Outpatient backbone surgical procedure: defining the outcomes, worth, and obstacles to implementation.
Neurosurg Focus. 2018 Might;44(5):E11
Authors: Pendharkar AV, Shahin MN, Ho AL, Sussman ES, Purger DA, Veeravagu A, Ratliff JK, Desai AM
Backbone surgical procedure is a key goal for value discount inside the USA well being care system. One doable technique includes the transition of inpatient surgical procedures to the ambulatory setting. Lumbar laminectomy with or with out discectomy, lumbar fusion, anterior cervical discectomy and fusion, and cervical disc arthroplasty all signify promising candidates for outpatient surgical procedures in choose populations. On this centered evaluation, the authors make clear the totally different definitions utilized in research describing outpatient backbone surgical procedure. Additionally they focus on the physique of proof supporting every of those procedures and summarize the proposed value financial savings. Lastly, they study a number of patient- and surgeon-specific issues to spotlight the obstacles in translating outpatient backbone surgical procedure into precise observe.
PMID: 29712520 [PubMed – in process]