Key result
Physicians continue to order unnecessary routine preoperative tests despite evidence-based guidelines due to unfamiliarity with evidence, disbelief, defensive medicine, and financial incentives.
Despite guidelines from major medical societies advising against it, clinicians continue to order routine preoperative tests for low-risk surgical procedures.
Why do clinicians continue to order 'routine preoperative tests' despite the evidence?G uidelines and practice advisories is- sued by several medical societies, including the American Society of Anesthesiologists, 1 American Heart Association (AHA) and American College of Cardiology (ACC), 2 and Society of General Internal Medicine, 3 advise against routine preoperative testing for patients undergoing low-risk surgical procedures.Such testing often includes routine blood chemistry, complete blood cell counts, measures of the clotting system, and cardiac stress testing.
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Brateanu et al. (2015) conducted an editorial in Routine preoperative testing. Routine preoperative testing was evaluated. Physicians continue to order unnecessary routine preoperative tests despite evidence-based guidelines due to unfamiliarity with evidence, disbelief, defensive medicine, and financial incentives.
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