Priority 7 from the Anaesthesia (Canada) PSP

UNCERTAINTY: What preparation, treatment, or assessment before receiving anesthesia for surgery improves patient outcomes? (JLA PSP Priority 7)
Overall ranking 7
JLA question ID 0084/07
Explanatory note

This question asks about what can be done before surgery to improve patients' outcomes. Respondents want to know about activities like assessing patients at clinics before surgery and enrolling patients in programs that are designed to increase their fitness before surgery.


Egholm JW, Pedersen B, Møller AM, Adami J, Juhl CB, Tønnesen H. Perioperative alcohol cessation intervention for postoperative complications. Cochrane Database Syst Rev. 2018 Nov 8;11.

Doleman B, Leonardi-Bee J, Heinink TP, Bhattacharjee D, Lund JN, Williams JP. Pre-emptive and preventive opioids for postoperative pain in adults undergoing all types of surgery. Cochrane Database Syst Rev. 2018 Dec 3;12.

Health Research Classification System category  Generic health relevance
Extra information provided by this PSP
Original uncertainty examples Can pre-conditioning programs be shown to shorten lengths of stay and improve surgical outcomes in elective surgery? ~ How can a preanesthesia clinic best improve patient outcomes i.e. what specific diseases can we readily modify in a short time span that have a recognizable benefit to patient outcomes 
Submitted by Healthcare providers, caregivers, patients
PSP information
PSP unique ID 0084
PSP name Anesthesia (Canada)
Total number of uncertainties identified by this PSP. 49  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 15 May 2019