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Office-based surgery and patient outcomes.

Steven Young1, Fred E Shapiro1,2, Richard D Urman2,3

  • 1Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School.

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Office-based surgical procedures are increasing, with complication rates similar to or lower than previous studies. Ensuring high-quality, safe patient care in these settings is crucial as more procedures move from hospitals.

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Area of Science:

  • Anesthesiology
  • Surgical Outcomes

Background:

  • Ambulatory procedures performed outside the hospital setting are increasing in number and complexity.
  • Patient comorbidities in office-based settings have also risen over the past two decades.

Purpose of the Study:

  • To provide an update on patient safety and outcomes in the office-based surgical setting.
  • To review recent outcomes studies across various surgical specialties and patient populations.

Main Methods:

  • Review of recent publications on office-based surgical (OBS) outcomes.
  • Focus on studies encompassing different surgical specialties and patient populations.

Main Results:

  • Complication rates in the OBS setting are similar to or lower than previously reported.
  • Common complications include hematoma, infection, and venous thromboembolism (VTE)/pulmonary embolism.
  • Deaths are rare, often associated with VTE/pulmonary emboli and abdominoplasties.

Conclusions:

  • Recent studies enhance understanding of office-based anesthesia safety.
  • High-quality, safe patient care must be ensured as procedures increasingly migrate to office-based environments.