{"id":"https://openalex.org/W2396711764","doi":null,"title":"How cost effective are routine preoperative investigations?","display_name":"How cost effective are routine preoperative investigations?","publication_year":1980,"publication_date":"1980-12-10","ids":{"openalex":"https://openalex.org/W2396711764","mag":"2396711764","pmid":"https://pubmed.ncbi.nlm.nih.gov/6782527"},"language":"en","primary_location":{"id":"pmid:6782527","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/6782527","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The New Zealand medical journal","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5024616322","display_name":"Brett Delahunt","orcid":"https://orcid.org/0000-0002-5398-0300","observed_orcids":["https://orcid.org/0000-0002-5398-0300"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"B Delahunt","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5016362666","display_name":"P. R. G. Turnbull","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"P R Turnbull","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":58,"citation_normalized_percentile":{"value":0.21146808,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"92","issue":"673","first_page":"431","last_page":"2"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9897000193595886,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9897000193595886,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.006899999920278788,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11080","display_name":"Surgical site infection prevention","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/preoperative-investigations","display_name":"preoperative investigations","score":0.8420000076293945},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.8209999799728394},{"id":"https://openalex.org/keywords/elective-surgery","display_name":"elective surgery","score":0.7369999885559082},{"id":"https://openalex.org/keywords/varicose-vein-surgery","display_name":"varicose vein surgery","score":0.9750000238418579},{"id":"https://openalex.org/keywords/inguinal-hernia-repair","display_name":"inguinal hernia repair","score":0.9359999895095825},{"id":"https://openalex.org/keywords/preoperative-laboratory-testing","display_name":"preoperative blood tests","score":0.6859999895095825},{"id":"https://openalex.org/keywords/unnecessary-testing","display_name":"unnecessary testing","score":0.421999990940094},{"id":"https://openalex.org/keywords/minor-surgery","display_name":"minor surgery","score":0.460999995470047}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9831991195678711},{"id":"https://openalex.org/C2777910003","wikidata":"https://www.wikidata.org/wiki/Q1707292","display_name":"Asymptomatic","level":2,"score":0.714379608631134},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6037269830703735},{"id":"https://openalex.org/C2781132756","wikidata":"https://www.wikidata.org/wiki/Q1144039","display_name":"Inguinal hernia","level":3,"score":0.5332526564598083},{"id":"https://openalex.org/C2780306776","wikidata":"https://www.wikidata.org/wiki/Q426660","display_name":"Creatinine","level":2,"score":0.5017995834350586},{"id":"https://openalex.org/C2781312054","wikidata":"https://www.wikidata.org/wiki/Q5354947","display_name":"Elective surgery","level":2,"score":0.4638884663581848},{"id":"https://openalex.org/C2779096551","wikidata":"https://www.wikidata.org/wiki/Q133076","display_name":"Hernia","level":2,"score":0.4318389892578125},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3928997218608856},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10793939232826233}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001774","descriptor_name":"Blood Chemical Analysis","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003954","descriptor_name":"Diagnostic Services","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006403","descriptor_name":"Hematologic Tests","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006552","descriptor_name":"Hernia, Inguinal","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009520","descriptor_name":"New Zealand","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011300","descriptor_name":"Preoperative Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D013902","descriptor_name":"Radiography, Thoracic","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D014648","descriptor_name":"Varicose Veins","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:6782527","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/6782527","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The New Zealand medical journal","raw_type":"Journal Article"},{"id":"mag:2396711764","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/6782527","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7098372374","https://openalex.org/W3094115396","https://openalex.org/W2117149354","https://openalex.org/W3210115263","https://openalex.org/W2056532338","https://openalex.org/W1974013278","https://openalex.org/W2282918331","https://openalex.org/W1991201616","https://openalex.org/W67413149","https://openalex.org/W91545766"],"abstract_inverted_index":{"Eight":[0,22],"hundred":[1],"and":[2,11,20,54,61,66,124],"sixty":[3],"patients":[4,127],"were":[5,23,31,71],"preassessed":[6],"for":[7,33,116],"elective":[8,131],"varicose":[9],"vein":[10],"inguinal":[12],"hernia":[13],"surgery":[14],"at":[15],"Wellington":[16],"Hospital":[17],"ion":[18],"1975":[19],"1976.":[21],"refused":[24],"operation":[25,40],"on":[26],"the":[27,117],"grounds":[28],"that":[29,111],"they":[30],"unfit":[32],"general":[34],"anaesthesia.":[35],"Forty-nine":[36],"went":[37],"forward":[38],"to":[39],"with":[41],"no":[42,90,98,114],"investigations.":[43],"The":[44],"remaining":[45],"803":[46],"underwent":[47],"a":[48],"total":[49],"of":[50,77,122],"1792":[51],"routine":[52,118],"radiological":[53],"laboratory":[55,120],"tests":[56],"(chest":[57],"x-ray,":[58],"Coulter":[59],"screen":[60],"ESR,":[62],"plasma":[63],"urea,":[64],"creatinine":[65],"electrolytes).":[67],"Abnormal":[68],"test":[69],"results":[70,86],"noted":[72],"in":[73],"172":[74],"patients,":[75],"63":[76],"these":[78],"being":[79],"unpredicted.":[80],"Apart":[81],"from":[82],"one":[83],"death":[84],"(test":[85],"normal)":[87],"there":[88,112],"was":[89],"respiratory,":[91],"renal":[92],"or":[93],"significant":[94],"wound":[95],"pathology.":[96],"In":[97],"case":[99],"did":[100],"an":[101],"unexpected":[102],"abnormal":[103],"result":[104],"alter":[105],"patient":[106],"management.":[107],"It":[108],"is":[109,113],"suggested":[110],"justification":[115],"preoperative":[119],"investigation":[121],"asymptomatic":[123],"clinically":[125],"normal":[126],"who":[128],"are":[129],"undergoing":[130],"minor":[132],"surgery.":[133]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":2},{"year":2013,"cited_by_count":5},{"year":2012,"cited_by_count":4}],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2016-06-24T00:00:00"}
