Guidelines for day‐case surgery 2019

Bailey, Craig R.; Ahuja, Manish; Bartholomew, Karen; Bew, Stephanie; Forbes, Lisa R.; Lipp, Anna; Montgomery, J. E.; Russon, K.; Potparic, O.; Stocker, Mary

doi:10.1111/anae.14639

Cited by 181 publications

(118 citation statements)

References 32 publications

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“…Treating a patient as a day case, hence, requires a well-organized day surgery unit that can communicate well with the patient before, during, as well as after the intervention. It is needed because patients should be admitted to the day surgery unit as close as possible to the time of their surgery and followed-up after the surgery once in their own home setting [8]. Patients should be pro vided with general, as well as procedure-speci c, information that should be given to them in advance of admission and verbal comments should be reinforced with written material [8].…”

Section: Current Management In Day Surgerymentioning

confidence: 99%

Minimum Volume Standards in day Surgery: A Systematic Review

Stanak

Strohmaier

2020

Preprint

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Background: To find out if and for what indications are minimum volume standards (MVS) applied in the day surgery setting and whether the application of MVS improves patient relevant outcomes. Methods: We conducted a comprehensive systematic literature search in seven databases on July 12th, 2019. Concerning effectiveness and safety, the data retrieved from the selected studies were systematically extracted into data-extraction tables. Two independent researchers (MS, CS) systematically assessed the quality of evidence using the quality assessment tool for individual studies of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) called Task Force Checklist for Quality Assessment of Retrospective Database Studies. No instances of disagreement occurred. No further data processing was applied.Results: The systematic literature search, together with hand search, yielded 595 hits. No prospective or controlled studies were found. Data from eight retrospective studies were used in the analysis of clinical effectiveness and safety on seven indications: anterior cruciate ligament reconstruction, cataract surgery, meniscectomy, thyroidectomy, primary hip arthroscopy, open carpal tunnel release, and rotator cuff repair. All interventions (except for carpal tunnel release and thyroidectomy) confirmed a volume-outcome relationship (VOR) with relation to surgeon/hospital volume, however, none established MVS for the respective interventions. Safety related data were reported without its relationship to surgeon/hospital volume.Conclusions: This present paper provides some evidence in favor of the VOR, however, it based on low quality retrospective data-analyses. The present results cannot offer any clear-cut MVS thresholds for the day surgery setting and so the simple transition from inpatient results (that support MVS) to the day surgery setting is questionable. Further quality assuring policy approaches should be considered.

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Section: Current Management In Day Surgerymentioning

confidence: 99%

Minimum Volume Standards in day Surgery: A Systematic Review

Stanak

Strohmaier

2020

Preprint

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“…According to the 2019 guideline from the Association of Anesthetists (AA) and the BADS, it is thanks to the advances in surgical and anesthetic techniques that even patients with multiple comorbidities can be treated in the day care setting. Hence, AA and BADS suggest a paradigm shift towards day surgery – meaning that if inpatient surgery is being considered, it is important to question whether any strategies could be employed to enable the patient to be treated as a day case [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…They further state that three main selection criteria need to be considered when assessing patients’ eligibility: social, medical, and surgical [ 8 ]. Social criteria include the need of a responsible adult to escort the patient home and the presence of a carer for a required number of hours postoperatively in patient’s home setting.…”

Section: Introductionmentioning

confidence: 99%

“…Treating a patient as a day case, hence, requires a well-organized day surgery unit that can communicate well with the patient before, during, as well as after the intervention. It is needed because patients should be admitted to the day surgery unit as close as possible to the time of their surgery and followed-up after the surgery once in their own home setting [ 8 ]. Patients should be provided with general, as well as procedure-specific, information that should be given to them in advance of admission and verbal comments should be reinforced with written material [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Minimum volume standards in day surgery: a systematic review

Stanak

Strohmaier

2020

BMC Health Serv Res

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Background The aim was to find out if and for what indications are minimum volume standards (MVS) applied in the day surgery setting and whether the application of MVS improves patient relevant outcomes. Methods We conducted a comprehensive systematic literature search in seven databases on July 12th, 2019. Concerning effectiveness and safety, the data retrieved from the selected studies were systematically extracted into data-extraction tables. Two independent researchers (MS, CS) systematically assessed the quality of evidence using the quality assessment tool for individual studies of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) called Task Force Checklist for Quality Assessment of Retrospective Database Studies. No instances of disagreement occurred. No further data processing was applied. Results The systematic literature search, together with hand search, yielded 595 hits. No prospective or controlled studies were found. Data from eight retrospective studies were used in the analysis of clinical effectiveness and safety on seven indications: anterior cruciate ligament reconstruction, cataract surgery, meniscectomy, thyroidectomy, primary hip arthroscopy, open carpal tunnel release, and rotator cuff repair. All interventions (except for carpal tunnel release and thyroidectomy) confirmed a volume-outcome relationship (VOR) with relation to surgeon/hospital volume, however, none established MVS for the respective interventions. Safety related data were reported without its relationship to surgeon/hospital volume. Conclusions This present paper provides some evidence in favor of the VOR, however, it based on low quality retrospective data-analyses. The present results cannot offer any clear-cut MVS thresholds for the day surgery setting and so the simple transition from inpatient results (that support MVS) to the day surgery setting is questionable. Further quality assuring policy approaches should be considered.

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“…Sometime in the past, day case surgery constituted 60% and 50% of elective surgeries done in USA and United Kingdom respectively [1]. A wide spectrum of surgical procedures can now be performed in children and the complexity of the procedures continues to increase because of improvements in surgical and anaesthetic techniques [1,7]. A larger number of paediatric patients are now considered suitable for day case surgery and the trend is shifting from conventional inpatient management of surgical cases to day case surgical treatment [5,8].…”

Section: Introductionmentioning

confidence: 99%

Paediatric Day Case Surgical Practice at a Tertiary Hospital in Enugu, Nigeria

Emeka¹,

Ikemefuna²,

Chukwuebuka³

2019

AJP

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Background: An increasing number of paediatric day case surgeries are being carried out in developing countries due to the benefits of day case surgery and lots of papers are being published. However, there is no published paper on paediatric day case surgery from Enugu State University Teaching Hospital (ESUTH), Enugu. Methodology: This was a prospective study of children who had surgery on day case basis at the paediatric surgery unit of a tertiary hospital in Enugu, south east Nigeria, over a period of one year. Result: Out of the 135 surgeries done during the period of the study, 81 cases were day case surgeries, accounting for 60% of the cases. There were 69 males (85.2%) and 12 females (14.8%). The mean age and weight of the patients was 44.9 months and 16.5 kilograms respectively. The mean duration of surgery was 35.1 minutes while the mean duration of stay in the hospital post-surgery before going home was 5.2 hours. The most common diagnosis was hydrocele and herniotomy/herniorraphy was the most common surgical procedure performed. Conclusion: Paediatric day case surgery constitutes a significant workload of the paediatric surgeon. Herniotomy/herniorraphy was the most common procedure performed and most parents were satisfied. The scope of paediatric day case can be improved and the practice made more effective.

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Guidelines for day‐case surgery 2019

Abstract: Summary Guidelines are presented for the organisational and clinical management of anaesthesia for day‐case surgery in adults and children. The advice presented is based on previously published recommendations, clinical studies and expert opinion.

Cited by 181 publications

References 32 publications

Minimum Volume Standards in day Surgery: A Systematic Review

Minimum Volume Standards in day Surgery: A Systematic Review

Minimum volume standards in day surgery: a systematic review

Paediatric Day Case Surgical Practice at a Tertiary Hospital in Enugu, Nigeria

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