What laboratory tests are routinely required for patients with rheumatic diseases scheduled for elective surgery

What laboratory tests are routinely required for patients with rheumatic diseases scheduled for elective surgery?

There is no consensus on preoperative screening evaluations. Specific clinical scenarios such as patients on anticoagulation or certain disease-modifying antirheumatic drug (DMARD) therapy may justify a selected set of laboratory and imaging evaluations. 

The below table outlines potential preoperative evaluations for patients with rheumatic disease.

Potential Preoperative Evaluations

TestConsider in a Patient with
Liver function testsNonsteroidal anti-inflammatory drug, methotrexate, leflunomide use
Prothrombin time/partial thromboplastin timeLiver disease or bleeding disorder
Antiphospholipid antibody syndrome
Chest x-rayAcute pulmonary symptoms, abnormal examination
Pulmonary disease or cardiovascular disease
Thoracic surgery
Pulmonary function testsSame as chest x-ray
Cervical spine x-ray (flexion and extension views)Rheumatoid arthritis, juvenile idiopathic arthritis, axial spondyloarthritis
15585

Sign up to receive the trending updates and tons of Health Tips

Join SeekhealthZ and never miss the latest health information

15856
Scroll to Top