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Pre-operative stress testing in the evaluation of patients undergoing non-cardiac surgery: A systematic review and meta-analysis

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  • Bindu Kalesan
  • Heidi Nicewarner
  • Sunny Intwala
  • Christopher Leung
  • Gary J Balady

Abstract

Background: Pre-operative stress testing is widely used to evaluate patients for non-cardiac surgeries. However, its value in predicting peri-operative mortality is uncertain. The objective of this study is to assess the type and quality of available evidence in a comprehensive and statistically rigorous evaluation regarding the effectiveness of pre-operative stress testing in reducing 30-day post -operative mortality following non -cardiac surgery. Methods: The databases of MEDLINE, EMBASE, and CENTRAL databases (from inception to January 27, 2016) were searched for all studies in English. We included studies with pre-operative stress testing prior to 10 different non-cardiac surgery among adults and excluded studies with sample size

Suggested Citation

  • Bindu Kalesan & Heidi Nicewarner & Sunny Intwala & Christopher Leung & Gary J Balady, 2019. "Pre-operative stress testing in the evaluation of patients undergoing non-cardiac surgery: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-22, July.
    • Handle: RePEc:plo:pone00:0219145
    DOI: 10.1371/journal.pone.0219145
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    1. Tom M. Palmer & Jaime L. Peters & Alex J. Sutton & Santiago G. Moreno, 2008. "Contour-enhanced funnel plots for meta-analysis," Stata Journal, StataCorp LP, vol. 8(2), pages 242-254, June.
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