ReviewDeutsches Arzteblatt international2014
Preoperative risk assessment--from routine tests to individualized investigation.
Review in Deutsches Arzteblatt international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Preoperative bioelectrical impedance, measured phase angle, and hand-grip strength as predictors of postoperative outcomes in patients undergoing cardiac surgery: a systematic review.BMC cardiovascular disorders · 2024Pooled it
- The impact of myosteatosis on outcomes following surgery for gastrointestinal malignancy: a meta-analysis.Annals of the Royal College of Surgeons of England · 2023Pooled it
- Pain During Venous Cannulation.Deutsches Arzteblatt international · 2017Trial
- Cutting Risk, Not Just Skin-An International Survey on the Role of Preoperative Lab Values in Risk Stratification for Plastic and Reconstructive Surgery.Journal of clinical medicine · 2025Article
- 2024 EACTS/EACTAIC Guidelines on patient blood management in adult cardiac surgery in collaboration with EBCP.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Article
- 2024 EACTS/EACTAIC Guidelines on patient blood management in adult cardiac surgery in collaboration with EBCP.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Evaluation of routine preoperative testing practices in Sudanese public hospitals 2024: a multicenter prospective study.Perioperative medicine (London, England) · 2025Article
- Preoperative investigation practices for elective surgical patients: clinical audit.BMC anesthesiology · 2024Article
- [Fragility Fractures: Preoperative assessment and optimisation].Zeitschrift fur Gerontologie und Geriatrie · 2024Article
- Wearable Sensors as a Preoperative Assessment Tool: A Review.Sensors (Basel, Switzerland) · 2024Review
- Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital.Health SA = SA Gesondheid · 2024Article
- Unveiling the Clinical Spectrum of Post-COVID-19 Conditions: Assessment and Recommended Strategies.Cureus · 2024Review
- Preoperative investigations for elective surgical patients in a resource limited setting: Systematic review.Annals of medicine and surgery (2012) · 2022Review
- Long term predictors of breathlessness, exercise intolerance, chronic fatigue and well-being in hospitalized patients with COVID-19: A cohort study with 4 months median follow-up.Journal of infection and public health · 2022Article
- Multi-omic analysis in injured humans: Patterns align with outcomes and treatment responses.Cell reports. Medicine · 2021Article
- Mortality and Complications Following Visceral Surgery: A Nationwide Analysis Based on the Diagnostic Categories Used in German Hospital Invoicing Data.Deutsches Arzteblatt international · 2019Article
- Maximizing Interpretability and Cost-Effectiveness of Surgical Site Infection (SSI) Predictive Models Using Feature-Specific Regularized Logistic Regression on Preoperative Temporal Data.Computational and mathematical methods in medicine · 2019Article
- [Screening prior to surgery and interventions].Der Internist · 2015Article
- Deaths Following Cholecystectomy and Herniotomy: An Analysis of Nationwide German Hospital Discharge Data From 2009 to 2013.Deutsches Arzteblatt international · 2015Article
- Questionable statement.Deutsches Arzteblatt international · 2015Article
Corrections and comments
- Commented on by
- Commented on byIn reply.2015
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRisk assessment in adults who are about to undergo elective surgery (other than cardiac and thoracic procedures) involves history-taking, physical examination, and ancillary studies performed for individual indications. Further testing beyond the history and physical examination is often of low predictive value for perioperative complications.
methodThis review is based on pertinent articles that were retrieved by a selective search in the Medline and Cochrane Library databases and on the consensus-derived recommendations of the German specialty societies.
resultsThe history and physical examination remain the central components of preoperative risk assessment. Advanced age is not, in itself, a reason for ancillary testing. Laboratory testing should be performed only if relevant organ disease is known or suspected, or to assess the potential side effects of pharmacotherapy. Electrocardiography as a screening test seems to add little relevant information, even in patients with stable heart disease. A chest X-ray should be obtained only if a disease is suspected whose detection would have clinical consequences in the perioperative period.
conclusionIn preoperative risk assessment, the history and physical examination are the strongest predictors of perioperative complications. Ancillary tests are indicated on an individual basis if the history and physical examination reveal that significant disease may be present.
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What Socratic 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 Socratic graph.