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July 4, 2018Female Pelvic Medicine & Reconstructive Surgery

Clinical Utility of Routine Preoperative Laboratory Assessment in a Urogynecologic Population

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Why the study?

Does routine preoperative laboratory testing identify clinically meaningful abnormalities or alter surgical management in women undergoing urogynecologic surgery?

Population

836 women undergoing urogynecologic surgery at a single institution over a 3-year period, mean age 57 ± 13…

Design

Cohort

Authors

JGJulia Geynisman‐TanNorthwestern UniversityKBKatarzyna BochenskaOncology SpecialistsAGAkira GillinghamInstitute for Female Pelvic Medicine and Reconstructive Surgery

Discussion

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Implication

Routine preoperative labs may have low yield in urogynecologic surgery; leaves open optimal selective testing strategies.

Structured PICO

Does routine preoperative laboratory testing identify clinically meaningful abnormalities or alter surgical management in women undergoing urogynecologic surgery?

P
Population
836 women undergoing urogynecologic surgery (411 major, 425 minor) at a single institution over a 3-year period, mean age 57 ± 13 years.
I
Intervention
Routine preoperative laboratory testing (basic metabolic panel, complete blood count, and type and screen)
O
Outcome
Incidence of newly diagnosed, clinically meaningful laboratory abnormalities on routine preoperative laboratory testing

Routine preoperative laboratory testing in women undergoing urogynecologic surgery does not identify clinically meaningful abnormalities or alter surgical management.

Cite This Study

Geynisman‐Tan et al. (2018) studied this question.

synapsesocial.com/papers/6a7622fd74b63c188eb21dd8https://doi.org/10.1097/spv.0000000000000606
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Prevalence and Predictive Value of Abnormal Preoperative Laboratory Tests in Elderly Surgical Patients2001 · 182 citations
  2. 2Routine preoperative testing: a systematic review of the evidence.1997 · 324 citations
  3. 3The Prevalence and Predictive Value of Abnormal Preoperative Laboratory Tests in Elderly Surgical Patients2001 · 156 citations
  4. 4Adherence to Evidence-Based Guidelines for Preoperative Testing in Women Undergoing Gynecologic Surgery2010 · 31 citations
  5. 510.1016/s0002-838x(13)60074-x2000 · 145 citations