Clinical and Cost Implications of Inpatient Versus Outpatient Orthopedic Surgeries: A Systematic Review of the Published Literature

Orthopedic Reviews
Dennis C CrawfordM Bhandari

Abstract

The number of outpatient orthopedic surgeries performed within North America continues to increase. The impact of this change in services on patient outcomes is largely unknown. The objective of this review is to compare patient outcomes and associated costs for outpatient orthopedic surgeries traditionally performed in hospital to inpatient surgeries, as well as to summarize the eligibility and preoperative education requirements for outpatient orthopedic surgery in North America. We performed a systematic review of Medline, Pubmed and Embase databases for articles comparing the clinical and economic impact of outpatient orthopedic surgical procedures versus inpatient procedures in North America. We reported on requirements for inpatient versus outpatient care, preoperative education requirements, complications and patient outcomes, patient satisfaction, and when available total mean costs. Nine studies met the inclusion criteria for this review. Eligibility requirements for outpatient orthopedic surgery within the included studies varied, but generally included: patient consent, a caregiver at home following surgery, close proximity to an outpatient center, and no history of serious medical problems. Preoperative education pr...Continue Reading

Citations

Apr 19, 2017·The Journal of Bone and Joint Surgery. American Volume·Jourdan M CancienneBrian C Werner
Aug 31, 2018·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Melissa M MasaracchiaMatthew Davis
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Apr 29, 2020·Clinical Spine Surgery : a Spine Publication·Ahmad ElsharydahGirish P Joshi
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