TABLE 10Cost analyses of preoperative evaluation clinics – study characteristics

First authorYearCountryMethods*Patients*Type of surgeryTime between evaluation and surgery
Boothe441995CanadaRetrospective comparison of two cohorts (matched for postoperative LOS)A=53; B=11Laparoscopic cholecystectomyNot specified
Fischer401996USARetrospective comparison of two cohortsA=4,313 ; B=3,576VariousNot specified
France391997BelgiumSingle retrospective cohort for current cost and used 59% reduction from Fischer40B=2,103 patients (Haucotte et al, 199648)VariousNot applicable
MacDonald411992UKCost measured for single cohort. Number that would have needed surgery postponed was estimated on the basic of test resultsA=147 elderly patientsMajor joint replacementWithin 3 months
Pollard381996USABefore and after comparison of financial recordsNot applicableNot specifiedWithin 30 days
Power421999AustraliaComparison of a prospective cohort with a retrospective cohortA=201; B=168General, ENTWithin 2 weeks
Starsnic431997USAComparison of two prospective concurrent cohortsA=1,519; B=1,543Same-day surgeryWithin 2 weeks
*

A = preoperative evaluation in anaesthetist-led outpatient clinic; B = preoperative evaluation on inpatient surgical admission.

A = preoperative evaluation in anaesthetist-led outpatient clinic; B = preoperative evaluation on inpatient surgical admission.

From: Appendix 5, Economics of Routine Preoperative Testing

Cover of Preoperative Tests
Preoperative Tests: The Use of Routine Preoperative Tests for Elective Surgery.
NICE Clinical Guidelines, No. 3.
National Collaborating Centre for Acute Care (UK).
Copyright © 2003, National Collaborating Centre for Acute Care.

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