rise in overall cost of the surgery.
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Chatterjee et al. (2020) conducted a systematic review in Elective oral and maxillofacial surgery. Routine preoperative laboratory testing was evaluated on Relevance, delays, and overall cost of surgery. Routine preoperative laboratory testing in asymptomatic adults undergoing elective oral and maxillofacial surgeries leads to further delays and a rise in overall cost of the surgery.
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