Ambulatory surgery in orthopedics: experience of over 10,000 patients

Martín-Ferrero, Miguel Ángel; Faour-Martín, Omar; Simón-Pérez, Clarisa; Pérez-Herrero, M.; Pedro-Moro, J. A. de

doi:10.1007/s00776-013-0501-3

Cited by 31 publications

(24 citation statements)

References 18 publications

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“…In recent works, health perception by patients (SF-36) also seemed to be higher. 3 In a study of 96 cases of ACL reconstruction conducted by OSP, although without a non-OSP control group, García-Casas et al 15 concluded that the procedure can be performed with similar levels of safety and effectiveness to the technique with admission in addition to establishing savings of 7.9% (436.16D per procedure). Shaw et al 16 and Kumar et al 17 also established the safety of the technique after analyzing series of cases undergoing outpatient ACL reconstruction.…”

Section: Discussionmentioning

confidence: 97%

“…The advantages of carrying out OSP procedures in traumatology and orthopedic surgery which have traditionally been associated to hospital admission are manifold and include an improvement in perceived health (SF-36), cost savings and a lower rate of complications and readmissions. 3 Our hypothesis is that the technique we implemented many years ago at our department (ligamentoplasty of the ACL by OSP) is safe and provides similar results in terms of the most frequent complications compared to the technique conducted through non-OSP.…”

Section: Introductionmentioning

confidence: 94%

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Postoperative complications of anterior cruciate ligament reconstruction after ambulatory surgery

Andrés-Cano

Godino

Vides

et al. 2015

Revista Española de Cirugía Ortopédica y Traumatología (English

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 94%

Postoperative complications of anterior cruciate ligament reconstruction after ambulatory surgery

Andrés-Cano

Godino

Vides

et al. 2015

Revista Española de Cirugía Ortopédica y Traumatología (English

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“…However, postoperative complications such as pain have been reported to occur frequently (20–80%), and pain treatment is often inadequate . Pain is the most common reason for delayed discharge and unplanned hospital readmission after outpatient surgery, but the incidence of other pain‐related unscheduled healthcare contact is largely unexplored .…”

Section: Introductionmentioning

confidence: 99%

Pain-related unscheduled contact with healthcare services after outpatient surgery

et al. 2017

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This prospective, observational study explored the need for pain-related unscheduled contact with healthcare services after outpatient surgery. We hypothesised that 10% of outpatients would have pain-related unscheduled contact with healthcare services, and that the incidence would differ depending on the type of surgical procedure. In total, 905 patients who had undergone one of five common outpatient surgical procedures (knee or shoulder arthroscopy, surgical correction of hallux valgus, laparoscopic cholecystectomy or laparoscopic gynaecological procedures) completed an electronic questionnaire one week and eight weeks after surgery. Data from 732 patients (81%) were available for analysis. Within the first eight weeks after surgery, 150 patients (20.5%) had made unscheduled contact with healthcare professionals, in 247 cases due to pain that was most frequent in the first postoperative week. Risk factors were female sex, unemployment and laparoscopic cholecystectomy. The most frequent healthcare contact was with the general practitioner (46.4%), and the most frequent outcome was further information and guidance (41.2%). We have demonstrated that a minority of patients still needed to make contact with health services after outpatient surgery, most often due to inadequate pain management. This finding should be considered when planning postoperative monitoring and care, and developing postoperative patient education.

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“…Internationally, patient satisfaction is recorded in a variety of ways, most typically as a general question in an institutional or national joint registry 22,23 . Martín-Ferrero et al 22 reported on satisfaction of ambulatory orthopaedic surgery in 10,032 patients and found the mean satisfaction to be 8.55 out of 10, with no significant difference between the day and inpatient surgeries recorded (all p > 0.05). Similarly, Kamrad et al 23 studied 241 total ankle replacement patients from the Swedish Ankle Registry, reporting postoperative satisfaction rates.…”

Section: Discussionmentioning

confidence: 99%

Pain intensity in total hip arthroplasty patients: how communication influences satisfaction

et al. 2019

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Introduction: An important global measure of health care quality is patient satisfaction. Patient satisfaction partially determines hospital reimbursement for procedures such as total hip arthroplasty (THA). Press Ganey (PG) survey responses assess patient satisfaction, and impact reimbursement. Current efforts to maximise repayment for THA include reducing postoperative pain. The “Pain Management” survey domain is considered a significant factor in patient ratings, but other studies have highlighted staff communication domains as determinants of satisfaction. Therefore, the purpose of this study is to compare PG survey responses to inpatient pain intensity. Methods: We queried the PG database for all patients who underwent a THA between November 2012 and January 2015. This yielded a total of 302 patients. Descriptive statistics were performed to analyse patient-level demographics. A multivariate regression model was constructed utilising pain intensity as the dependent variable. Results: Patients rating of “Communication with Doctors” ( B = –25.534; p < 0.001) and “Communication about Medicines” ( B = –31.49; p = < 0.001) domains were representative of patient pain intensity. No other factors demonstrated a significant relationship to pain intensity. Conclusions: Patient satisfaction continues to be important in care quality. Surrogate markers, such as the PG survey, can guide institutions looking to improve care. Our study revealed scores for “Communication with Doctors” and “Communication about Medicines” best represented true pain intensity levels for THA recipients during the postoperative period. The “Pain Management” domain did not display a relationship to pain intensity. The current method of measuring patient satisfaction should be reassessed to better represent patient responses and outcomes.

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Ambulatory surgery in orthopedics: experience of over 10,000 patients

Cited by 31 publications

References 18 publications

Postoperative complications of anterior cruciate ligament reconstruction after ambulatory surgery

Postoperative complications of anterior cruciate ligament reconstruction after ambulatory surgery

Pain-related unscheduled contact with healthcare services after outpatient surgery

Pain intensity in total hip arthroplasty patients: how communication influences satisfaction

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