The London Spine Unit : best rated spine hospital on Harley Street UK
Published article
INTRODUCTION: Lumbar decompression (LD) surgery, with or without discectomy, is a commonly performed surgical procedure. Despite the concept of day-case LD being reported as early as the 1980s, day-case LD is yet to become routine clinical practice.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Brain Spine. 2022 Apr 18;2:100888. doi: 10.1016/j.bas.2022.100888. eCollection 2022.
ABSTRACT
INTRODUCTION: Lumbar decompression (LD) surgery, with or without discectomy, is a commonly performed surgical procedure. Despite the concept of day-case LD being reported as early as the 1980s, day-case LD is yet to become routine clinical practice.
RESEARCH QUESTION: This systematic review aimed to examine the published literature on the safety and complication rates of day-case LD. Secondary outcome measures, including the economic impact and patient satisfaction of day-case LD, were also examined.
MATERIALS AND METHODS: A systematic electronic search was carried out on PubMed, EMBASE and the Cochrane Library between 1999 and January 2022. Studies were screened against predefined inclusion/exclusion criteria with the quality of included studies subsequently being assessed.
RESULTS: In total, 15 studies were included in this review. The majority of studies were undertaken in the USA (n = 8, 53%) and were of a case series design (n = 9, 60%). Reported complication rates ranged from 0% to 7.8%, with nine studies reporting a complication rate of <4%. Readmission rates ranged from 0% to 7.7%. Seven studies quoted a readmission rate of 0%. Five studies found cost saving benefits of day-case LD in comparison to inpatient LD of up to $27,984 (USD). Patient acceptability of day-case LD was consistently high across the six studies that assessed it.
DISCUSSION AND CONCLUSION: Day-case LD surgery is a safe and economically efficient surgical option in appropriately selected patients.
PMID:36248095 | PMC:PMC9559968 | DOI:10.1016/j.bas.2022.100888
The London Spine Unit : best rated spine hospital on Harley Street UK
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