{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T12:58:34Z","timestamp":1790427514320,"version":"4.1.0"},"reference-count":15,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["ajconline.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Cardiology"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.amjcard.2026.08.010","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T23:20:37Z","timestamp":1786663237000},"page":"145-149","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Reducing Unnecessary Preoperative Cardiology Referral and Cost in Patients Undergoing Bariatric Surgery"],"prefix":"10.1016","volume":"277","author":[{"given":"Andrew J.","family":"Deak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren E.","family":"Tragesser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlyn D.","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit S.","family":"Soans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Haddad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Dalsania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram J.","family":"Eddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liti","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anika C.","family":"Ross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph J.","family":"McComb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin G.","family":"Keane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sezgin","family":"Ciftci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2329-7690","authenticated-orcid":false,"given":"Isaac R.","family":"Whitman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.amjcard.2026.08.010_bib0001","series-title":"Our World in Data","article-title":"Obesity","author":"Roser","year":"2017"},{"issue":"12","key":"10.1016\/j.amjcard.2026.08.010_bib0002","doi-asserted-by":"crossref","first-page":"1956","DOI":"10.1016\/j.soard.2021.08.024","article-title":"ASMBS position statement on preoperative patient optimization before metabolic and bariatric surgery","volume":"17","author":"Carter","year":"2021","journal-title":"Surg Obes Relat Dis"},{"issue":"4","key":"10.1016\/j.amjcard.2026.08.010_bib0003","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.bja.2019.05.029","article-title":"External validation of the Revised Cardiac Risk Index and National Surgical Quality Improvement Program Myocardial Infarction and Cardiac Arrest calculator in noncardiac vascular surgery","volume":"123","author":"Fronczek","year":"2019","journal-title":"Br J Anaesth"},{"issue":"2","key":"10.1016\/j.amjcard.2026.08.010_bib0004","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1007\/s00464-019-06894-9","article-title":"The hidden cost of an extensive preoperative work-up: predictors of attrition after referral for bariatric surgery in a universal healthcare system","volume":"34","author":"Doumouras","year":"2020","journal-title":"Surg Endosc"},{"key":"10.1016\/j.amjcard.2026.08.010_bib0005","unstructured":"Centers for Medicare & Medicaid Services. Physician Fee Schedule. October 2024. CMS Physician Fee Schedule"},{"key":"10.1016\/j.amjcard.2026.08.010_bib0006","doi-asserted-by":"crossref","first-page":"393","DOI":"10.2147\/DMSO.S142731","article-title":"Metabolic syndrome remission after Roux-en-Y gastric bypass or sleeve gastrectomy","volume":"10","author":"Nassour","year":"2017","journal-title":"Diabetes Metab Syndr Obes"},{"issue":"2","key":"10.1016\/j.amjcard.2026.08.010_bib0007","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1007\/s11695-016-2510-8","article-title":"Predictors of attrition before and after bariatric surgery","volume":"27","author":"Sala","year":"2017","journal-title":"Obes Surg"},{"issue":"11","key":"10.1016\/j.amjcard.2026.08.010_bib0008","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.121.024499","article-title":"Impact of racial disparities in preoperative cardiovascular evaluation and surgical outcomes in patients undergoing metabolic and bariatric surgery: a retrospective cohort analysis","volume":"11","author":"Ibrahim","year":"2022","journal-title":"J Am Heart Assoc"},{"issue":"2","key":"10.1016\/j.amjcard.2026.08.010_bib0009","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1007\/s00464-019-06894-9","article-title":"The hidden cost of an extensive preoperative work-up: predictors of attrition after referral for bariatric surgery in a universal healthcare system","volume":"34","author":"Doumouras","year":"2020","journal-title":"Surg Endosc"},{"issue":"8","key":"10.1016\/j.amjcard.2026.08.010_bib0010","doi-asserted-by":"crossref","first-page":"6032","DOI":"10.1007\/s00464-023-10030-z","article-title":"A qualitative analysis describing attrition from bariatric surgery to identify strategies for improving retention in patients who desire treatment","volume":"37","author":"Chao","year":"2023","journal-title":"Surg Endosc"},{"issue":"5","key":"10.1016\/j.amjcard.2026.08.010_bib0011","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.soard.2024.01.012","article-title":"American Society for Metabolic and Bariatric Surgery 2022 estimate of metabolic and bariatric procedures performed in the United States","volume":"20","author":"Clapp","year":"2024","journal-title":"Surg Obes Relat Dis"},{"issue":"1","key":"10.1016\/j.amjcard.2026.08.010_bib0012","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.soard.2020.08.036","article-title":"Preoperative cardiac screening using NT-proBNP in obese patients 50 years and older undergoing bariatric surgery: a study of 310 consecutive patients","volume":"17","author":"Van Veldhuisen","year":"2021","journal-title":"Surg Obes Relat Dis"},{"issue":"1","key":"10.1016\/j.amjcard.2026.08.010_bib0013","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/SLA.0b013e31826bc2f4","article-title":"Overuse of preoperative cardiac stress testing in Medicare patients undergoing elective noncardiac surgery","volume":"257","author":"Sheffield","year":"2013","journal-title":"Ann Surg"},{"issue":"4","key":"10.1016\/j.amjcard.2026.08.010_bib0014","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1097\/SLA.0b013e318157206e","article-title":"Validation of the obesity surgery mortality risk score in a multicenter study proves it stratifies mortality risk in patients undergoing gastric bypass for morbid obesity","volume":"246","author":"DeMaria","year":"2007","journal-title":"Ann Surg"},{"key":"10.1016\/j.amjcard.2026.08.010_bib0015","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1186\/s12871-021-01496-2","article-title":"Combining CHA\u2082DS\u2082-VASc score into RCRI for prediction perioperative cardiovascular outcomes in patients undergoing non-cardiac surgery: a retrospective pilot study","volume":"21","author":"Chu","year":"2021","journal-title":"BMC Anesthesiol"}],"container-title":["The American Journal of Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002914926005175?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002914926005175?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T12:16:31Z","timestamp":1790424991000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002914926005175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":15,"alternative-id":["S0002914926005175"],"URL":"https:\/\/doi.org\/10.1016\/j.amjcard.2026.08.010","relation":{},"ISSN":["0002-9149"],"issn-type":[{"value":"0002-9149","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Reducing Unnecessary Preoperative Cardiology Referral and Cost in Patients Undergoing Bariatric Surgery","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Cardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjcard.2026.08.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}