ArticleAnnals of translational medicine2021
Preoperative assessment clinics and case cancellations: a prospective study from a large medical center in China.
Article in Annals of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Preoperative pathways in adults with multiple long-term conditions undergoing major surgery: a systematic review.BMJ open · 2026Pooled it
- Pre-anesthetic evaluation for gastrointestinal endoscopy in China: a national web-based questionnaire survey.BMC medical education · 2026Article
- Optimizing Preoperative Assessment Timing to Reduce Surgical Cancellations: A Quality Improvement Project.Cureus · 2025Article
- A visit to preanesthesia clinic can promote post-anesthesia early recovery in pediatric patients undergoing minor surgery: a retrospective study from a single center.BMC anesthesiology · 2025Article
- Retrieval augmented generation for 10 large language models and its generalizability in assessing medical fitness.NPJ digital medicine · 2025Article
- Preoperative risk factors for extended hospital stay: A prospective study in a South African clinic.African journal of primary health care & family medicine · 2025Article
- An In-Depth Analysis of Providers and Services of Cancellation in Anesthesia Reveals a Complex Picture after Systemic Analysis.Healthcare (Basel, Switzerland) · 2023Article
- Standards of perioperative management in total knee and hip arthroplasty procedures. A survey-based study. Part I: Preoperative management.Anaesthesiology intensive therapy · 2023Article
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreoperative assessment clinics have great benefits in reducing surgical cancellations, saving hospital resources and improving patient satisfaction. However, previous studies did not focus on patients with comorbidities. With advancements in medicine and aging population, the number of elderly patients with multiple comorbidities is increasing. This study was designed to assess the effectiveness of a preoperative assessment clinic for patients with multiple comorbidities.
methodsThis prospective, observational study enrolled patients with multiple comorbidities from Nov 1, 2019 to Oct 31, 2020 in a tertiary teaching hospital in China. Patients either visited the preoperative assessment clinic before admission or received an anesthesia consultation after admission. The impact of clinic visits on operating room cancellations, length of hospital stay before surgery, length of hospital stay after surgery, major postoperative complications, incidence of postoperative intensive care unit (ICU) admission, readmission to any hospital within 30 days after surgeries and total in-hospital costs were analyzed.
resultsA total of 326 eligible cases were included. Eighty-seven of 108 cases who visited the clinic before admission were scheduled for selective surgeries. In all, 218 patients received an anesthesia consultation after admission. The cancellation rate in the inpatient group was 7.80%, while no surgeries were cancelled in preclinic group (P=0.016). A preoperative assessment clinic visit statistically decreased the length of in-hospital stays before surgery from 93.02 to 76.11 h (P=0.010). After propensity score matching, significant differences in operating room cancellations (0
conclusionsAmong patients with comorbidities undergoing major surgeries, a preoperative assessment clinic visit was more efficient than an anesthesia consultation after admission. These findings may provide impetus for the opening of preoperative assessment clinics for critical patients in China.
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