Low-value preoperative cardiac testing before low-risk surgical procedures: a population-based cohort study.

ABSTRACT:

Background

Choosing Wisely Canada (CWC) recommends avoiding noninvasive advanced cardiac testing (e.g., exercise stress testing [EST], echocardiography and myocardial perfusion imaging [MPI]) for preoperative assessment in patients scheduled to undergo low-risk noncardiac surgery. In this study, we assessed the temporal trends in testing, overlapping with the introduction of the CWC recommendations in 2014, and patient and provider factors associated with low-value testing.

Methods

In this population-based retrospective cohort study, we used linked health administrative data in Alberta, Canada, to identify adult patients who underwent elective noncardiac surgery between Apr. 1, 2011, and Mar. 31, 2019, who had preoperative noninvasive advanced cardiac tests (EST, echocardiog

SUBMITTER: Zare-Zadeh S 

PROVIDER: S-EPMC10212574 | biostudies-literature | 2023 May-Jun

REPOSITORIES: biostudies-literature