ReviewCureus2025
Preadmission Testing in the Context of Social Determinants of Health: A Narrative Review of Gaps, Challenges, and Opportunities for Equitable Perioperative Care.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Preadmission testing (PAT) represents a critical step in perioperative care, designed to optimize readiness and minimize same-day cancellations, yet its traditional model assumes patients can reliably complete laboratory testing, specialist consultations, and preoperative instructions without structured support. A growing body of evidence demonstrates that social determinants of health (SDOH), including limited health literacy, language barriers, transportation difficulties, housing instability, digital access inequities, and work or caregiving responsibilities, directly affect patient readiness and outcomes. Studies confirm that transportation costs, housing insecurity, and unstable caregiving arrangements increase missed appointments, while patients with limited English proficiency or low health literacy are at greater risk of miscommunication, misunderstanding instructions, and adverse perioperative outcomes. Digital divides further undermine the potential benefits of virtual PAT models, with lower-income and older patients less likely to access or use video-based visits. Interventions such as frailty screening, patient navigation, professional interpreter integration, plain-language education, e-health modules, and structured prehabilitation programs have shown promise in improving comprehension, satisfaction, readmissions, and even survival. However, these approaches remain inconsistently implemented and often limited to single-center initiatives. This review synthesizes current literature linking SDOH to perioperative readiness and highlights evidence-based strategies that can be integrated into PAT workflows. Embedding equity-focused screening, advocacy, flexible scheduling, hybrid digital options, and tailored education into PAT can help transform it from a potential source of inequity into a consistent gateway for safer, more inclusive surgical care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.