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. 2019 Sep 11;16(6):534-542.
doi: 10.1016/j.jor.2019.09.012. eCollection 2019 Nov-Dec.

Characterizing efficiency in the ambulatory surgery setting: An analysis of operating room time and cost savings in orthopaedic surgery

Uchechi Iweala  1 , Danny Lee  2 , Ryan Lee  2 , Jeffrey H Weinreb  2 , Joseph R O'Brien  3 , Warren Yu  2
Affiliations

Characterizing efficiency in the ambulatory surgery setting: An analysis of operating room time and cost savings in orthopaedic surgery

Uchechi Iweala et al. J Orthop. .

Erratum in

Abstract

Changing surgical settings for orthopaedic procedures could drive reductions in operative time and reduce healthcare costs. Time-cost differences were calculated using estimated operating room costs by utilizing the ACS-NSQIP database. Multivariate analyses were generated from propensity-matched cohorts to assess differences between inpatient/outpatient outcomes, and whether surgical length increased risk for complications. Outpatient procedures demonstrated time-cost savings of $1716.06. Generally, inpatient procedures demonstrated increased rates of major/minor complications, reoperation, extended LOS, and unplanned readmission (p < 0.001). Overall, longer operative times increased the risk for postoperative complications (p ≤ 0.001). More elective orthopaedic procedures done on an outpatient basis may result in substantial time-cost savings.

Keywords: Arthroplasty; Complications; Cost-analysis; Inpatient; Operative time; Orthopaedic; Outpatient; Time-cost.

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