Preoperative Medical Testing in Medicare Patients Undergoing Cataract Surgery
作者： Catherine L. Chen , Grace A. Lin , Naomi S. Bardach , Theodore H. Clay , W. John Boscardin
关键词: Emergency medicine 、 MEDLINE 、 Observational study 、 Health care 、 Physical therapy 、 Guideline 、 Cataract surgery 、 Cohort 、 Adverse effect 、 Medical testing 、 Medicine
摘要: BackgroundRoutine preoperative testing is not recommended for patients undergoing cataract surgery, because neither decreases adverse events nor improves outcomes. We sought to assess adherence this guideline, estimate expenditures from potentially unnecessary testing, and identify patient health care system characteristics associated with testing. MethodsUsing an observational cohort of Medicare beneficiaries surgery in 2011, we determined the prevalence cost month before surgery. compared office visits mean percentage who underwent tests had during preceding 11 months. Using multivariate hierarchical analyses, examined relationship between patients, characteristics, surgical setting, team, occurrence a visit. ResultsOf 440,...
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