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NCT05805124

Do Anesthesiologists Follow Belgian KCE Guidelines for Preoperative Evaluation?

Completed Last updated 30 August 2023
What this trial tests

trial testing Preop evaluation in Surgery in 2,521 participants. Completed in 29 August 2023.

Timeline
1 August 2023
Primary endpoint
25 August 2023
29 August 2023

Quick facts

Lead sponsorErasme University Hospital
StatusCompleted
Study typeOBSERVATIONAL
Enrollment2,521
Start date1 August 2023
Primary completion25 August 2023
Estimated completion29 August 2023
Sites1 location across Belgium

Drugs / interventions tested

Conditions studied

Sponsor

Erasme University Hospital

Who can join

18 and older, any sex, with Surgery. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

For more than 50 years it has been shown that preoperative evaluations by anesthesiologists include too many unnecessary tests. Many of the tests ordered do not change the management of the patients. One example are preoperative coagulation tests which rarely give relevant information and can be omitted if the patients have a negative structured bleeding questionnaire. This situation has lead to the publication of many guidelines on preoperative evaluation, one of the most comprehensive being the 2022 guidelines by the European Society of Cardiology for the preoperative evaluation of cardiac patients undergoing non-cardiac surgery. In Belgium, an independent center of experts, the Kenniscentrum - Centre d'Expertise (KCE) was created to give expert and independent opinions on healthcare related subjects. These recommendations are often used by Belgian authorities to guide public health law and determine which medical procedures or tests are covered by the social security. The KCE has published an extensive guide on preoperative evaluation of patients undergoing non-cardiac surgery (KCE Reports 280Bs. D/2016/10.273/102.) These guidelines are freely available, either in print version, on the dedicated Website or as an App, and have been extensively spread in the anesthesiology community. Laboratory tests not recommended in these guidelines are not covered by the social security if no solid reason is given in the medical chart. In this retrospective study, adherence to the KCE guidelines on preoperative evaluations will be evaluated in a tertiary University hospital. All patients, scheduled for elective surgery, will be included for a period of 3 month. For every patient the recommended tests will be determined and compared to the actual tests prescribed by the anesthesiologist during the preadmission visit.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other recruiting trials for Surgery

Currently open trials in the same condition.

Other Erasme University Hospital trials

Trials by the same sponsor.

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Data sources for this page

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