Variation in preoperative stress testing by patient, physician and surgical type: a cohort study.
Matthew A PappasDaniel I SesslerAndrew D AuerbachMichael W KattanAlex MilinovichEugene H BlackstoneMichael B RothbergPublished in: BMJ open (2021)
In this large cohort of patients seen for preoperative risk assessment at a single health system, decisions to refer patients for preoperative stress testing are influenced by various factors other than estimated perioperative risk and functional status, the key considerations in current guidelines. The frequency of preoperative stress testing has decreased over time, but remains highly provider-dependent.