Routine preoperative medical testing for cataract surgery

Are routine preoperative medical tests needed with cataract surgery?

OBJECTIVE The objective of this study was to investigate whether routine medical testing before cataract surgery reduces the rate of complications during the perioperative period in adults. METHODS The study was carried out in an academic medical center in Brazil, between 10 February 2000 and 10 January 2001. The scheduled cataract operations were randomly assigned to one of two groups: 1) to...

Preoperative medical testing in Medicare patients undergoing cataract surgery.

BACKGROUND Routine preoperative testing is not recommended for patients undergoing cataract surgery, because testing neither decreases adverse events nor improves outcomes. We sought to assess adherence to this guideline, estimate expenditures from potentially unnecessary testing, and identify patient and health care system characteristics associated with potentially unnecessary testing. METH...

Cost-utility of routine cataract surgery

BACKGROUND If decisions on health care spending are to be as rational and objective as possible, knowledge on cost-effectiveness of routine care is essential. Our aim, therefore, was to evaluate the cost-utility of routine cataract surgery in a real-world setting. METHODS Prospective assessment of health-related quality of life (HRQoL) of patients undergoing cataract surgery. 219 patients (me...

Recent medical history--cataract surgery.

Preoperative consultations for medicare patients undergoing cataract surgery.

IMPORTANCE Low-risk elective surgical procedures are common, but there are no clear guidelines for when preoperative consultations are required. Such consultations may therefore represent a substantial discretionary service. OBJECTIVE To assess temporal trends, explanatory factors, and geographic variation for preoperative consultation in Medicare beneficiaries undergoing cataract surgery, a ...