low value procedure
A term which follows the Humpty-Dumpty’s etymological construct* in that the definition differs according to the user.
*The definition of terms, words and phrases according to the user’s whims, named after Humpty-Dumpty who, in Lewis Carroll’s Through the Looking Glass, famously said When I use a word, it means just what I choose it to mean…
Definition A procedure or test performed during a hospital admission for surgery, for which there is little evidence that it provides significant value in terms of improved outcomes or reduced mortality.
Examples, LVPs in general surgery
• Baseline laboratory studies in healthy patients without significant systemic disease when blood loss during surgery is expected to be minimal
• Baseline cardiac testing or cardiac stress test in asymptomatic stable patients with known cardiac disease undergoing low-risk or moderate-risk non-cardiac surgery
• Routine use of PAC (pulmonary artery catheter) for cardiac surgery in patients with a low risk of blood pressure complications, especially if other diagnostic tools like an echocardiogram are being used during the procedure
• Administration of blood in young healthy patients without ongoing blood loss and with a low-normal hemoglobin concentration, unless they show symptoms or blood pressure problems
• Routine administration of specific types of IV fluids for replacement of blood or other fluids without appropriate indications.
Definition A procedure that costs substantially less in one country than another
Synonym Low cost surgery