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Cost-effectiveness of routine blood type and screen testing before elective laparoscopy
S B Ransom1, S G McNeeley, R B Hosseini
1Division of Gynecologic Surgery, Hutzel Hospital/Wayne State University School of Medicine, Detroit, Michigan, USA.
Obstetrics and Gynecology
|September 1, 1995
Summary
Routine preoperative blood type and screen testing before laparoscopy is not cost-effective. This blood test is unnecessary for patients without specific indications, as it does not improve patient care.
Area of Science:
- Obstetrics and Gynecology
- Surgical Patient Management
Background:
- Preoperative laboratory testing is standard practice before surgical procedures.
- The utility of routine blood type and screen testing before laparoscopic surgery is debated.
- Cost-effectiveness of preoperative testing is a significant consideration in healthcare.
Purpose of the Study:
- To assess the clinical usefulness of routine preoperative blood type and screen testing before laparoscopy.
- To evaluate the cost-effectiveness of this preoperative testing protocol.
- To determine if routine testing impacts patient care in the absence of specific indications.
Main Methods:
- Retrospective review of patient records over a 3-year period.
- Analysis of patients who received blood transfusions during or after laparoscopic procedures.
- Evaluation of transfusion indications and urgency for identified cases.
Main Results:
- Out of 7529 women undergoing laparoscopy, 57 required blood transfusion.
- All transfusions were linked to previously identifiable issues like ectopic pregnancy or anemia.
- No transfusions were necessary due to vascular injury during laparoscopy.
Conclusions:
- Routine preoperative type and screen testing for laparoscopy is not beneficial when no specific indications exist.
- Eliminating routine testing in such cases can improve efficiency and reduce costs.
- Patient care is not compromised by omitting routine preoperative blood type and screen testing without clear indications.