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Ambulatory spine surgery: a survey study.

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Most spine surgeons perform ambulatory surgery, with nearly half investing in surgery centers. Surgeon investors may perform more complex procedures, highlighting the need to prioritize patient safety over financial incentives in ambulatory spine surgery decisions.

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Area of Science:

  • Orthopedics
  • Surgical Innovation
  • Healthcare Policy

Background:

  • Ambulatory surgery is increasingly utilized for spine procedures in the United States.
  • Understanding current surgeon practices and potential conflicts of interest is crucial for patient safety.
  • The International Society for the Advancement of Spine Surgery membership provides a relevant cohort for this study.

Purpose of the Study:

  • To assess the current practices of spine surgeons regarding ambulatory surgery in the US.
  • To investigate the relationship between surgeon investment in ambulatory surgery centers and surgical practice patterns.
  • To identify factors influencing the decision to perform spine surgery in an ambulatory setting.

Main Methods:

  • A cross-sectional study design was employed.
  • An electronic survey was distributed to members of the International Society for the Advancement of Spine Surgery.
  • Data were analyzed using univariate examination and multiple logistic regression.

Main Results:

  • 84.2% of surveyed spine surgeons perform some form of ambulatory spine surgery.
  • 49.1% of respondents reported investment in an ambulatory surgery center.
  • Surgeons in private practice and nonacademic surgeons were more likely to perform ambulatory surgery and invest in surgery centers.

Conclusions:

  • A trend suggests surgeons with financial interests in ambulatory surgery centers may perform higher-risk procedures in these settings.
  • This financial involvement could influence the choice of surgical site over optimal patient safety.
  • Decisions regarding ambulatory spine surgery should prioritize patient safety, independent of financial incentives.