The Safety of Office-Based Surgery

Hancox, John G.; Venkat, Arun P.; Coldiron, Brett M.; Feldman, Steven R.; Williford, Phillip M.

doi:10.1001/archderm.140.11.1379

Cited by 52 publications

(14 citation statements)

References 33 publications

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“…Even though mortality related to the ambulatory surgical setting is rare, this indicator has been used to flag potential quality problems associated with ambulatory surgery [6,7,9,25]. Other researchers have also used mortality as an outcome for comparing quality of care provided in the outpatient setting [8,12,26,27]. We used 7-day indicators since, as a shorter measure, it can reduce the effects of extraneous factors unrelated to outpatient procedures [6].…”

Section: Outcome Variablementioning

confidence: 99%

“…Due to the significant growth in the number of ambulatory surgical procedures provided in the U.S. and associated overall costs [4], researchers have begun to examine differences in quality outcomes for procedures performed in freestanding ambulatory surgical centers (ASCs) and hospital-based outpatient departments (HOPDs) [5][6][7][8][9][10][11][12][13][14][15]. Overall, these studies have utilized varying risk-adjustment approaches and have generally produced mixed results.…”

Section: Introductionmentioning

confidence: 99%

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How well does diagnosis-based risk-adjustment work for comparing ambulatory clinical outcomes?

Chukmaitov

Harless

Menachemi

et al. 2009

Health Care Manag Sci

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This paper examines the empirical consistency of the Diagnosis Cost Groups/Hierarchical Condition Categories (DCG/HCC) risk-adjustment method for comparing 7-day mortality between hospital-based outpatient departments (HOPDs) and freestanding ambulatory surgery centers (ASCs). We used patient level data for the three most common outpatient procedures provided during the 1997-2004 period in Florida. We estimated base-line logistic regression models without any diagnosis-based risk adjustment and compared them to logistic regression models with the DCG/HCC risk-adjustment, and to conditional logit models with a matched cohort risk-adjustment approach. We also evaluated models that adjusted for primary diagnoses only, and then for all available diagnoses, to assess how the frequently absent secondary diagnoses fields in ambulatory surgical data affect risk-adjustment. We found that risk-adjustment using both diagnosis-based methods resulted in similar 7-day mortality estimates for HOPD patients in comparison with ASC patients in two out of three procedures. We conclude that the DCG/HCC risk-adjustment method is relatively consistent and stable, and recommend this risk-adjustment method for health policy research and practice with ambulatory surgery data. We also recommend using risk-adjustment with all available diagnoses.

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Section: Outcome Variablementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

How well does diagnosis-based risk-adjustment work for comparing ambulatory clinical outcomes?

Chukmaitov

Harless

Menachemi

et al. 2009

Health Care Manag Sci

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“…6,7 Surgery in office settings has proven safe and effective in various surgical specialties. 8,9 In-office procedures avoid general anesthesia complications and costs (pharmacy, anesthesiologist, postanesthesia care unit). 10,11,12 Patient convenience and return-to-work advantages also exist.…”

mentioning

confidence: 99%

Feasibility of in-office endoscopic sinus surgery with balloon sinus dilation

Albritton¹,

Casiano²,

Sillers

2012

am j rhinol allergy

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“…Keywords office-based anesthesia, patient safety, patient satisfaction 1.5% [5,15]. While great strides have been made in recent years to reduce complication rates, OBA complications remain a concern.…”

Section: Purpose Of Reviewmentioning

confidence: 99%

“…Many professional organizations have published OBS/ OBA guidelines, which include information regarding facility equipment and support staff [6][7][8]11,15]. In 2007, Twersky [1 ] reiterated the importance of the ASA OBA guidelines and the need for anesthesiologists to adhere and communicate with the surgeon and staff regarding the importance of the guidelines and elements for safe perioperative care.…”

Section: Facility Equipment and Support Staffmentioning

confidence: 99%

Anesthesia outside the operating room in the office-based setting

Perrott¹

2008

Current Opinion in Anaesthesiology

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There is rapid growth for the need of safe and high quality office-based anesthesia. To meet these needs, a special set of skills is required, which may require expanded exposure and experience during training. An office-based anesthesia central data repository is needed for benchmarking and identifying areas for improvement. Finally, with advances in surgical technology, there is a need for focused research in office-based anesthetic techniques and modalities and patient satisfaction.

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The Safety of Office-Based Surgery

Cited by 52 publications

References 33 publications

How well does diagnosis-based risk-adjustment work for comparing ambulatory clinical outcomes?

How well does diagnosis-based risk-adjustment work for comparing ambulatory clinical outcomes?

Feasibility of in-office endoscopic sinus surgery with balloon sinus dilation

Anesthesia outside the operating room in the office-based setting

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