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Phone Interviews for Preoperative Medical Evaluation for Cataract Surgery

  • Manju L. SubramanianEmail author
  • Avni Badami
  • Frank VavrekII
  • Pamela Rosenkranz
  • Susannah Rowe
Concise Research Reports

INTRODUCTION

Cataract surgery is the most commonly performed procedure among developed nations. As the prevalence of eye surgery increases with advancing age, so do resources on preoperative medical assessments. Increasing attention has been devoted to understanding what constitutes appropriate preoperative evaluation for low-risk, minimally invasive eye procedures requiring monitored intravenous (IV) sedation with local anesthesia. The purpose of this study was to retrospectively review an initiative obtaining a history and giving preoperative instructions by phone to determine if it could safely substitute for a standard, in-person history and physical (H&P) in patients undergoing cataract surgery at Boston Medical Center (BMC).

METHODS

Joint Commission was consulted, who gave BMC flexibility in defining a preoperative history and physical, and a phone visit initiative was subsequently implemented in October 2015 for all patients undergoing cataract surgery. Surgeons were allowed to...

KEY WORDS

preoperative evaluation ophthalmology access to care primary care 

Notes

Acknowledgements

Contributors: Ryan Macht, MD, Gheorghe Doros, PhD, and Jeffrey J. Siracuse, MD

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.

References

  1. 1.
    Schein OD, Katz J, Bass EB, et al. The value of routine preoperative medical testing before cataract surgery: study of medical testing for cataract surgery. N Engl J Med 2000;342:168–75.CrossRefGoogle Scholar
  2. 2.
    Lira RP, Nascimento MA, MoreiraFilho DC et al. Are routine preoperative medical tests needed with cataract surgery? Rev Panam Salud Publica 2001;10:13–7.CrossRefGoogle Scholar
  3. 3.
    Schein OD, Pronovost PJ. A preoperative medical history and physical should not be a requirement for all cataract patients. J Gen Intern Med. 2017;32(7):813–814.CrossRefGoogle Scholar
  4. 4.
    Jastrzebski A, Villafranca A, Sethi S, Bellan L, Misericordia Health Centre Cataract Surgery Working Group. Safety and comparative costs of preoperative assessments for cataract surgery: traditional mandatory assessment versus a novel graded system. Can J Anaesth. 2016;63(7):842–50.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Manju L. Subramanian
    • 1
    Email author
  • Avni Badami
    • 2
  • Frank VavrekII
    • 2
  • Pamela Rosenkranz
    • 3
  • Susannah Rowe
    • 1
    • 2
  1. 1.Department of Ophthalmology Boston University School of MedicineBostonUSA
  2. 2.Boston Medical CenterBostonUSA
  3. 3.Clinical Quality and Patient Safety at Boston Medical CenterBoston University School of MedicineBostonUSA

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